2024
The Impact of Diabetes Mellitus on the Outcomes of Revascularization for Chronic Limb-Threatening Ischemia in the BEST-CLI trial
Ochoa Chaar C, Malas M, Doros G, Schermerhorn M, Conte M, Alameddine D, Siracuse J, Yadavalli S, Dake M, Creager M, Tan T, Rosenfield K, Menard M, Farber A, Hamdan A. The Impact of Diabetes Mellitus on the Outcomes of Revascularization for Chronic Limb-Threatening Ischemia in the BEST-CLI trial. Journal Of Vascular Surgery 2024 PMID: 39332785, DOI: 10.1016/j.jvs.2024.09.026.Peer-Reviewed Original ResearchChronic limb-threatening ischemiaAnkle amputationLower extremity revascularizationBEST-CLI trialBEST-CLILimb-threatening ischemiaAll-cause deathDiabetes mellitusChronic obstructive pulmonary diseaseImpact of diabetes mellitusImpact of DMObstructive pulmonary diseasePotential confoundersBest Surgical TherapyAnkleAdverse limb eventsToe pressureBest EndovascularAnkle pressureRenal diseaseAmputationObservational studyOptimal medical therapyOutcomes of patientsCompared to patientsComparative Outcomes of Peripheral Vascular Interventions in Patients on Chronic Anticoagulation with Factor Xa Inhibitors and Vitamin K Antagonists
Huttler J, Alameddine D, Damara F, Rodriguez P, Wu Z, Slade M, Strosberg D, Ochoa Chaar C. Comparative Outcomes of Peripheral Vascular Interventions in Patients on Chronic Anticoagulation with Factor Xa Inhibitors and Vitamin K Antagonists. Annals Of Vascular Surgery 2024, 104: 185-195. PMID: 38493886, DOI: 10.1016/j.avsg.2023.12.092.Peer-Reviewed Original ResearchVitamin K antagonistsPeripheral arterial diseaseChronic anticoagulationLong-term outcomesFactor Xa inhibitorsAmputation-free survivalK antagonistsXa inhibitorsVitamin K antagonist groupMultivariate logistic regression analysisOutcomes of patientsKaplan-Meier analysisCox proportional hazards regressionLong-term followRate of hematomaProportional hazards regressionPeripheral vascular interventionsLogistic regression analysisOptimal regimenPatient demographicsAnticoagulation regimensVenous thromboembolismAtrial fibrillationFXaIProcedural characteristicsInsulin Requirement and Infrainguinal Bypass Outcomes in Patients with Peripheral Arterial Disease
Alameddine D, Satam K, Slade M, Wang H, Mena-Hurtado C, Turner J, Inzucchi S, Ochoa Chaar C. Insulin Requirement and Infrainguinal Bypass Outcomes in Patients with Peripheral Arterial Disease. Annals Of Vascular Surgery 2024, 102: 25-34. PMID: 38307234, DOI: 10.1016/j.avsg.2023.11.044.Peer-Reviewed Original ResearchInsulin-requiring diabetes mellitusPeripheral arterial diseaseDiabetes mellitusInfrainguinal bypassInsulin requirementsArtery diseaseRisk of MALEBypass surgeryImpact of insulin useRates of primary patencyVascular Quality Initiative databaseOutcomes of patientsPeripheral arterial bypass surgeryInfrainguinal bypass surgeryStratification of patientsCrude rateElevated hemoglobin A1cArtery bypass surgeryAssociation of DMChronic limb-threatening ischemiaIncreased risk of MALEVascular Quality InitiativeLower extremity revascularizationAdverse limb eventsLimb-threatening ischemia
2023
Arterial dissection during peripheral vascular interventions
Damara F, Alameddine D, Slade M, Cardella J, Tonnessen B, Guzman R, Ochoa Chaar C. Arterial dissection during peripheral vascular interventions. Journal Of Vascular Surgery 2023, 79: 339-347.e6. PMID: 37838217, DOI: 10.1016/j.jvs.2023.10.004.Peer-Reviewed Original ResearchPeripheral vascular interventionsReintervention-free survivalPeripheral arterial diseasePrimary patencyArterial dissectionLower primary patencyArterial diseaseVascular interventionsVascular Quality Initiative databaseLonger occlusion lengthAmputation-free survivalOutcomes of patientsHistory of smokingKaplan-Meier curvesProportional hazards regressionTrend of incidencePrimary endpointFemoropopliteal diseaseLimb outcomesEndovascular therapyFemoropopliteal segmentHazards regressionOpen surgeryOcclusion lengthTreatment modalitiesSystematic review of inferior vena cava atresia
