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Avvedimento et al. Mini-invasive Surg 2022;6:24  https://dx.doi.org/10.20517/2574-1225.2021.143  Page 9 of 11






































































                Figure 6. THV-specific instructions for implantation in RCC/LCC cusp overlap view to achieve neo-commissural alignment. Illustration
                of how the radiopaque THV commissural markers should be oriented in a transversal plane (A-C) and from a fluoroscopic perspective
                using the RCC/LCC cusp overlap view (D-F) in order to obtain neo-commissural alignment-and this for the Evolut R/PRO (left column),
                ACURATE neo2 (middle column), and Portico valve (right column) (G-L). From Bieliauskas et al. [22]  (Permission for publication
                obtained).


               CONCLUSIONS
               Given the increasing number of younger patients with severe AS undergoing TAVI, the number of patients
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