Ronald K. Binder et al. JCIN 2013;6:

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Date of download: 7/6/2016 Copyright © The American College of Cardiology. All rights reserved. From: Bail-Out Alcohol Septal Ablation for Left Ventricular.

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Ronald K. Binder et al. JCIN 2013;6:293-300 Implantation Sequence To determine the optimal, perpendicular implant angle, where all 3 cusps are separately depicted in 1 line, a 3-dimensional aortic root reconstruction was performed from a rotational C-arm angiogram (A). The implant angle was confirmed by a conventional angiogram (B). A balloon aortic valvuloplasty was performed (C), after crossing the valve. The alignment of the transcatheter heart valve in the aortic annulus (D) was confirmed by an angiogram (E). The SAPIEN 3 was deployed under rapid ventricular pacing (F). Paravalvular sealing (G) and final position (H) were assessed. Ronald K. Binder et al. JCIN 2013;6:293-300 American College of Cardiology Foundation