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Invent The Future - UC Davis Health System

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Crossing Native Valve<br />

• Flex catheter should be fully flexed to<br />

pull wire out of commissure<br />

• Always keep delivery system and<br />

SAPIEN valve directly adjacent to<br />

support crossing the native valve<br />

• DO NOT FORCE THE VALVE<br />

• Use short movements to prevent<br />

“jumping” of the valve into the ventricle<br />

• Use RAO or AP projection for crossing<br />

to visualize the wire in the ventricle<br />

Tip extends 4.5 cm past<br />

crimped valve<br />

29<br />

4.5 cm

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