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hi Iamp;#39;m Dave Fornell the editor of diagnostic and interventional cardiology magazine and here at the University of Colorado to talk to them about the evolution of their mitral valve repair program and had with me to talk about this John Carroll heamp;#39;s the director of interventional cardiology and Robert wave he is the director of advanced cardiac imaging thank you very much for joining us thank you David tell me a little bit about how you got involved with structural heart interventions for the mitral space so first of all we were involved early on in the mitral balloon Misurata me because that really was a landmark entry of transcatheter therapies into the mitral space secondly we got involved in the Everest to trial which was the randomized trial against surgery really a high bar in terms of comparing transcatheter therapies that were brand-new with no one very far up in the learning curve with something very well-established surgical mitral valve repair and repl