The field of echocardiography is a rapidly changing one. Sonographers must keep up with the changes and technological advancements. Procedures such as transcatheter aortic valve replacement, mitral clip, left atrial appendage occluder devices, atrial septal defect device closure, and percutaneous closure of paravalvular leaks require in depth pre and post echocardiograms. This course will review a comprehensive process for imaging patients prior to and after being sent for interventional procedures. Educational material will be presented in the form of lectures and case presentations.