I moved to Arizona in 2004 and started what is now the State's only nationally accredited center of excellence in pulmonary vascular disease. As part of our pulmonary hypertension program we have been caring for HHT patients with pulmonary AVMs and pulmonary hypertension for many years. Through collaborations with Barrow Brain and Spine I have been involved in the care of HHT patients with brain AVMs since 2004. Our pulmonary hypertension program is actively involved with numerous clinical trials in PAH.