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Transcatheter Electrosurgery in the Asia-Pacific: Implementation and Innovations.

Chun-Ka Wong¹, Karl Poon², Kent Chak-Yu So³

¹Cardiology Division, Department of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR; Cardiology Division, Department of Medicine, Queen Mary Hospital, Hong Kong SAR; Cambridge Stem Cell Institute, University of Cambridge, Cambridge, United Kingdom.

|January 7, 2026

Summary

This summary is machine-generated.

Transcatheter electrosurgery, using techniques like BASILICA and LAMPOON, is increasingly used in the Asia-Pacific for structural heart interventions. These methods help prevent complications during valve implantation, improving patient outcomes.

Keywords:

transcatheter aortic valve replacement transcatheter electrosurgery transcatheter mitral valve replacement

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Area of Science:

Cardiovascular Interventions
Electrosurgery
Structural Heart Disease

Background:

Transcatheter electrosurgery uses electrical currents for cardiac structure modification.
Adoption is growing in the Asia-Pacific alongside structural heart programs.

Purpose of the Study:

To review the evolution and regional adoption of transcatheter electrosurgery in the Asia-Pacific.
To highlight innovative contributions and discuss challenges in the field.

Main Methods:

Narrative review by the Asia-Pacific Electrosurgery Working Group.
Exploration of techniques like BASILICA, UNICORN, LAMPOON, and BATMAN.
Discussion of transcaval access for transcatheter aortic valve replacement.

Main Results:

Significant regional adoption of transcatheter electrosurgery techniques.
Successful mitigation of coronary and left ventricular outflow tract obstruction risks.
Facilitation of transcatheter aortic valve replacement via transcaval access.

Conclusions:

Transcatheter electrosurgery is evolving with regional innovations in the Asia-Pacific.
Standardized training and collaboration are crucial for future advancements.
Further research is needed to optimize electrosurgical techniques in structural heart interventions.