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. 2023 Jan 23;18(12):957–976. doi: 10.4244/EIJ-D-22-00725

Figure 9. Fluoroscopic device orientation.

Figure 9

The orientation of a PASCAL Ace implant (*) is shown by fluoroscopy in an anterior-posterior (AP) projection (A). After correct orientation of the device as confirmed by 3D echo (B), the X-ray gantry should be adjusted until the device arms are superimposed and “disappear” (here: right anterior oblique [RAO] 20, cranial 10 projection) to support the control of the device orientation by fluoroscopy during subsequent leaflet grasping (C). ant: anterior; lat: lateral; med: medial; post: posterior