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Interventional Radiology Fellowship

Overview

The Independent Interventional Radiology Residency is a 1 or 2-year ACGME accredited residency started after completing either Early Specialization in Interventional Radiology (ESIR) or a four-year ACGME Diagnostic Radiology Residency. The Independent residency includes 1 or 2-years of dedicated Interventional Radiology training. The Independent Residency provides not only strong image guided procedural training but training in outpatient clinic, in-patient consultations, ICU, and other relevant clinical services. Ample research and quality improvement opportunities are available.

The Interventional Radiology fellowship consists of rotations at the University of Utah Medical Center, George E. Wahlen VA Medical Center, the Huntsman Cancer Center, and Primary Children’s Hospital. We allot time for research and rotations with pediatric interventional radiology, neurosurgery/interventional radiology, and vascular ultrasound. Each site provides unique patient populations and patient care challenges. Given the location of the University of Utah, the program sees patients from the entire Intermountain West, with referrals from over 5 states. The tertiary environment in a truly rural region of the country provides case complexity and ubiquity not seen in many other programs.

The Huntsman Cancer Center is one of 72 Comprehensive NCI-designated cancer centers in the country. Thousands of cancer patients are treated at the Institute annually, with trans-arterial chemoembolization, yttrium-90, and ablations being performed daily.

As a level I trauma center and major transplant center, the University of Utah provides trainees the opportunity to manage trauma patients, post-partum bleeding, GI bleeding, and post-operative complications. The University of Utah is also an HHT center of excellence, one of 32 in the country, providing trainees the opportunity to participate in the treatment of this complex disease.

The Veterans Administration provides residents with exposure to non-invasive imaging; including ABI, CTA, and arterial Doppler. Liver directed therapy, arterial interventions, and venous interventions are also performed.

Clinical Work

Transplant/Portal Hypertension

  • Liver arterial interventions
  • Biliary interventions
  • Renal transplant
  • Pancreas transplant
  • Portal venous interventions

Arterial

  • Trauma
  • GI bleed
  • Bronchial embolization
  • Post-partum bleeding
  • Iliac and peripheral interventions

Venous

  • Venous access
  • EVLT
  • DVT lysis
  • Venous stenting
  • Dialysis

Vascular Malformations

Interventional Oncology

  • TACE
  • Y90 (Therasphere and Sirtex)
  • Ablation
    • Liver
    • Kidney
    • Lung
    • Soft tissue
  • Biopsies
  • Pain management

Women’s Health

  • Tubal recanalization
  • UFE
  • Pelvic congestion syndrome

Drainage

  • Biliary
  • Genitourinary
  • Abscess

Clinical Care

The fellowship provides a strong clinical exposure to patient management in interventional radiology. Interventional radiology has had admission privileges at the University of Utah for years.  Fellows help with patient admissions and post-operative care. The service has 12 physician assistants that aid in clinical care.

Attendings dedicate one day per week to the Interventional Radiology outpatient clinic, which is located in the cancer center. Trainees participate in the clinic each week and are actively involved in treatment decisions and follow-up care.

Trainees attend various treatment planning conferences; which include vascular conference, cancer specific treatment planning groups, and vascular malformation conference. Our trainees are also expected to take part in daily IR rounds, weekly didactics, book club, journal conferences, and monthly M&M conferences.

Program Directors

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