Interventional Cardiology Fellowship

The Interventional Cardiology Fellowship at Washington University School of Medicine is a rigorous, one-year ACGME-accredited program designed to train the next generation of leaders in interventional cardiology—whether in academic medicine or private practice. Our program offers a unique blend of high-volume procedural experience, cutting-edge technology, and academic excellence, all within a collaborative and supportive environment.

Program Strengths and Clinical Excellence

• Complex Coronary Interventions: Fellows gain hands-on experience in a wide range of advanced procedures, including:
  • Left main coronary interventions
  • Bifurcation stenting techniques
  • Chronic total occlusions (CTOs)
  • High-risk PCI in “no-option” patients
• Intravascular Imaging & Physiology: Intravascular ultrasound (IVUS) and optical coherence tomography (OCT) are utilized in 100% of cases, alongside physiologic assessments such as FFR and iFR, to optimize procedural outcomes and patient care.
• Minimal Floor Responsibilities: Fellows focus primarily on procedural training, with limited inpatient service duties, allowing for deep immersion in interventional techniques.
• Longitudinal and Specialized Clinics: In addition to a continuity clinic, fellows participate in specialized clinics such as renal denervation, providing exposure to emerging therapies and patient populations.

Diverse Patient Population

Washington University and Barnes-Jewish Hospital serve a broad and diverse patient base:

• Emergency care for inner-city St. Louis and surrounding regions
• STEMI and acute coronary syndrome patients transported from up to 100 miles away
• High-risk and complex cases referred from across the Midwest

Peripheral and Structural Experience

While the core focus is coronary intervention, fellows also gain exposure to:

• Peripheral vascular interventions
• Structural heart disease (e.g., TAVR, MitraClip)

Note: Formal structural training requires an additional dedicated fellowship year.

Academic and Research Opportunities

• Access to large clinical databases and ongoing clinical trials
• Opportunities to participate in clinical research, quality improvement projects, and scholarly publications
• Mentorship from nationally recognized leaders in interventional cardiology

Career Preparation

Graduates of the program are exceptionally well-prepared to:

• Lead interventional programs in academic or private settings
• Adopt and innovate new technologies and treatment paradigms

Contribute meaningfully to the advancement of cardiovascular care.