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Interventional cardiology, the catheter-based treatment of cardiovascular diseases, is a rapidly advancing medical field. This updated text explores recent progress in structural heart interventions, particularly aortic and mitral valve procedures. The emergence of new technologies offers both opportunities and challenges for optimal patient treatment. Interventional cardiologists are now leading peripheral and structural heart interventions, emphasizing personalized treatment plans that consider individual risk factors, comorbidities, and appropriate device selection.