Saab K, Brahmandam A, Brackett A, Desai M, Dardik A, Guzman R, Chaar C. Systematic review of inferior vena cava atresia. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2023, 11: 1253-1264. PMID: 37453547, DOI: 10.1016/j.jvsv.2023.07.002.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsDeep vein thrombosisIVC atresiaCongenital anomaliesLeg painMost patientsDevelopment of DVTSystematic reviewAcceptable mid-term resultsInferior vena cava atresiaEndovascular surgical interventionsMortality of patientsOutcomes of patientsMid-term resultsRare venous anomalyTerms of patencyVein thrombosisSymptomatic reliefVenous anomaliesIliac veinInferior venaSurgical interventionMean ageTreatment groupsPatientsAtresiaCarbon dioxide angiography during peripheral vascular interventions is associated with decreased cardiac and renal complications in patients with chronic kidney disease
Lee S, Ali S, Cardella J, Turner J, Guzman R, Dardik A, Ochoa Chaar C. Carbon dioxide angiography during peripheral vascular interventions is associated with decreased cardiac and renal complications in patients with chronic kidney disease. Journal Of Vascular Surgery 2023, 78: 201-208. PMID: 36948278, DOI: 10.1016/j.jvs.2023.03.029.Peer-Reviewed Original ResearchConceptsAdvanced chronic kidney diseaseChronic kidney diseasePeripheral vascular interventionsContrast volume usagePC-AKICarbon dioxide angiographyCardiac complicationsPropensity matchingKidney diseaseVascular interventionsPost-contrast acute kidney injuryAcute kidney injuryOutcomes of patientsPeripheral arterial diseasePoor renal functionMultivariate logistic regressionLower contrast volumeVolume of contrastCardiac comorbiditiesKidney injuryMinor amputationRenal complicationsRenal functionEndovascular therapyArterial diseaseCharacteristics and 1-year outcomes of patients with rupture of small abdominal aortic aneurysms
Bellamkonda K, Zogg C, Nassiri N, Sadeghi M, Zhang Y, Guzman R, Ochoa Chaar C. Characteristics and 1-year outcomes of patients with rupture of small abdominal aortic aneurysms. Journal Of Vascular Surgery 2023, 77: 1649-1657. PMID: 36796595, DOI: 10.1016/j.jvs.2023.02.003.Peer-Reviewed Original ResearchConceptsEndovascular aneurysm repairAbdominal aortic aneurysmRAAA casesRAAA groupElective repairAneurysm repairAortic aneurysmMyocardial infarctionVascular Quality Initiative databaseLower body mass indexSmall abdominal aortic aneurysmsMean aneurysm diameterVascular Surgery guidelinesLong-term mortalityOutcomes of patientsPerioperative myocardial infarctionOpen AAA repairBody mass indexLong-term outcomesOperative thresholdAfrican AmericansInfrarenal aneurysmsTotal morbidityAAA repairPatient characteristics
2021
Association Between Preexisting Versus Newly Identified Atrial Fibrillation and Outcomes of Patients With Acute Pulmonary Embolism
Bikdeli B, Jiménez D, del Toro J, Piazza G, Rivas A, Fernández‐Reyes J, Sampériz Á, Otero R, Suriñach J, Siniscalchi C, Martín‐Guerra J, Castro J, Muriel A, Lip G, Goldhaber S, Monreal M, Monreal M, Prandoni P, Brenner B, Farge‐Bancel D, Barba R, Di Micco P, Bertoletti L, Schellong S, Tzoran I, Reis A, Bosevski M, Bounameaux H, Malý R, Verhamme P, Caprini J, Bui H, Adarraga M, Agud M, Aibar J, Aibar M, Amado C, Arcelus J, Baeza C, Ballaz A, Barba R, Barbagelata C, Barrón M, Barrón‐Andrés B, Blanco‐Molina Á, Botella E, Camon A, Cañas I, Casado I, Castro J, Chasco L, Criado J, de Ancos C, de Miguel J, del Toro J, Demelo‐Rodríguez P, Díaz‐Peromingo