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Clinical programs include traversing occlusions (pulmonary atresia, arterial and venous occlusion, and iatrogenic graft occlusion), traversing tissue planes (atrial and ventricular septal puncture, radiofrequency device fix, transcaval access, Potts and Glenn shunts), and leaflet laceration (BASILICA, LAMPOON, ELASTA-Clip, as well as others). Tips are given for optimizing these techniques. Transcatheter electrosurgery currently allows a range of novel healing processes for structu