The fellowship is divided into two 1-year blocks. The first year of training is designed to give exposure to endovascular and open techniques, as well as research opportunities and the noninvasive vascular laboratory. The fellow spends 2 days a week on the vascular service at Chabert Medical Center under the direct supervision of the vascular staff. The remaining time is spent pursuing research interests and gaining exposure to the ICAVL-accredited noninvasive vascular laboratory. The vascular fellow participates in ongoing clinical research programs and is also encouraged to formulate independent projects. These research projects have routinely culminated in multiple peer-reviewed publications and presentations at regional and national vascular meetings. Opportunities for significant exposure to the noninvasive vascular laboratory are also available during this first year of fellowship.

The second year of training is spent as the full-time clinical fellow. The fellow directs a busy clinical service that encounters an average volume of 850 cases per year. These cases include open and endovascular treatment of the complete spectrum of vascular disease. In addition to perioperative management, the fellow spends a minimum of 1 day per week with the staff in the clinic evaluating both new and postoperative patients.

Endovascular Intervention

  • Carotid Stenting (CAS)
  • Renal and Mesenteric Artery Stenting
  • Endograft Repair of Abdominal (EVAR) and Thoracic Aneurysm (TEVAR)
  • Hybrid Thoracic "Endo-Debranching" with TEVAR
  • Endograft Repair of Popliteal Aneurysm
  • Aortic/Iliac/Femoral/Popliteal/Tibial Intervention for Occlusive Disease
  • Thrombolysis, Mechanical and Pharmacologic
  • Venous Ablation (EVLT)
  • Venous Angioplasty/Stent
  • IVC Filter Placement

Open Therapy

  • Carotid Endarterectomy
  • Mesenteric/Renal Bypass
  • Aortic Arch and Abdominal "De-Branching" Procedures for Hybrid TEVAR Cases
  • Open Repair of Juxta-Renal and Thoracoabdominal Aortic Aneurysms
  • Aorto-Femoral Bypass for Occlusive Disease
  • Femoral-popliteal-Tibial Bypass for Occlusive Disease
  • Upper Extremity Bypass
  • Dialysis Access

Clinical Experience

The breadth of vascular diseases treated at Ochsner is excellent. There is a balanced exposure to peripheral arterial occlusive disease, cerebral vascular disease, aneurysmal disease, venous disease and dialysis access procedures. The Vascular Surgery section is actively involved in multiple clinical trials in all major vascular beds including carotid (CREST-2, ACT-1), peripheral (VIBRANT), and aneurysmal (Cook Fenestrated Endograft and TX-2). We have a dedicated endovascular operating room with built-in state-of-the-art imaging. Ochsner is a recognized leader in the Southeast for endovascular treatment of aneurysms.

Didactics

Educational conferences include a bi-weekly vascular conference in which the fellow participates with the vascular staff in the education of general surgery residents. A weekly case conference is held with the fellows, faculty and general surgery residents on their vascular rotation. There is a monthly vascular journal club attended by the vascular surgical staff and fellows from Ochsner and other local academic institutions. Finally, there are multidisciplinary, interventional, and stroke conferences that are also available to augment the fellows' education.

Vascular Angio Conference (Fri 6:45-7:30 AM)

  • Clinical cases
  • Review imaging
  • Decision-making

Basic science conference (Wed 7-8 AM)

  • VESAP Qs
  • 1st Yr. fellow leads
  • Bi-monthly

Non-invasive lab conference (Thurs 7-8 AM)

  • Gets you ready for RPVI.

M & M conference (Wed 6:30-7:30 AM)

Journal Club (Last Fri each month (Ochsner))
2-3x / Semester with LSU at a great New Orleans restaurant

Multi-disciplinary PAD conference (Quarterly)
Ochsner Vascular Surgery, Ochsner Cardiology + Vasc Medicine & LSU Vascular Surgery