Learning Objectives: • Recall optimal imaging techniques for transcatheter structural therapy (Aortic, Mitral, Tricuspid, and LAAO) • Describe pitfalls of echo versus CT versus fluoro for procedural guidance • Describe technical advances in treating tricuspid valve • Describe technical improvement and methods to provide safe and effective structural procedures Agenda: The virtual webinar will be one hour long and will feature the agenda below: 1) Clinical case with imaging 2) Role of percutaneous mechanical aspiration – what’s new and the indication; when to do 3) Update from Clear-IE registry 4) Building a PMA program or how to improve referral Faculty: Moderator: Paul Sorajja, MD Panelists: Nadira Hamid, MD Minneapolis Heart Institute Foundation Abdallah El Sabbagh, MD Mayo Clinic Sanjum Sethi, MD Columbia University