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Contributors Study conception and design: AH. Acquisition and interpretation of data: AP, AE, AH, MO. Writing and final approval of the manuscript: all authors.
Funding Funding was obtained from Cook Medical for the Instinct clips used in the study.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
Data sharing statement Electronic patient record (EPR), Sunrise, Allscripts.
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