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1D Preprocedural TEE showing the left atrial appendage in 0° (A), 59° (B), 92° (C) and 121° (D) views. LAA ostium diameter was 19.2 – 21.0 mm, LAA length was 28.5 – 35.6 mm. 1 Fluoroscopic images of angiographies of the LAA in a RAO 21°, caudal 20° (A) and a LAO 104°, caudal 6° view (C). Corresponding overlay images (B and D) of three dimensional LAA reconstructions and fluoroscopy images using syngo iPilot. 1: LAA; 2: Left atrium; 3: Watchman access sheath; 4: TEE probe; 5: Temporary pacing lead. 3 TEE showing the Watchman device in its final position in a 42° view. 5 Rotational angiography of the left atrium showing LA (1), LAA (2), Watchman access sheath (3) and temporary pacing lead (4). 2 Fluoroscopy (A) and overlay image (B) showing Watchman device after device deployment in a RAO 21°, caudal 21° view. 1: Watchman device; 2: Assembly of access sheath and device delivery system; 3: Temporary pacemaker lead; 4: TEE probe. 4 1 1 2 2 3 3 4 4 5 4 5 2 1 3 2 4 3 1 1A 2 3A 4A 5 1C 3C 1B 3B 4B 3D syngo DynaCT Cardiac Cardiology AXIOM Innovations | December 2013 | www.siemens.com/angiography  41


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