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(A) Transeptal puncture and positioning of hydrophilic wire and Judkins Right in the left ventricle. (B) Anterograde crossing of the aortic valve and wire changed for exchange wire. (C) Amplatz Goose Neck Snare used to snare the exchange wire. (D) Exchange wire then externalized via the left femoral artery [Adapted with permission from the Rodríguez-Olivares et al. (75)].
