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. Author manuscript; available in PMC: 2021 Apr 26.
Published in final edited form as: JACC Cardiovasc Interv. 2020 Sep 30;13(20):2361–2370. doi: 10.1016/j.jcin.2020.06.047

FIGURE 1. Key Steps in the Electrosurgical Laceration and Stabilization of MitraClip Procedure.

FIGURE 1

(A) After cannulation of the “double-orifice” mitral valve, an 0.014-inch guidewire (green) is advanced into a prepositioned snare (blue). Asterisk denotes MitraClip. (B) The “flying V” is created and positioned on the anterior mitral leaflet. (C) Following laceration, the singleorifice mitral valve is created. Note that the MitraClips remain attached to the posterior mitral leaflet. (D) The Tendyne valve is deployed while MitraClips remain attached to the posterior mitral leaflet.