Alex joint Queen Elizabeth as a trainee and then as a consultant over 10 years ago He specialises in complete higher risk indicated percutaneous coronary intervention and uses a range of adjuvant technologies (LV support with Impella, rotational and LASER atherectomy). He supports the advanced heart failure and heart transplant teams and performs LV biopsies using the radial route for patients with suspected infiltrative cardiac conditions He leads the refractory angina & coronary sinus implantation service.