Interventional Cardiology

Interventional Cardiology

The Interventional Cardiology Fellowship at the University of North Carolina-Chapel Hill is a one-year ACGME-accredited training program under the supervision of George A. Stouffer, MD, FACC, FSCAI (Director) and Prashant Kaul, MD, FACC, FSCAI (Associate Director).

 

The C.V. Richardson Cardiac Catheterization Laboratory at the University of North Carolina, Chapel Hill is a state of the art facility. The laboratory was completely renovated and fully refurbished in 2012 with the latest Philips Allura Xper FD20 and FD10 systems. The center is a high volume, regional referral center with the distinction of receiving the AHA Mission: Lifeline initiative’s Gold Plus Performance Achievement Award for excellence in STEMI care.

The primary objective of the fellowship is to train fellows to become safe and fully independent interventional cardiologists with a deep appreciation of the literature supporting interventional practice and the data underpinning current guidelines. The program is structured to give graded autonomy to the trainee commensurate with their level of training with a significant emphasis on performing the procedure as the primary operator. The expectation is that the interventional fellow will be capable of performing a coronary intervention independently (with direct supervision as required) within the first 6 months.

Cath Lab

Interventional fellows will easily exceed the ACCF COCATS training minimum of 250 PCI procedures and will typically perform at least 300 to 350 coronary interventions as primary operator during the 12-month period. All fellows will be eligible for the American Board of Internal Medicine (ABIM) Interventional Cardiology Board examination. There has been a 100% pass rate amongst graduates from the program to date.

Interventional fellows will also spend 4 months of the year at Rex Hospital (UNC Health Care) in Raleigh with the NC Heart & Vascular Group.

At the end of the 12-month training, Interventional Fellows will be comfortable independently performing the following procedures:

  • Primary PCI
  • Aspiration Thrombectomy
  • Radial diagnostic and interventional cases (including STEMI)
  • FFR, IVUS, OCT
  • LV Support Device insertion including Impella and IABP
  • Distal embolic protection devices
  • Rotablator Atherectomy
  • Laser Atherectomy
  • Complex PCI including CTO, LM, Bifurcation
  • Vascular Closure Devices: Perclose, Angioseal, Mynx

In addition to gaining expertise in complex coronary interventions, fellows will gain significant experience in peripheral and structural interventions.  Fellows typically meet competency requirements for diagnostic and interventional peripheral procedures and will become proficient in the percutaneous treatment of peripheral arterial disease as well as the use of orbital and laser atherectomy and novel access techniques in the following vascular territories:

  • Subclavian
  • Renal
  • Iliac
  • Superficial Femoral
  • Below the knee run-off

There will also be opportunities for fellows to perform the following structural interventions:

  • Trans-catheter Aortic Valve Replacement (TAVR)
  • ASD, PFO and VSD closures
  • Mitral and Aortic Balloon Valvuloplasty
  • Percutaneous therapies for congenital heart disease
  • Watchman Left Atrial Appendage Closure
  • CardioMEMSTM HF System

Didactic Conferences

      Interventional Cardiology Case Conference (Mondays, 4 pm)

      A review of interesting cases with specific emphasis on interventional aspects and techniques.

      Interventional Boards Core Curriculum (Tuesdays, 7 am)

      A core didactic lecture series directly following the ABIM Interventional Cardiology Board examination syllabus with a review of board style questions with each session.

      Diagnostic & Hemodynamic Review (Wednesdays, 7 am)

      A review of interesting diagnostic and hemodynamic cases from the previous week.

      Quarterly Regional Interventional Case Conference

      A regional conference organized by UNC with participation from all the major teaching institutions in the greater triangle area, providing an opportunity for interventional fellows to present interesting cases at a regional level and learn from valuable discussion with other interventionalists.

      RESEARCH HIGHLIGHTS

      Escaned J, Echavarría-Pinto M, Garcia-Garcia HM, van de Hoef TP, de Vries T, Kaul P, Raveendran G, Altman JD, Kurz HI, Brechtken J, Tulli M, Von Birgelen C, Schneider JE, Khashaba AA, Jeremias A, Baucum J, Moreno R, Meuwissen M, Mishkel G, van Geuns RJ, Levite H, Lopez-Palop R, Mayhew M, Serruys PW, Samady H, Piek JJ, Lerman A; ADVISE II Study Group. JACC Cardiovasc Interv 2015. 8(6): 824-33.

      Yadav PK, Halim SA, Vavalle JP. Training in structural heart interventions. J Am Coll Cardiol. 2014; 64(21):2296-8;

      Kaul P, Federspiel JJ, Dai X, Stearns SC, Smith SC Jr, Yeung, M, Beyhaghi H, Zhou L, Stouffer, GA. Association of inpatient vs outpatient onset of ST-elevation myocardial infarction with treatment and clinical outcomes. JAMA 2014; 312(19): 1999-2007.

      Stouffer GA, Dibona GF, Patel A, Kaul P, Hinderliter AL. Catheter-based renal denervation in the treatment of resistant hypertension. J Mol Cell Cardiol. 2013; 62:18-23.

        Cath Lab

        Cath Lab
        Cath Lab
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        Mission Lifeline

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        How To Apply

        Positions for the 2014 - 2015 fellowship year have been filled.
        Positions for the 2015 - 2016 fellowship year have been filled.
        See below for information to apply for the 2016 - 2017 fellowship year.

        REQUIREMENTS

        1. Successful completion of an accredited cardiology fellowship training program.
        2. ABIM board eligible or board certified.
        3. Diagnostic catheterization Level 2 (minimum of 8 months experience over a 3 year period) with at least 300 diagnostic cases.
        4. Regarding visas, our institution only sponsors J1 visas at this time.

        The Interventional Cardiology Training Program accepts applications via the Electronic Residency Application Service (ERAS®). Applicants may begin applying from November 15th and we will be able to download and review applications starting December 1st. Interviews will be held during January-March. There are three fully funded positions available each year. Selection is typically highly competitive from a large pool of eligible applicants with the top 10-15 candidates being invited for interview.

        In addition to the usual ERAS requirements we require at least 3 Letters of Recommendation, to include the current fellowship program director as well as an interventional cardiologist who can comment on your technical ability and potential in the cardiac catheterization laboratory.

        If you have any questions, please feel free to contact our Training Program Coordinator, Kira Oshima, by email at kira_oshima@med.unc.edu.