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Interventional Cardiology Fellowship Training Program

Education / Graduate Medical Education / Prospective Fellows / Interventional Cardiology Fellowship Training Program / Curriculum / Clinical Training

Clinical Training

Fellows gain a wide range of clinical experience with a variety of procedures, such as this transcatheter mitral valve repair procedure

Clinical training forms the foundation of the Interventional Cardiology Fellowship at the University of Rochester. Fellows work closely with expert faculty in a high-volume academic environment, gaining progressive autonomy while mastering both routine and advanced interventional techniques.

Training Overview

  • Primary Assisted Operator in the cardiac catheterization lab
  • One-on-One Faculty Mentorship
  • Balanced Supervision & Autonomy
  • Weekly Outpatient Clinic – Evaluate patients before and after procedures
  • Emphasis on:
    • Procedural indications & appropriate use
    • Technical excellence
    • Decision-making & post-procedural care

Clinical Focus Areas

Coronary Artery Disease

The University of Rochester is a high-volume PCI center and tertiary referral hub, offering advanced coronary care:

  • Radial-first approach for most procedures
  • Active Primary PCI Program for acute MI
  • Complex PCI (CHIP) and Heart Team collaboration
  • Advanced imaging and tools: OCT, IVUS, FFR, atherectomy, thrombectomy, lithoplasty

carotidPeripheral Arterial Disease

Fellows gain hands-on experience treating peripheral vascular disease, focusing on:

  • Angiography and percutaneous revascularization
  • Medical, endovascular, and surgical decision-making
  • Comprehensive understanding of treatment indications
  • Renal artery daeruahan for treatment of resistant hypertension

TAVI VijayStructural Heart Disease

Robust structural heart training includes:

  • TAVR – Transcatheter Aortic Valve Replacement
  • TEER – Transcatheter Mitral Edge-to-Edge Repair
  • TTVR – Transcatheter Tricuspid Valve Repair 
  • ASD/PFO closure
  • Balloon valvuloplasty (aortic, mitral, pulmonic)
  • Left atrial appendage closure
  • Embolization procedures for cardiac anomalies
  • Debulking therapy for right heart infections/thrombosis

Hypertrophic Cardiomyopathy

Fellows actively evaluate and treat patients through our busy Alcohol Septal Ablation program, a key intervention for obstructive hypertrophic cardiomyopathy.

Cardiogenic Shock & Advanced Heart Failure

As the only cardiac transplant center in Central and Western NY, our program offers:

  • Management of acute cardiogenic shock
  • Training in percutaneous LVAD, RVAD, and ECMO implantation
  • Involvement in advanced mechanical circulatory support (MCS) programs

Pulmonary Embolism

Through our Pulmonary Embolism Response Team (PERT), fellows participate in:

  • Aspiration thrombectomy
  • Catheter-directed thrombolysis for high-risk PE patients