Michael Mullen

If you are interested in tricuspid TEER then join us for this webinar when we will be discussing how to use intracardiac echo imaging and a deep dive into RV physiology. Register @ gbr01.safelinks.protection.o…

Brief electrification of a guide wire to cross aortic interruption followed by covered stent implantation. Great result. Patient and doctors very happy.

Valve-in-valve for severe degenerative surgical valve and patient prosthesis mismatch. Fracture of the surgical valve ring markedly enhances corevalve deployment and likely long-term function – at City of London, London

Gratifying haemodynamic result from single mitraclip in patient with complex degenerative MR. Left atrial pressure reduces and aortic pressure increases as clip is tightened.

All prespecified endpoints positive in favor of mitraclip

Morality is better Spontaneous applause Greg looks like he is going to cry

It's positive!!!

Moment of truth for mitraclip and treatment of functional MR – at San Diego, CA

Brexit negotiations? – at Kingston upon Thames, London

Case of the week. External compression of pulmonary arteries by tumour after previous left lobectomy. Immediate reduction in RV pressure and symptoms after stent implantation.

What a whopper! Closure of a large PFO using a single Noblestitch suture. No device, No shunt. 😎 pcronline.com/eurointerventi… – at Kingston upon Thames, London

Fortunately staff were still around to do an urgent TAVI (23 mm sapien 3). Patient did very well renal function back to normal. EF 40%. Case highlights the need for improved pathways for treating decompensated severe AS similar to ACS.

Friday afternoon and an elderly lady is admitted from another hospital with severe AS. Gradient 90mmHg, LVEF <20%. Previously well. Now hypotensive, oliguric, cold and breathless. Creat 270. What are the options? – at Merton, London

Interesting case of the week. Total SVC occlusion following sinus venosus ASD repair. Successful treatment using XXL Andromed stent. – at City of London, London

Great day in the lab today closing holes. Large paravalvar mitral leak closed with two amplatzer PDA devices. Not evidence based but haemodynamic benefits apparent immediately. Amazing quality of live 3D echo has made enormous difference to these procedures.

Transseptal mitral valve-in-valve for failed 25 mm bioprosthesis with Edwards 23mm Sapien-3 valve. Patient home next day with no need for surgery. Great team work and great result. Thanks to @BartsTAVI @BartsHospital Cath lab team.