TY - JOUR AU - Case, Brian C. AU - Lisko, John C. AU - Babaliaros, Vasilis C. AU - Greenbaum, Adam B. AU - Satler, Lowell AU - Ben-Dor, Itsik AU - Forrestal, Brian J. AU - Yerasi, Charan AU - Kamioka, Norihiko AU - Rogers, Toby AU - Waksman, Ron AU - Lederman, Robert J. AU - Khan, Jaffar M. PY - 2021 TI - LAMPOON techniques to prevent or manage left ventricular outflow tract obstruction in transcatheter mitral valve replacement JF - Annals of Cardiothoracic Surgery; Vol 10, No 1 (January 29, 2021): Transcatheter Mitral Valve Replacement Y2 - 2021 KW - N2 - Transcatheter mitral valve replacement (TMVR) is a therapeutic option for patients with severe mitral disease who are deemed inoperable due to their overall surgical risk. The close relationships between the left ventricular outflow tract (LVOT) and the anterior mitral valve leaflet can lead to LVOT obstruction, a common complication with high mortality. Predicting and preventing LVOT obstruction is therefore essential, prior to TMVR. Laceration of the Anterior Mitral leaflet to Prevent Outflow ObtructioN (LAMPOON) is a transcatheter electrosurgical technique to split the anterior mitral valve leaflet immediately prior to TMVR. The technique has been studied in a prospective clinical trial and has evolved with many iterations for specific anatomies. In this review, we discuss the different LAMPOON techniques to prevent and treat LVOT obstruction. UR - https://www.annalscts.com/article/view/16797