Pietramala chose to attend Johns Hopkins University at the advice of his father, George, who wanted him to play for the lacrosse powerhouse.
[2][6] In April 2020, after the 2020 season was cut short by the COVID-19 pandemic, Johns Hopkins announced that they had mutually agreed to part with Pietramala, ending his tenure as the head coach.
An up and down regular season gave way to a hot playoff streak that saw the sixth-seeded Lakers win the MIAA A Conference championship, defeating Archbishop Spalding in the finals.
[8] On Monday, June 14, 2021, it was announced that Pietramala would be joining the Syracuse University coaching staff, led by Gary Gait, as their defensive coordinator for the spring 2022 season.
The unification of this tandem gave the Syracuse coaching staff, arguably, the best offensive and defensive players in the history of the sport.
During his short tenure, the Orange defense could stop opponent's best option but allowed secondary scorers to thrive.