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Zaid, Syed, Avvedimento, Marisa, Vitanova, Keti, Akansel, Serdar, Bhadra, Oliver, Ascione, Guido, Saha, Shekhar, Noack, Thilo, Tagliari, Ana Paula, Pizano, Alejandro, Donatelle, Marissa, Squiers, John, Goel, Kashish, Leurent, Guillaume, Asgar, Anita, Ruaengsri, Chawannuch, Wang, Lin, Leroux, Lionel, Flagiello, Michele, Algadheeb, Muhanad, Werner, Paul, Ghattas, Angie, Bartorelli, Antonio, Dumonteil, Nicholas, Geirsson, Arnar, van Belle, Eric, Massi, Francesco, Wyler von Ballmoos, Moritz, Goel, Sachin, Reardon, Michael, Bapat, Vinayak, Nazif, Tamim, Kaneko, Tsuyoshi, Modine, Thomas, Denti, Paolo, Tang, Gilbert, Tang, Gilbert H.L., Houston Methodist Hospital [Houston, TX, USA], Laboratoire Traitement du Signal et de l'Image (LTSI), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM), CHU Pontchaillou [Rennes], CHU Bordeaux [Bordeaux], Hospices Civils de Lyon (HCL), Clinique Pasteur, Clinique Pasteur [Toulouse], CHU Lille, Mount Sinai Health System, Dr Bhadra has received travel compensation from Edwards Lifesciences. Dr Tagliari has received research support from the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior. Dr Leurent has been a consultant and physician proctor for and has received speaker honoraria from Abbott. Dr Asgar has been a consultant for Medtronic, Abbott, Edwards Lifesciences, and W. L. Gore & Associates, and has received research grants from Abbott. Dr Leroux has been a physician proctor for Medtronic and Abbott, and a consultant for Edwards Lifesciences. Dr Dumonteil has received speaker honoraria and travel reimbursement by Edwards Lifesciences, and has been a physician proctor and consultant for Edwards Lifesciences. Dr Geirsson has been a member of the Medtronic Strategic Surgical Advisory Board. Dr Wyler von Ballmoos has served as a consultant for LivaNova, Medtronic, and Boston Scientific. Dr Reardon has been a consultant for Medtronic, Boston Scientific, Abbott, and W. L. Gore & Associates. Dr Bapat has served as a consultant for Medtronic, Edwards Lifesciences, 4C Medical, and Boston Scientific. Dr Nazif has equity in Venus Medtech, and has received consulting fees or honoraria from Keystone Heart, Edwards Lifesciences, Medtronic, and Boston Scientific. Dr Kaneko has been a speaker for Edwards Lifesciences, Medtronic, Abbott, and Baylis Medical, and has been a consultant for 4C Medical. Dr Modine has been a physician proctor and consultant for Medtronic, Edwards Lifesciences, and Abbott. Dr Denti has received speaker honoraria from Abbott and Edwards Lifesciences, and has been a consultant for InnovHeart. Dr Tang has been a physician proctor for Medtronic, a consultant for Medtronic, Abbott, and NeoChord, and a physician advisory board member for Abbott, Boston Scientific and JenaValve, and and has received speaker honoraria from Siemens Healthineers and East End Medical. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Rogers, Jason, Asch, Federico, Sorajja, Paul, Mahoney, Paul, Price, Matthew, Maisano, Francesco, Denti, Paolo, Morse, Michael, Rinaldi, Michael, Bedogni, Francesco, de Marco, Federico, Rollefson, William, Chehab, Bassem, Williams, Mathew, Leurent, Guillaume, Morikawa, Takao, Asgar, Anita, Rodriguez, Evelio, von Bardeleben, Ralph Stephan, Kar, Saibal, University of California [Davis] (UC Davis), University of California (UC), Scripps Clinic [San Diego, CA, USA], CHU Pontchaillou [Rennes], Laboratoire Traitement du Signal et de l'Image (LTSI), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM), University Medical Center [Mainz], Los Robles Regional Medical Center [California], The EXPAND G4 study was funded and sponsored by Abbott. Dr Rogers has received institutional research funding from Abbott and Boston Scientific, and has received consulting fees from Abbott, Baylis, and Boston Scientific. Dr Asch’s work as director of an academic core laboratory is through institutional research grants (MedStar Health) with Abbott, Boston Scientific, Medtronic, Edwards Lifesciences, Neovasc, Ancora Heart, LivaNova, MVRx, InnovHeart, Polares Medical, and Aria CV. Dr Sorajja has received consulting fees from Abbott, Medtronic, Boston Scientific, vDyne, TriFlo, W.L. Gore & Associates, Anteris, Evolution Medical, Half Moon Medical, Neovasc, TeleFlex, and Shifamed, and has received grant support from Abbott, VDyne, Medtronic, and Highlife. Dr Mahoney serves as a consultant and proctor for Medtronic, Edwards Lifesciences, and Boston Scientific, is a consultant for Abbott, and has received research support from Edwards Lifesciences, Medtronic, Abbott, and Boston Scientific. Prof Maisano has received grant and/or institutional research support from Abbott, Medtronic, Edwards Lifesciences, Biotronik, Boston Scientific, NVT, and Terumo, has received consulting fees, honoraria (personal and institutional) from Abbott, Medtronic, Edwards Lifesciences, Xeltis, and Cardiovalve, has received royalty income and intellectual property rights from Edwards Lifesciences, and is a shareholder (including share options) in CardioGard, Magenta, SwissVortex, Transseptal Solutions, Occlufit, 4Tech, and Perifect. Dr Denti has received consulting and speaker fees from Abbott. Dr Morse is a consultant for Edwards Lifesciences. Dr Rinaldi has served on the advisory board for Boston Scientific, has taught courses for Abbott and Edwards Lifesciences, has served as a consultant for Abbott, Boston Scientific, and Edwards Lifesciences, has received research and grant support from Boston Scientific, and has served as a proctor for Abbott and Edwards Lifesciences. Dr Bedogni has received consulting and speaker fees from Abbott. Dr De Marco is a consultant and has provided paid expert testimony for Abbott and Boston Scientific. Dr Chehab has received study grants and consulting fees from Abbott, Edwards Lifesciences, and BioTronics. Dr Price has received consulting fees from ACIST, Medtronic, Biotronik, Boston Scientific, Abbott, Philips, InnovHeart, Shockwave, and W.L. Gore & Associates (outside the submitted work). Dr Williams has received research funding from Abbott, Medtronic, Boston Scientific, and Edwards Lifesciences. Dr Leurent has received proctoring, lecture, and consulting fees from Abbott. Dr Morikawa has received speaking, consulting, and proctoring fees from Abbott. Dr Asgar is a consultant for and has received research support from Abbott. Dr Rodriguez has received consulting fees from Abbott, AtriCure, Boston Scientific, Edwards Lifesciences, NeoChord, and Philips. Prof von Bardeleben has served in unpaid trial activities for Abbott, Edwards Lifesciences, Medtronic, and the University of Gottingen (IIT), and is an advisory board or Speakers Bureau member for Abbott Cardiovascular, Edwards Lifesciences, Medtronic, and NeoChord. Dr Kar has received consulting fees from Abbott, Boston Scientific, Medtronic, and W.L. Gore & Associates, and and has received grant support from Edwards Lifesciences and V-Wave. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.