Electrosurgery in Structural Heart Interventions

Q: What is the clinical evidence from this study?

Study design: Review. Population: Complex structural cardiac conditions. Intervention: Electrosurgical procedures (Transcaval Access, BASILICA, LAMPOON, ELASTIC/ELASTA-Clip, and SESAME).

Q: What does this research mean for the field?

Electrosurgical techniques (such as Transcaval Access, BASILICA, LAMPOON, ELASTIC/ELASTA-Clip, and SESAME) offer effective, minimally invasive solutions with positive outcomes for complex structural cardiac interventions. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

Ajoe John Kattoor; Vijay Iyer

doi:10.1016/j.iccl.2026.08.008

November 9, 2026Interventional Cardiology Clinics

Electrosurgery in Structural Heart Interventions

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Key result

Catheter-directed electrosurgery delivers favorable outcomes across diverse structural heart interventions.

Key Points

To review the principles, techniques, clinical outcomes, and challenges of electrosurgical interventions in complex structural heart disease.
Narrative review synthesizing evidence on core electrosurgical mechanisms and procedural protocols in structural heart interventions.
Evaluation centered on five specialized structural techniques: transcaval access, BASILICA, LAMPOON, ELASTIC/ELASTA-Clip, and SESAME.
Identified electrosurgical techniques demonstrate positive procedural outcomes by enabling novel, minimally invasive approaches for complex anatomical challenges.
Technical intricacies, precise patient selection, and ongoing procedural hurdles remain critical factors requiring dedicated training and further investigation.

Structured PICO

P

Population

Patients undergoing complex structural cardiac interventions

I

Intervention

Electrosurgical procedures including Transcaval Access, BASILICA, LAMPOON, ELASTIC/ELASTA-Clip, and SESAME

This review highlights the core principles, techniques, and promise of five key electrosurgical procedures (Transcaval Access, BASILICA, LAMPOON, ELASTIC/ELASTA-Clip, and SESAME) as minimally invasive alternatives in complex structural heart interventions.

Limitations

Technical intricacies
Patient selection criteria
Need for further research
Technical intricacies of the procedures
Patient selection criteria considerations
Need for further research and data

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Implication

Electrosurgery may aid select structural interventions; leaves open the need for prospective trials on safety and outcomes.

Abstract

Electrosurgery has emerged as a groundbreaking tool in the field of structural cardiac interventions, revolutionizing the approach to complex cardiac conditions. This review delves into the core principles, procedural techniques, outcomes, and potential challenges associated with various electrosurgical procedures within the realm of structural cardiology. Five key electrosurgical procedures performed in complex structural interventions are highlighted in this review. They are the Transcaval Access, BASILICA, LAMPOON, ELASTIC/ELASTA-Clip, and SESAME procedures. While these electrosurgery procedures hold promise and have demonstrated positive outcomes, their technical intricacies, patient selection criteria, and the need for further research remain important considerations. As technology continues to evolve and more data becomes available, electrosurgery is poised to continue shaping the landscape of cardiac care, offering minimally invasive alternatives, and improving patient outcomes in complex structural cardiac interventions.

Discussion

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Cite This Study

Kattoor et al. (2026) conducted a review in Complex structural cardiac conditions. Electrosurgical procedures (Transcaval Access, BASILICA, LAMPOON, ELASTIC/ELASTA-Clip, and SESAME) was evaluated. Electrosurgery across five key procedures (Transcaval Access, BASILICA, LAMPOON, ELASTIC/ELASTA-Clip, SESAME) demonstrates positive outcomes as a minimally invasive tool in structural heart care.

synapsesocial.com/papers/6af34702bdf2424ebd04f898 https://doi.org/10.1016/j.iccl.2026.08.008

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Electrosurgery in Structural Heart Interventions

Key Points

Structured PICO

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Electrosurgery in Structural Heart Interventions

Key Points

Structured PICO

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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