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0° (interquartile range 5.5° to 17.9°). The 3-dimensional deviation between the average angulation obtained by each method was not statistically significant (1.49°; p=0.349). No significant differences in average coordinates were noted between the double S-curve and cusp-overlap methods (RAO 14.7 ± 15.2 vs. 12.9 ± 12.5; p=0.36; and CAU 27.0 ± 9.4 vs. 26.9 ± 10.4; p=0.9. TAVR using the double S-curve was associated with 98% device success, low complication rate, and absence of moderate-to-severe paravalvular leak. The double S-curve an