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Fig. 4 | The Egyptian Heart Journal

Fig. 4

From: Contemporary results of transcatheter mitral valve procedures: bi-centric retrospective analysis

Fig. 4

important steps of the intervention: (1) dilatation of septum according with appropriate ballon size according to the device size and the anatomy of IAS, (2) the passage of pigtail into LV using steerable catheter or by advancing the catheter in the direction of LA roof to make a large loop in LA, (3) slowly withdrawal of the pigtail to get rid of this large loop in LA and then change to stiff preshaped wire

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