{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:01:21Z","timestamp":1753887681379,"version":"3.41.2"},"reference-count":40,"publisher":"Radcliffe Medical Media Ltd","license":[{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/legalcodettps:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/legalcode"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["Z01-HL006040"],"award-info":[{"award-number":["Z01-HL006040"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Delivery of electrosurgery energy through catheters and guidewires enables interventionists to \u2018cut\u2019 through obstructive intravascular lesions or across cardiac chambers. A novel application of transcatheter electrosurgery is to make controlled lacerations in heart valve leaflets. This review describes three applications of transcatheter electrosurgery of aortic and mitral valve leaflets to enable transcatheter heart valve implantation. Intentional laceration of the anterior mitral leaflet to prevent left ventricular outflow obstruction splits and splays the anterior mitral valve and enables transcatheter mitral valve replacement without left ventricular outflow tract obstruction. Technique modifications and novel applications are described. Bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction enables transcatheter aortic valve replacement without coronary artery obstruction. The technique is described and novel uses, especially in the setting of repeat transcatheter aortic valve replacement, are discussed. Finally, electrosurgical laceration and stabilization of mitral valve clip devices (ELASTA-Clip) enables transcatheter mitral valve replacement after MitraClip implantation. In conclusion, transcatheter electrosurgery is an important and versatile new tool in structural heart intervention.<\/jats:p>","DOI":"10.15420\/usc.2020.27","type":"journal-article","created":{"date-parts":[[2021,3,5]],"date-time":"2021-03-05T12:26:43Z","timestamp":1614947203000},"source":"Crossref","is-referenced-by-count":0,"title":["Advances in Transcatheter Electrosurgery for Treating Valvular Heart Disease"],"prefix":"10.15420","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6099-0753","authenticated-orcid":false,"given":"Jaffar M","family":"Khan","sequence":"first","affiliation":[{"name":"Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toby","family":"Rogers","sequence":"additional","affiliation":[{"name":"Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, MD; Medstar Washington Hospital Center, Washington, DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam B","family":"Greenbaum","sequence":"additional","affiliation":[{"name":"Structural Heart and Valve Center, Emory University Hospital, Atlanta, GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasilis C","family":"Babaliaros","sequence":"additional","affiliation":[{"name":"Structural Heart and Valve Center, Emory University Hospital, Atlanta, GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John C","family":"Lisko","sequence":"additional","affiliation":[{"name":"Structural Heart and Valve Center, Emory University Hospital, Atlanta, GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dursun Korel","family":"Yildirim","sequence":"additional","affiliation":[{"name":"Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7442-4303","authenticated-orcid":false,"given":"Christopher G","family":"Bruce","sequence":"additional","affiliation":[{"name":"Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel A","family":"Herzka","sequence":"additional","affiliation":[{"name":"Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanishka","family":"Ratnayaka","sequence":"additional","affiliation":[{"name":"Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, MD; UCSD Rady Children\u2019s Hospital, San Diego, CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1202-6673","authenticated-orcid":false,"given":"Robert J","family":"Lederman","sequence":"additional","affiliation":[{"name":"Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6096","published-online":{"date-parts":[[2021,3,1]]},"reference":[{"doi-asserted-by":"publisher","unstructured":"Rosenthal E, Qureshi SA, Chan KC, et al. 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