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. 2020 Apr;12(4):1728–1739. doi: 10.21037/jtd.2019.12.137

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2020 Journal of Thoracic Disease. All rights reserved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0.

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Standard steps of the MitraClip procedure. (A) Perpendicular positioning of the MitraClip above the mitral valve. (B) Grasping of the leaflets and closing of the MitraClip. (C) The typical “double orifice” after MitraClip implantation. (D) Fluoroscopic control of the correct position of the MitraClip. (E) 3D echocardiographic control of stable perpendicular position after advancing the MitraClip in the left ventricle. (F) The echocardiographic result after successful MitraClip implantation [figure with copyright permission from (16)].