Peter Bream Jr.

Professor – Vascular Interventional Radiology Program Director – Diagnostic Radiology

Education

Medical School & Internship: University of North Carolina – Chapel Hill
Residency: University of Alabama – Birmingham
Fellowship: University of North Carolina – Chapel Hill

Dr. Peter Bream, Jr. is a third-generation radiologist. After completing his fellowship at UNC, he joined the faculty at Vanderbilt University Medical Center. At Vanderbilt, he was the fellowship program director and was instrumental in developing one of the first Integrated Interventional Radiology residency programs. He also served as the IR Medical Director and the PICC team medical director. He was heavily involved as a liaison to the Department of Trauma serving as a representative on the committee that achieved American College of Surgeons (ACS) Level One trauma designation. While at Vanderbilt, he was promoted to Associate Professor in both the Departments of Medicine (Nephrology) and Radiology. Upon arrival to UNC, he was promoted to Clinical Professor. He serves both as an oral board examiner and question writer for the American Board of Radiology. He is the editor of the Interventional Radiology section of the American College of Radiology’s Case in Point.

In addition to a wide variety of non-vascular IR procedures, he specializes in complex venous access, especially involving patients on hemodialysis. His clinical expertise is wide-ranging but focuses on complex IVC filter retrieval, central venous reconstruction, enterocutaneous fistula repair, and pulmonary AVM embolization. He developed a new method for percutaneous placement of gastrostomy tubes that allows a larger tube to be placed initially with no additional risk to the patient.

Dr. Bream’s research has focused on descriptions of his new gastrostomy technique, novel ways to access the central veins, and reviews of dialysis catheters and utilization of the HeRO device. He is also active in social media and has co-authored papers on the use of social media in Interventional Radiology.