Fellowship Description

St. James’s Hospital

St James’s Hospital in Dublin is the largest academic teaching hospital in the Republic of
Ireland, enjoying strong links with Trinity College, Dublin. Serving a large catchment area and
with over 1000 beds, it caters to all internal medicine specialties and most surgical specialties
including cardiothoracic surgery.

The cardiology department is a busy tertiary referral centre for a number of regional hospitals.
The department consists of 9 full time consultants, 6 of whom are interventionalists. The
department has a full range of adult cardiac diagnostic and therapeutic services. The non-
invasive imaging includes exercise and dobutamine stress echo, trans-oesophageal echo, CT
coronary angiography, SPECT CT and cardiac MRI.

The department provides a comprehensive coronary and structural service performing over 5000
procedures per year including 1600 PCI (500 STEMI, 24/7 service) and 200TAVI. All major
coronary modalities are utilised including FFR, intravascular imaging (IVUS and OCT),
rotational atherectomy, lithotripsy and excimer laser. There is a weekly CTO session with both
dissection re-entry and retrograde techniques.

There is a well-established transcatheter structural heart disease program with a highly successful
TAVI programme, which includes transfemoral, transaxillary/subclavian and transcarotid. We
currently perform mitral and tricuspid transcatheter edge to edge repair (TEER) repair and have
an active adult congenital intervention programme with atrial septal defect and patent foramen
ovale closure and left atrial appendage occlusion using advanced imaging modalities including
3D transoesophgeal echo (3D-TOE) and intracardiac echo (ICE).
Fellow Responsibilities

Interventional fellows cover the acute cath lab and can expect to perform a high volume of
coronary procedures (300-500) as first operator depending on prior experience and progress
through the fellowship. This will include first and second operator experience in complex
coronary intervention with use of adjuctive treatments such as rotational atherectomy, orbital
atherectomy, lithotripsy ballon angioplasty, excimer laser cases. The fellow will also gain both
first and second operator experience in TAVI and transcatheter structural heart disease
procedures.

The Cardiology department is actively involved in research and participate in a number of single
and multi-centre projects. The successful applicant will be encouraged and expected to maintain
the databases and undertake research projects during their time on fellowship leading to
presentation and publication. Recent fellows have completed doctorates through Trinity College,
and the last 4 fellows have been appointed to permanent consultant posts in interventional
cardiology.

Interested Applicants should apply to pcilive@stjames.ie or medicalmanpower@stjames.ie by closing date February 2nd 2025. Please attach a copy of your CV.
Applicants are welcome to enquire regarding 2026 also at pcilive@stjames.ie