PMC5602643_01
The CoreValve Evolut R THV (Medtronic, Inc.) was implanted in aortic position. The 29-mm SAPIEN3 THV (Edwards Lifesciences, Inc.) was introduced with reverse crimping to account for the antegrade approach.
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Lifesciences, Inc.) was introduced using a 300-cm Safari wire (Boston Scientific, Inc.), 16Fe-Sheath, and Commander delivery catheter (both from Edwards Lifesciences, Inc.) with reverse crimping to account for the antegrade approach ( Fig. 1 ). Loading of the
Postimplantation fluoroscopy depicting the SAPIEN3 (Edwards Lifesciences, Inc.) THV in tricuspid position and a CoreValve Evolut R THV (Medtronic, Inc.) in aortic position. The SAPIEN3 (Edwards Lifesciences, Inc.) was implanted with an implantation height of 80% into the ventricle.
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THV onto the balloon was performed in the right atrium with balloon overfilling by 2 mL due to marginal landing zone dimensions. THV deployment resulted in an implantation height of 80% ventricular ( Fig. 2 ).