“… 6 Additionally, CARTOSOUND image acquisition performed with real-time ICE has shown to improve image integration, enabling the depiction of the ultrasonic contours. 7 Moreover, as described by Alyesh and colleagues 1 in patients with very large right heart anatomy, we consider the use of a gooseneck snare, which was placed over the delivery system and through the sheath in order to improve the reach of the delivery system. 8 We recommend that the snare should be retired as soon as the LPM delivery system is in the RV near the final position.…”