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so Iamp;#39;m going to talk to you a little bit about our initial experience with the transcatheter mitral valve replacement in the tendyne system and this should Doug tiling nicely with Dave and Paul chances presentation of a live in a box case of this later on this session and the question I was also asked was do we really need all these new devices and so what Iamp;#39;m going to talk a little bit about just to remind us of what the burden of disease is what the problems are with the current solutions that we have and Iamp;#39;m going to give you our experience with these newer devices and this is really the first device to demonstrate feasibility for clinical application and then Iamp;#39;m going to talk I want to stress to this audience because I know youamp;#39;re very much an imaging based audience among others but Iamp;#39;m not try to stress to you the importance of the role of multi-modality emitting and the application of these new technologies and finally I think we w
