Education & Training

The Interventional Cardiology Fellowship Program provides comprehensive training for two to three Accreditation Council for Graduate Medical Education (ACGME)-accredited fellows every year that prepares trainees for board certification in Interventional Cardiology. The program fulfills all requirements for procedural, inpatient and ambulatory training across the entire spectrum of entities within Interventional Cardiology as delineated by the ACC COCATS guidelines and the AHA statement on clinical competency in interventional cardiology. Our faculty and fellows care for patients with complex coronary artery disease, peripheral arterial disease and structural heart disease.

Interventional Cardiology Training in Leading-edge Technologies

Supervised by world-renown faculty, fellows should expect excellent preparation in cardiac catheterization, hemodynamics, coronary angiography and intervention. The case mix includes complex coronary disease as well as access to leading-edge technologies in the areas of hemodynamic support, intravascular imaging and cardiac devices. The program offers exposure to advanced interventional techniques including complex peripheral vascular disease therapies as well as structural heart procedures.

Graduates of the program have routinely completed the American Board of Internal Medicine (ABIM) Interventional Cardiology Board Examination and many have gone on to sit for the ABVM Endovascular Examination and/or careers in structural heart intervention.

During the year, fellows alternate between UH Cleveland Medical Center, UH Parma Medical Center, and the Louis Stokes Cleveland VA Medical Center cath labs and are responsible for performing or supervising the pre-catheterization evaluation of all patients by our general cardiology fellows in one-week blocks. Interventional fellows are responsible for the performance and periprocedural management of all complex and interventional patients and assist in patient management of every patient visiting the cath lab in these hospitals (approximately 4,000 cases per year). The procedural variety is excellent and includes:

Cardiac Catheterization Training:

  • Chronic total occlusion (CTO) revascularization
  • Coronary and bypass graft angiography
  • Coronary stenting
  • Fractional flow reserve (FFR)
  • Intravascular ultrasound (IVUS)
  • Optical coherence tomography (OCT)
  • Percutaneous transluminal coronary angioplasty (PTCA)
  • Right and left heart catheterization with comprehensive invasive hemodynamics
  • Thrombectomy: mechanical and rheolytic

Clinical Trials:

  • Next generation stents
  • Intravascular imaging

Peripheral Training:

  • Angioplasty and stenting
  • Arteriography and endovascular intervention
  • Carotid, vertebral and subclavian
  • IVC filter placement and retrieval
  • Lower extremity vessels: Iliac, femoral, below-the-knee
  • Renal and mesenteric
  • Thrombolysis (systemic or catheter-directed including suction embolectomy)
  • Venous angiography and intervention

Clinical Trials:

  • Carotid stenting with proximal protection
  • Drug-coated balloons
  • Medical therapy
  • Next generation stents
  • Renal denervation
  • Stem cells

Structural Training:

  • ASD/PFO closure
  • Percutaneous mitral valvuloplasty
  • Mitraclip and transcatheter mitral valve replacement
  • Transcatheter aortic valve replacement (TAVR)
  • Left atrial appendage occlusion

Clinical trials:

  • Left atrial appendage occluder
  • TAVR devices

Conferences

Interventional Cardiology Fellowship Program conferences include didactic sessions on core curricula given by University Hospitals fellows and faculty, special lectures by guest faculty from around the world and case conferences given by the fellows.

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