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Invent The Future - UC Davis Health System

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Valve Crossing and Wire Exchange<br />

• Cross native valve with straight wire (suggestion: AL1 or AL2)<br />

• Can measure pressure gradients prior to wire exchange<br />

• Exchange 0.035” Amplatz extra-stiff wire with pre-shaped distal end in left ventricle<br />

– Ensure guidecath is advanced upon wire exchange to ensure exchange wire does not<br />

get caught in the mitral chordae.<br />

25

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