Transcatheter Electrosurgery in the Asia-Pacific
Year: 2026
Type: article
Abstract: Transcatheter electrosurgery involves the precise application of high-frequency electrical currents to modify or perforate cardiac structures during structural heart interventions. Adoption of these techniques in the Asia-Pacific region has grown significantly alongside the expansion of structural heart programs. Techniques such as Bioprosthetic or Native Aortic Scallop Intentional Laceration to Prevent Coronary Artery Obstruction (BASILICA), Undermining Iatrogenic Coronary Obstruction With Radiofrequency Needle (UNICORN), Laceration of the Anterior Mitral Leaflet to Prevent Outflow Obstruction (LAMPOON), and Balloon Assisted Translocation of the Mitral Anterior Leaflet to Prevent Left Ventricular Outflow Obstruction (BATMAN) have been employed by regional interventionalists to lacerate native or prosthetic heart valves before transcatheter valve implantation, thereby mitigating the risks of coronary or left ventricular outflow tract obstruction. In addition, transcaval access has facilitated transcatheter aortic valve replacement in patients with limited iliofemoral vascular access. This narrative review, authored by the Asia-Pacific Electrosurgery Working Group, explores the evolution of transcatheter electrosurgery, highlighting regional adoption, variations, and innovative contributions. Furthermore, it discusses prevailing challenges and future directions, emphasizing the importance of standardized training and collaborative innovation efforts.
Source: JACC Asia
Authors: Chun-Ka Wong, Karl Poon, Kent Chak-Yu So, Wei-Hsian Yin, Yung-Tsai Lee, Mann Chandavimol, Kwong-Yue Eric Chan, Daniel Tai-Leung Chan, Leo Kar Lok Lai, Kentaro Hayashida, Duk-Woo Park, Yohei Ohno, Kay-Woon Ho, Jung-Sun Kim, Tsuyoshi Kaneko, Vinayak N. Bapat, Alan Yeung, Nattawut Wongpraparut, Ho-On Alston Conrad Chiu, Ching-Wei Lee, Gilbert H.L. Tang, Jian'an Wang, Jaffar M. Khan, Simon Cheung-Chi Lam
Institutions: University of Cambridge, Queen Mary Hospital, University of Hong Kong, The University of Queensland, Prince Charles Hospital, Metro North Hospital and Health Service, Chinese University of Hong Kong, Prince of Wales Hospital, National Yang Ming Chiao Tung University, Cheng Hsin General Hospital, Mahidol University, Ramathibodi Hospital, Grantham Hospital, Keio University, Asan Medical Center, University of Ulsan, Tokai University, Tokai University Hospital, National Heart Centre Singapore, Yonsei University, Severance Hospital, Washington University in St. Louis, Abbott Northwestern Hospital, Stanford Medicine, Stanford University, Siriraj Hospital, Taipei Veterans General Hospital, Mount Sinai Health System, Second Affiliated Hospital of Zhejiang University, Zhejiang University, St. Francis Hospital
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $4,084
OpenAlex ID: W7119067144