Cardiology fellows quickly become integral members of the catheterization team during their time in the cath lab. First year fellows spend 3 months in the cath lab and perform the catheterizations under the attending interventionalist's guidance.
Fellows are expected to review all clinical data prior to the catheterizations: chest x-ray, echo, electrocardiogram, prior catheterizations, and prior surgeries. The fellows are expected to understand the hemodynamics of normal and abnormal physiology as the data need to be actively analyzed during the catheterization procedure. The dynamic environment of the cath lab requires that fellows are able to interpret abnormal saturations and pressures prior to moving on to the next phase of the cath procedure. Given the high patient volume at St. Louis Children’s Hospital, fellows gain extensive experience in the cath lab and are often comfortable performing a complete hemodynamic catheterization well before the end of the first year, and participate in all interventional cases (including ASD closure device, VSD closure device, stent placement, balloon angioplasty, ASD creation). An additional 3 months on the cath rotation are divided in the second and third years of fellowship. A fourth year position in interventional cardiac catheterization is available to one selected fellow per year.
Cardiac Catheterization Lab
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