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Fig. 2 | SpringerPlus

Fig. 2

From: A review of the LARIAT device: insights from the cumulative clinical experience

Fig. 2

Pericardial access planning in the AP and LL projections. a In the AP projection, Kelley clamps are placed below the sub-xiphoid process and at the likely position of the LAA (Δ) based on the position of the PA (*). The ideal trajectory of trans-septal sheath placement is lateral to the LAA in the region between the dashed red arrows. b In the LL view, the pericardial silhouette (orange dashed line) can be approximated by performing a right ventriculogram outlining the RV endocardium. The anterior pericardium is entered following the tract of the dotted yellow arrow. The xiphoid process tip is noted at the short red arrow

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