Senior Interventional Cardiologist
Senior Interventional Cardiologist
Valvular heart disease — echocardiographic assessment of stenosis and regurgitation, and the timing of surgical or transcatheter intervention.
The randomised evidence for transcatheter tricuspid intervention is real, but it buys symptoms and TR grade rather than proven survival. Six decision rules from the cath lab, including when the honest answer is no procedure — with the TRILUMINATE, Tri.Fr and TRISCEND II numbers set out plainly.
Infective endocarditis on native and prosthetic valves: recognising it when the presentation is atypical, confirming it, and deciding when surgery cannot wait.
Severe symptomatic aortic stenosis carries a poor prognosis untreated. How transcatheter aortic valve replacement changed the options, and who it suits.