J, Di Campli M, Díez‐Sierra J, Domínguez I, Escribano J, Falgá C, Farfán‐Sedano A, Fernández‐Capitán C, Fernández‐Reyes J, Fidalgo M, Flores K, Font C, Font L, Francisco I, Gabara C, Galeano‐Valle F, Galindo D, García M, García‐Bragado F, de Herreros M, García‐Hernáez R, García‐Mullor M, García‐Raso A, Gavín‐Sebastián O, Gil‐Díaz A, Gómez‐Cuervo C, Grau E, Guirado L, Gutiérrez J, Hernández‐Blasco L, Hernando E, Herreros M, Jara‐Palomares L, Jaras M, Jiménez D, Jiménez R, Joya M, León J, Lima J, Llamas P, Lobo J, López‐Jiménez L, López‐Miguel P, López‐Núñez J, López‐Reyes R, López‐Ruiz A, López‐Sáez J, Lorenzo A, Madridano O, Maestre A, Marchena P, del Pozo M, Martín‐Guerra J, Martín‐Martos F, Mella C, Mellado M, Mercado M, Moisés J, Monreal M, del Valle Morales M, Muñoz‐Blanco A, Muñoz‐Rivas N, Navas M, Nieto J, Núñez‐Fernández M, Obispo B, Olid M, Olivares M, Orcastegui J, Ortega‐Michel C, Osorio J, Otalora S, Otero R, Parra P, Parra V, Pedrajas J, Pellejero G, Porras J, Portillo J, Riera‐Mestre A, Rivas A, Rivera‐Civico F, Rodríguez‐Chiaradía D, Rodríguez‐Cobo A, Rodríguez‐Matute C, Rogado J, Roig S, Rosa V, Ruiz‐Artacho P, Ruiz‐Giménez N, Ruiz‐Ruiz J, Ruiz‐Sada P, Salgueiro G, Sánchez‐Martínez R, Sánchez‐Muñoz‐Torrero J, Sancho T, Sirisi M, Soler S, Suriñach J, Tirado R, Torres M, Tolosa C, Trujillo‐Santos J, Uresandi F, Valero B, Valle R, Vela J, Vidal G, Villares P, Zamora C, Gutiérrez P, Vázquez F, Engelen M, Vanassche T, Verhamme P, Hirmerova J, Malý R, Salgado E, Abdallah N, Bertoletti L, Bura‐Riviere A, Crichi B, Debourdeau P, Olivier E, Falvo N, Farge‐Bancel D, Galliazzo S, Helfer H, Mahé I, Moustafa F, Poenou G, Schellong S, Braester A, Brenner B, Tzoran I, Bilora F, Bucherini E, Ciammaichella M, Di Micco P, Imbalzano E, Maida R, Mastroiacovo D, Pace F, Pesavento R, Pomero F, Prandoni P, Quintavalla R, Rocci A, Romualdi R, Siniscalchi C, Tufano A, Visonà A, Zalunardo B, Gibietis V, Kigitovica D, Skride A, Fonseca S, Martins F, Meireles J, Bosevski M, Bounameaux H, Mazzolai L, Bikdeli B, Caprini J, Tafur A, Ochoa‐Chaar C, Weinberg I, Wilkins H, Bui H. Association Between Preexisting Versus Newly Identified Atrial Fibrillation and Outcomes of Patients With Acute Pulmonary Embolism. Journal Of The American Heart Association 2021, 10: e021467. PMID: 34459215, PMCID: PMC8649245, DOI: 10.1161/jaha.121.021467.Peer-Reviewed Original ResearchConceptsAcute pulmonary embolismIncident atrial fibrillationPulmonary embolismAtrial fibrillationAcute symptomatic pulmonary embolismNew incident atrial fibrillationTiming of AFNew atrial fibrillationOutcomes of patientsSymptomatic pulmonary embolismAdverse clinical outcomesBackground Atrial fibrillationAF onsetCause mortalityMultivariable adjustmentIschemic strokeClinical outcomesMultivariable analysisAdverse outcomesPatientsMortalityStrokeEmbolismOutcomesFibrillation
2020
Presentation and outcomes of carotid endarterectomy in active smokers
Kim TI, Zhang Y, Amin HP, Ochoa Chaar CI. Presentation and outcomes of carotid endarterectomy in active smokers. Journal Of Vascular Surgery 2020, 72: 1720-1727.e1. PMID: 32249043, DOI: 10.1016/j.jvs.2020.02.014.Peer-Reviewed Original ResearchConceptsCarotid endarterectomyRisk factorsWorse outcomesSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramChronic obstructive pulmonary diseaseSignificant modifiable risk factorSurgical Quality Improvement ProgramHigh anatomic riskOutcomes of patientsModifiable risk factorsObstructive pulmonary diseaseCarotid artery diseaseImportant risk factorLarge national databaseQuality Improvement ProgramActive smokingEmergent surgeryPreoperative characteristicsActive smokersArtery diseasePropensity matchingPulmonary diseaseSymptomatic presentationSmoking status