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Using a single-lumen pigtail catheter to measure the LV pressure while using the sidearm of the introducer sheath to measure the aortic pressure. This method may be subject to mistaken readings if there is any iliac or aortic stenosis, which would affect the sidearm pressure reading.
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Direct LV puncture through the LV apex via the fifth intercostal space using echo-guided needle positioning is applied for transapical aortic valve replacement. This method carries significant risk of bleeding and potential coronary artery damage.
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