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Josef Rösch (April 27, 1925 – January 17, 2016) was a Czech-American researcher and pioneer in vascular and interventional radiology. Rösch was the first director of the Dotter Interventional Institute and served until 1995. He is credited with developing the TIPS procedure in 1969 and the incorporation of embolization into the treatment of gastrointestinal bleeding in 1971. Dr. Rösch's work in the field of interventional radiology spans half a century and has resulted in over 470 scientific papers, multiple book chapters and dozens of scientific exhibits.


Biography


Early life and training

Josef Rösch was born in
Plzeň Plzeň (), also known in English and German as Pilsen (), is a city in the Czech Republic. It is the Statutory city (Czech Republic), fourth most populous city in the Czech Republic with about 188,000 inhabitants. It is located about west of P ...
, Czechoslovakia, in 1925. He credits his mother for inspiring him to help others and become a physician. Rösch attended medical school at
Charles University Charles University (CUNI; , UK; ; ), or historically as the University of Prague (), is the largest university in the Czech Republic. It is one of the List of oldest universities in continuous operation, oldest universities in the world in conti ...
in Prague and graduated in 1950. Initially, Rösch aspired to be an internist but decided to pursue radiology after working on splenoportography. After publishing a book on splenoportography, Rösch become friends with
Charles Dotter Charles Theodore Dotter (14 June 1920 – 15 February 1985) was a pioneering American radiologist who is credited with developing interventional radiology. Dotter, with his trainee Dr Melvin P. Judkins, described angioplasty in 1964. Dotter rec ...
. They would meet in 1963 at the Czechoslovak Radiologic Congress in
Karlovy Vary Karlovy Vary (; , formerly also spelled ''Carlsbad'' in English) is a spa town, spa city in the Karlovy Vary Region of the Czech Republic. It has about 49,000 inhabitants. It is located at the confluence of the Ohře and Teplá (river), Teplá ri ...
, where Dotter gave his famous lecture on angiography, effectively creating the field of interventional radiology. Dotter recruited Rösch to do a one-year fellowship at Oregon Health and Science University. After the fellowship, Rösch spent two years at
UCLA The University of California, Los Angeles (UCLA) is a public land-grant research university in Los Angeles, California, United States. Its academic roots were established in 1881 as a normal school then known as the southern branch of the C ...
before returning to Oregon in 1970.


Interventional radiology career

While Josef Rösch helped advance many aspects of interventional radiology, his crowning achievements were the development of the TIPS procedure and the incorporation of embolization into the treatment of gastrointestinal hemorrhage. The invention of the TIPS procedure, which creates a shunt between the portal and systemic venous circulation, revolutionized the treatment for
portal hypertension Portal hypertension is defined as increased portal venous pressure, with a hepatic venous pressure gradient greater than 5 mmHg. Normal portal pressure is 1–4 mmHg; clinically insignificant portal hypertension is present at portal pressures 5� ...
. Similarly, arterial embolization for gastrointestinal bleeds became a powerful tool for life-threatening hemorrhages. Other techniques Rösch worked on include super-selective catheterization, expandable stents, thrombolysis and visceral angiography. Rösch would become the chief of vascular and interventional radiology at
Oregon Health & Science University Oregon Health & Science University (OHSU) is a public university, public research university, research university focusing primarily on health sciences with a main campus, including two hospitals, in Portland, Oregon. The institution was founded ...
. During the late 1980s, his work helped found the Dotter Interventional Institute. Rösch retired from clinical practice in 1995 and has since served in a research faculty role at the Dotter Institute.


Awards

Some of Rösch's notable awards include: * SCVIR Gold Medal * Japanese Society of Angiography and Interventional Radiology Gold Medal * European Radiological Congress and Western Angiographic and Interventional Society Gold Medal * The Interventional Radiology Lifetime Achievement Award from Cardiovascular Interventional Radiology Society of Europe * 600 Year Anniversary Medal of Charles University in Prague * The AHA Scientific Council Distinguished Achievement and Distinguished Scientist Awards


References


Sources

*Greene and Linton (2005). The History of Dotter Interventonal Institute: 15 Years of Education, Research, Patient Care 1990-2005. .


External links


Josef Rösch - Dotter Interventional Institute

obit
{{DEFAULTSORT:Rosch, Josef 1925 births 2016 deaths Physicians from Portland, Oregon Czechoslovak emigrants to the United States Scientists from Plzeň Physicians from Plzeň American radiologists Oregon Health & Science University faculty Charles University alumni