Figure 3 shows x-rays with contrast demonstrating the transcatheter aortic valve closure procedure. (A) shows the hydrophilic wire, a retrograde fashion, being used to cross the PVL. (B) shows the wire being replaced by a shuttle sheath and then placed into the left ventricle. (C) demonstrates the failed attempt of closing the leak with an occluder device. (D) shows the wire in place. (E) shows an AVP3 being placed across the leak. (F) shows the device being released after confirmation of minimal leak and optimum functionality using echocardiography 34.