Assistant Professor of Clinical Radiology
nicholas.fidelman@radiology.ucsf.edu

Dr. Nicholas Fidelman, M.D. is an Assistant Clinical Professor in Interventional Radiology in the Department of Radiology at UCSF.  Dr. Fidelman holds a BS degree from Massachusetts Institute of Technology and an MD degree from the University of California, San Francisco.  He completed an Internal Medicine internship at St. Mary’s Medical Center, San Francisco, and a radiology residency and fellowship at the University of California, San Francisco.

Dr. Fidelman’s honors and awards include: Howard Hughes Institute Summer Research Fellowship, Member, Tau Beta Pi Engineering Honor Society, Member, Phi Beta Kappa, and American Heart Association Research Fellowship.

Current interests include interventional radiology, angiography, interventional  oncology, biliary interventions, genitourinary interventions, gynecologic interventions, and uterine fibroid embolization.

Education
Massachusetts Institute of Technology, Cambridge, MA
Bachelor of Science in Biology and Chemical Engineering, 1998

University of California, San Francisco
Doctor of Medicine, 2002

Internship
St. Mary's Medical Center, San Francisco, CA 2002-2003

Residency
University of California San Francisco Department of Radiology 2003-2007

Fellowship
University of California San Francisco, Interventional Radiology 2007-2008

Licenses and Certification
Diplomat, American Board of Radiology, 2007
Physician and Surgeon, Medical Board of California, 2003

Honors and Awards
1993      Howard Hughes Institute Summer Research Fellowship

1997      Member, Tau Beta Pi Engineering Honor Society

1998      Member, Phi Beta Kappa

1999      American Heart Association Research Fellowship

Clinical and Research Interests
Key Words/Areas of Interest
Interventional radiology, angiography, arterial interventions, peripheral vascular disease, venous interventions, venous access, management of hemodialysis access fistulas and grafts, interventional oncology, biliary interventions, genitourinary interventions, gynecologic interventions, uterine fibroid embolization

Research Interests
My research interests are focused on determining the outcomes of many commonly performed procedures in Interventional Radiology and on improving the safety and efficacy of imaging-guided interventions.   Current projects focused on hepatobiliary procedures include elucidating the role of percutaneous cholangiography and biliary drainage in management of patients with biliary complications after living-related liver transplantation and patients with bile duct injuries following laparoscopic cholecystectomy. A separate line of investigation focuses on efficacy and complications of using transthoracic and transhepatic routes for percutaneous abscess drainage procedures.  Interventional oncology projects include determining the role of transarterial liver chemoembolization inaltering patients' chances of obtaining a liver transplant as well as adaptation of Yttrium-90 microsphere radioembolization techniques in patients with hepatocellular carcinoma and liver metastases.  In the area of dialysis access, one project is focused on venous access in patients who exhausted options of conventional hemodialysis access. Another project is to determine the outcomes of percutaneous revascularization procedures on subclavian artery to subclavian vein arteriovenous grafts. In patients with airway strictures following lung transplantation, the role of the Alveollus retreavable stent is being compared to the conventional management with balloon dilation and bare metal stent placement.

Selected Bibliography
Fidelman N, Wilson MW, Weber OM, Martin AJ, Kerlan RK Jr, LaBerge JM, Gordon RL. Real-time MR properties of particulate embolic agents tested in a dynamic flow model. J Vasc IntervRadiol 2002; 13:613-618.

Fidelman N, Wilson MW, Bloom AI, Kerlan RK Jr, LaBerge JM, Gordon RL. Magnetic resonance arteriograhy and venography of abdomen and pelvis: effects of magnetic susceptibility artifacts from orthopedic spinal and hip prostheses. Radiology 2006; 240:894-899.

Fidelman N, Allen D, Bloom AI, LaBerge JM, Hastings GS, Kerlan RK Jr, Gordon RL, Wilson MW. Percutaneous interventions in subclavian artery-to-contralateral  subclavian vein "necklace" hemodialysis grafts: experience in five patients. J Vasc Interv Radiol2007; 18:597-601.

Fidelman N, Bloom AI, Kerlan RK Jr, LaBerge JM, Wilson MW, Ring EJ, Gordon RL. Hepatic arterial injuries following percutaneous biliary interventions in the era of laparoscopic surgery and liver transplantation: Experience with 930 patients. Radiology, in press.

Fidelman N, Gordon RL, Bloom AI, LaBerge JM, Kerlan RK Jr. Reperfusion of Pulmonary Arteriovenous Malformations after Successful Embolotherapy with Vascular Plugs. J VascInterv Radiol, in press.

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