Dr. Aaron Fischman / Refer a Patient
For Referring Physicians
Dr. Aaron Fischman accepts referrals from urology, orthopedics, gynecology, colorectal surgery, primary care, and interventional radiology colleagues. Most procedures are same-day outpatient, performed at Mount Sinai in Manhattan. Your patient returns to your care with a procedure report and imaging.
By Specialty
Urology
For men with moderate-to-severe LUTS who have failed medical therapy, decline surgery, or are poor surgical candidates. Particularly useful in large glands, patients on anticoagulation, those wishing to preserve ejaculatory function, and men in urinary retention.
Orthopedics · Sports Medicine · PM&R
For knee OA refractory to conservative care in patients not ready for, or not candidates for, arthroplasty — and for refractory tendinopathy, capsulitis, and small- and large-joint OA elsewhere. Knee access is pedal first; shoulder and elbow radial; hand and foot/ankle femoral.
Urology · Reproductive Endocrinology
A non-surgical alternative to varicocelectomy for symptomatic varicocele. Venography maps collateral and duplicated veins directly, which makes embolization especially useful after failed surgery.
Colorectal Surgery · Gastroenterology
For chronic bleeding from internal hemorrhoids, particularly in patients who want to avoid the pain and recovery of hemorrhoidectomy, or who are anticoagulated and bleeding recurrently.
Gynecology
A uterus-sparing option for symptomatic fibroids causing menorrhagia, bulk symptoms, or pelvic pain — for patients who want to avoid hysterectomy or myomectomy.
Any Specialty
Curbside consults are welcome. If you have a patient you think might benefit but aren't certain they're a candidate, call the physician line and Dr. Fischman will review the case with you directly — including telling you when embolization is not the right answer.
Referral Considerations
Return of LUTS years after an index PAE — from prostatic regrowth or arterial revascularization — is treatable with a repeat embolization. Dr. Fischman has performed repeat PAE in patients returning as long as nine years after their original procedure, using n-BCA liquid embolic for durable distal occlusion.
Re-operating through a scarred surgical field is difficult. Embolization uses live venography to identify the collateral and duplicated veins driving recurrence — vessels that are frequently the reason the original operation failed.
Most centers offering embolization for joint pain treat the knee only. Dr. Fischman also treats adhesive capsulitis, rotator cuff tendinopathy, lateral and medial epicondylitis, CMC and finger OA, hip OA and GTPS, plantar fasciitis, and Achilles tendinopathy, with temporary or permanent embolics depending on the indication. Evidence and referral details →
Large-volume glands, tortuous pelvic vasculature, prior pelvic surgery or radiation, and anticoagulated patients. Liquid embolic technique and a high annual case volume make these cases routine rather than exceptional.
Credentials
Professor of Diagnostic, Molecular and Interventional Radiology at the Icahn School of Medicine at Mount Sinai, and Program Director of the Mount Sinai Interventional Radiology Residency. Dual board-certified in Diagnostic Radiology and Vascular & Interventional Radiology. FSIR, FCIRSE, FSVM.
Has performed thousands of PAE procedures, one of the largest career case volumes of any PAE specialist in New York and among the highest in the United States. Also one of the most experienced GAE operators in the country, with an active musculoskeletal embolization practice beyond the knee.
Over 130 peer-reviewed publications and textbook chapters. Principal investigator on the BEST Trial comparing PAE to TURP, and investigator on the BEAT Obesity Trial. Published foundational work on transradial access technique and liquid embolic agents.
Founder of the TREAT iR Live symposium for live-case education in advanced embolization, and co-director of a hands-on PAE and GAE training course at IRCAD. Trains interventional radiologists across the US, Europe, and Asia.
Process
Call the physician line at (212) 241-4046, or email aaron@drfischman.com. For a curbside opinion before formally referring, call and ask to discuss the case.
Most procedures are same-day outpatient. Your patient returns to your care with a procedure report. Out-of-state and international patients can be evaluated by telemedicine before traveling, and Dr. Fischman's team handles insurance verification and prior authorization.
Technique
Unedited live cases from Mount Sinai, recorded for physician education through TREAT iR Live — technique, device selection, and embolic handling in full.
Repeat PAE · n-BCA
Repeat embolization nine years post-index PAE, with evaluation of collateral pathways and recanalization, and liquid embolic delivery through a 2.6F microcatheter.
PAE · n-BCA
Liquid embolic technique for BPH — superselective catheterization and controlled distal penetration while protecting non-target pelvic beds.
GAE · Knee OA
Neovascular targeting in symptomatic knee osteoarthritis, including angiographic identification of the abnormal synovial supply.
Call the physician line to refer or to discuss a case. Curbside consults welcome.
Mount Sinai Health System · 5 East 98th Street, 12th Floor · New York, NY 10029