Host Sotirios Evangelou, MD, FSCCT is joined by Vlasis Ninios, MD to explore the indispensable role of cardiac CT in transcatheter structural heart interventions. From planning TAVI and TMVR to assessing tricuspid valve therapies, they highlight how CT imaging guides prosthesis sizing, vascular access, and risk assessment. Together, they discuss emerging technologies, evolving indications, and how cardiac CT is shaping the future of structural heart disease treatment.