Vascular & Endovascular - Overview

Vascular diseases are encountered daily by cardiovascular physicians in practice. Atherosclerosis and thrombosis are systemic disorders that account for substantial cardiovascular morbidity and mortality. Cardiovascular physicians, by virtue of their broad knowledge base as internists, and advanced imaging expertise in echocardiography, ultrasound and angiography, are uniquely qualified to diagnose, treat, and follow patients longitudinally with these disorders. Moreover, the last decade has witnessed an explosion in technological advances in imaging techniques and catheter-based interventions.

It is precisely because of the scope and breadth of these advances, a three-year cardiology fellowship in no longer adequate training to become expert in all the subspecialties of cardiovascular medicine. Additional training years for the subspecialties of electrophysiology, interventional cardiology, imaging and heart failure/transplant have already been established. Heretofore, training in vascular and endovascular medicine during a cardiovascular fellowship has been inadequate to accommodate the clinical demands of the contemporary paradigm. Indeed, the American College of Cardiology Revised Recommendations for Training in Adult Cardiovascular Medicine Core Cardiology Training II (COCATS 2) document has mandated the requirement for an additional year of dedicated training for training for noncoronary catheter-based vascular interventions.1
(Available at http://www.acc.org/clinical/training/cocats2.pdf)

Surprisingly, there are literally only a handful of such dedicated training programs currently available. Thus, there is a dire need for these fellowships. This program will provide comprehensive training, not only in the latest advanced interventional techniques, but, as importantly, in the non-invasive vascular laboratory, vascular clinic, and vascular consult services. Our philosophy is to train true vascular specialists, not merely to train cardiologists in peripheral procedures. There will be two Vascular fellows/year, and the Interventional Cardiology fellows will also rotate through the labs and clinics.

Patient Services

Members of the Department of Medicine provide both Primary Care Clinical services and Subspecialty Clinical services. Locations include community-based private physician offices, Foundation-owned group practices and the hospitals listed below.

Rhode Island Hospital, a large academic medical center.

The Miriam Hospital, a community based teaching hospital.

Memorial Hospital of Rhode Island, a community based teaching hospital.

Women & Infants Hospital of RI, the 10th largest OB/GYN hospital in the U.S.

Providence VA Medical Center, serving a unique patient population & spectrum of illness.