Fig. 5

The six steps of the simulated procedure on the 3D printed model: (1) Insertion of the SGC into the RA and the IVC; (2) Transseptal crossing into the LA and insertion of the CDS; (3) Orientation in LA; (4) Advancing the CDS through the MVA and ensuring the alignment of the clip perpendicular to the coaptation of the MV leaflets; (5) Grasping leaflets using grippers and assessment of adequate leaflet capture; (6) Closing the clip