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Vascular Imaging & Interventional Fellowship

The Vascular Imaging & Intervention Fellowship is a one-year, ACGME-approved program that provides 10 months of training in all aspects of cardiovascular intervention, with two months of non-vascular interventions.

Program Director: Ronald S. Arellano, MD

The division of Vascular Imaging & Intervention's philosophy regarding training is consistent with the ACGME emphasis on graded responsibility and identification of and concentration on core competencies. We have a strong commitment to encouraging maximum hands-on participation of trainees performing complex procedures, rather than observation by the trainees.

The Vascular Imaging & Intervention Fellowship at Massachusetts General Hospital in Boston, Massachusetts, USA is a one-year program which is ACGME approved; after completion of the fellowship, individuals will be eligible to be examined for Certificate of Added Qualifications (CAQ) in vascular and interventional radiology. This program provides 10 months of training in all aspects of cardiovascular intervention, with two months of non-vascular interventions. A parallel two-year track in abdominal imaging and interventions leading to CAQ eligibility is also available, which offers 18 months of abdominal imaging and intervention, and six months of vascular imaging and interventions.

The Vascular Interventional track is an intensive experience in all facets of cardiovascular intervention. The section is responsible for performance of approximately 4000 procedures per year. This includes:

  • Diagnostic angiography including thoracic, abdominal peripheral and pulmonary arteries
  • Angioplasty and stenting of peripheral, renal and extra-cranial cerebral arteries
  • Diagnostic venography of the central and peripheral veins
  • Transvascular embolization for the control of hemorrhage from the gastrointestinal tract, lungs, tumors and trauma
  • Uterine fibroid embolization (UFE)
  • Chemoembolization of hepatic neoplasms and the management of peripheral arteriovenous malformations
  • Catheter based venous interventions including angioplasty and stenting of the central veins
  • Transjugular intrahepatic portosystemic shunts (TIPS)
  • Dialysis interventions including hemodialysis catheter insertion and management
  • Dialysis access angioplasty and declotting (both lytic and mechanical), and venous access procedures (tunneled catheter insertion
  • Venous port insertion, (PICC lines), and lymphangiography (both diagnostic and thoracic duct obliteration)
  • Management of venous disease, including both RF and laser ablation of the saphenous veins, as well as local therapy of venous disease
  • Management of obliteration of post-catheterization pseudoaneurysms

Mass General is a full service hospital with OB and Pediatrics, so that there is material available from those subspecialties as part of the program.

In addition, Vascular Intervention is responsible for supervision and interpretation of all vascular imaging performed by the Department of Radiology, including:

  • CT/CTA and MR/MRA for thoracic, abdominal, visceral and peripheral arterial and venous disease
  • Ultrasound for both arterial and venous disease
  • There are 8 multi-detector row CTs providing imaging and 8 MR systems including 3T magnets. All imaging is interpreted via PACS, and multiple 3D workstations are available within the section for processing of images. There are over 10,000 imaging studies performed. Interested fellows may also participate in the activities of the Cardiac Imaging group, with exposure to CT and MR imaging of the heart and coronary arteries, as well as cardiac screening.

Facilities

Cardiovascular intervention procedure room
Cardiovascular intervention procedure room
The Vascular Intervention facilities include four primary procedure rooms, and two additional rooms that are shared with Interventional Neuroradiology. All rooms are equipped with digital subtraction angiography capability, physiologic monitoring and one room is OR standard for the performance of stent grafts and other procedures requiring combined surgical and IR approaches. A major reconstruction of the physical facilities began in April 2004, with replacement of multiple older procedure rooms. A large central Radiology recovery/holding area has recently been completed, and the department is well staffed with nursing personnel to provide conscious sedation and procedural care. All nurses in the department are critical care and/or ER certified, and several are pediatric specialists.

Faculty

The Vascular Intervention faculty includes physicians with varying seniority, some who have more than 30 years experience. They include:

A CNP, Nurse-Practitioner, oversees the venous access portion of the program, both from a surgical training standpoint, and as a patient management resource. In addition, The NP is involved in dialysis access QA, and assists with the management of UFE patients. Cardiovascular Intervention faculty participates in the Abdominal Intervention portion of the program.

Research opportunities are provided for fellows who are interested, but participation in the research program is not required. Cardiovascular Intervention faculty participate in clinical research activities. Among the interests of the section are:

  • Inferior vena cava filters, both from a long-term follow-up perspective, and relating to removable IVC filters
  • Aortic stent grafting
  • Chemoembolization of hepatic neoplasms
  • TIPS
  • Dialysis access topics
  • Uterine fibroid treatment
  • Peripheral venous disease

committed to education

Training future radiologists is central to the mission of the Mass General Department of Radiology.
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We look forward to receiving your credentials and meeting you during the recruitment season. We will adhere to the guidelines for the Radiology Fellowship Recruitment set forth by the Society of Chiefs of Academic Radiology Departments.

Application deadline: January 15, 2014

1. Fill out the downloadable Fellowship Application Form and mail to:

Massachusetts General Hospital
Department of Radiology
Division of Cardiovascular Intervention
c/o Ida Apel
Fellowship Program
55 Fruit Street, Gray 2
Boston, MA 02114
Email: iapel@partners.org

2. Mail THREE (3) letters of recommendation, one of which should be from your program director, a personal statement, a USMLE transcript, and your Curriculum Vitae to the address below. NOTE: Graduates of foreign medical schools should be aware that you must be eligible for a full license in the State of Massachusetts in order to be considered a candidate for fellowship.

Massachusetts General Hospital
Department of Radiology
Division of Cardiovascular Intervention
c/o Ida Apel
Fellowship Program
55 Fruit Street, Gray 2
Boston, MA 02114

3. Once your application is complete, we will evaluate your documents and invite you to arrange an interview. The process includes spending the day with the section, interviews by the staff, opportunities to talk to the current fellows and a departmental and hospital tour.