Electro-Cut Assisted Crossing Technique for Noncrossable Extreme Aortic Coarctation

Farjat‐Pasos, Julio I.; Mercado, Heriberto Ontiveros; Donday, Luis Alfonso Marroquin; Rodríguez, Gian Manuel Jiménez; Santos, Moisés Jiménez; Arias, Eduardo A.; Santos, Félix Damas de los

doi:10.1016/j.jcin.2020.02.007

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…In cases where conventional retrograde approaches failed, electrosurgical traversal (E-CART) has enabled successful coronary artery recanalization. 30 In aortic coarctation, electrosurgery has enabled stent placement in uncrossable lesions 31,32 and in late stent thrombosis. 33…”

Section: Clinical Applicationsmentioning

confidence: 99%

Transcatheter Electrosurgery: A Narrative Review

Bruce

Khan

Rogers

et al. 2023

Circ: Cardiovascular Interventions

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Transcatheter electrosurgery describes the ability to cut and traverse tissue, at a distance, without an open surgical field and is possible using either purpose-built or off-the-shelf devices. Tissue traversal requires focused delivery of radiofrequency energy to a guidewire tip. Initially employed to cross atretic pulmonary valves, tissue traversal has enabled transcaval aortic access, recanalization of arterial and venous occlusions, transseptal access, and many other techniques. To cut tissue, the selectively denuded inner curvature of a kinked guidewire (the Flying-V) or a single-loop snare is energized during traction. Adjunctive techniques may complement or enable contemporary transcatheter procedures, whereas myocardial slicing or excision of ectopic masses may offer definitive therapy. In this contemporary review we discuss the principles of transcatheter electrosurgery, and through exemplary clinical applications highlight the range of therapeutic options offered by this versatile family of procedures.

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Section: Clinical Applicationsmentioning

confidence: 99%

Transcatheter Electrosurgery: A Narrative Review

Bruce

Khan

Rogers

et al. 2023

Circ: Cardiovascular Interventions

View full text Add to dashboard Cite

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“…Farjat Pasos et al described a technique for traversing the CoA with the assistance of an electrocautery, an accessible option when it is not possible to cross the lesion with 0.014" guides dedicated to the treatment of chronic occlusions using the traditional technique. 3 In these cases, the implantation of covered stents is indicated. The narrowing of the aorta is generally distant from the origin of the left subclavian artery (LSCA), allowing the stent implantation to be performed without major difficulties.…”

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confidence: 99%