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Video 9. Sheath advancement. A: Over a Lunderquist guidewire, the heart valve introducer sheath is advanced from the cava into the aorta. B: Sheath arteriograms have shown hemostasis in every case; we no longer obtain these. C: Watch carefully to assure the sheath does not flare (arrow) during advancement, as shown in another patient. [Color figure can be viewed in the online issue, which is available at wileyonlinelibrary.com.]
