Advanced Fellowship Training in Interventional Cardiology and Electrophysiology
Interventional Cardiology Fellowship
Eric Osborn, MD, PhD, Director of
the Interventional Cardiology
BIDMC offers state-of-the-art catheter-based treatment for patients with coronary artery, peripheral vascular, and structural heart diseases. Full-time and affiliated faculty perform more than 4,000 procedures annually in cardiac procedural suites that include five catheterization laboratories and three hybrid operating rooms. In addition, BIDMC staff members play a major role in the pre-clinical and clinical development and evaluation of leading-edge technologies for the treatment of complex cardiovascular disorders, including clinical trials that provide access to investigational treatments. Interventional Cardiology faculty authored more than 100 original manuscripts over the past two years.
The BIDMC Interventional Cardiology Fellowship is an ACGME-certified program for comprehensive training in Interventional Cardiology techniques and patient care. The fellowship is an intensive combined clinical and research program focused on all aspects related to percutaneous coronary intervention (PCI) procedures. In addition, fellows will obtain experience in high-risk and chronic total occlusion (CTO) PCI, mechanical circulatory support devices, peripheral angiography and interventions, and structural heart disease interventions including transcatheter valve replacement. The program also provides fellows with opportunities to participate in clinical trials of new interventional devices and treatment strategies. At completion, each fellow will have performed approximately 300 interventional procedures and will be eligible to take the certification examination in Interventional Cardiology given by the American Board of Internal Medicine.
Clinical Cardiac Electrophysiology Fellowship
Alfred Buxton, MD, Director of
the Clinical Electrophysiology
The Harvard-Thorndike Electrophysiology Institute and Arrhythmia Service at BIDMC is the oldest and largest program of its kind in the region. Staff were among the pioneers of modern cardiac electrophysiology, and continue cutting-edge research. Attracting patients nationally and worldwide, with about 7,000 visits annually in the arrhythmia and pacemaker/device clinics, the service offers advanced diagnosis and treatment modalities, including catheter-based ablation to control or cure a variety of arrhythmias with standard and investigational mapping systems.
The ambulatory electrocardiography laboratory provides 24-hour surveillance for arrhythmia diagnosis and management. In addition to implantation of standard and investigational pacemakers and defibrillators, pacemaker and ICD lead explantation are performed. Patients benefit from education and support groups. The Clinical EP services conducts daily teaching conferences and participates actively in the general clinical cardiology conference program.
The EP service is involved in multiple research studies, the majority of which are initiated by investigators at BIDMC. Currently active areas of investigation include noninvasive high resolution ECG analyses to detect persons at risk for ventricular tachyarrhythmias, study of investigational mapping systems, investigation of both noninvasive and invasive methods to identify persons likely to benefit from ICD therapy, and evaluation of mechanisms of atrial an ventricular arrhythmia. Clinical research is supplemented by an active preclinical (animal) research program that includes state-of-the-art mapping and imaging systems.