2024
Optimizing hospital length of stay after infrainguinal bypass: Should ultrashort set the bar?
Said S, Ochoa Chaar C. Optimizing hospital length of stay after infrainguinal bypass: Should ultrashort set the bar? Journal Of Vascular Surgery 2024, 80: 1191. PMID: 39306445, DOI: 10.1016/j.jvs.2024.05.006.Peer-Reviewed Original ResearchVenography as a pragmatic tool for inferior vena cava filter positioning analysis
Grubman S, Ochoa Chaar C. Venography as a pragmatic tool for inferior vena cava filter positioning analysis. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2024, 12: 101736. PMID: 38368028, PMCID: PMC11523405, DOI: 10.1016/j.jvsv.2023.101736.Peer-Reviewed Original Research
2023
Endovascular Recanalization and Stent Graft Placement for a Chronically Occluded Prosthetic Graft to Treat Critical Limb Ischemia
Jamil Y, Huttler J, Ochoa Chaar C. Endovascular Recanalization and Stent Graft Placement for a Chronically Occluded Prosthetic Graft to Treat Critical Limb Ischemia. Journal Of Vascular And Interventional Radiology 2023, 35: 143-145. PMID: 37704039, DOI: 10.1016/j.jvir.2023.09.006.Peer-Reviewed Original ResearchPerioperative complications following open or endovascular revascularization for chronic limb-threatening ischemia in the BEST-CLI Trial
Siracuse J, Farber A, Menard M, Conte M, Kaufman J, Jaff M, Kiang S, Ochoa Chaar C, Osborne N, Singh N, Tan T, Guzman R, Strong M, Hamza T, Doros G, Rosenfield K. Perioperative complications following open or endovascular revascularization for chronic limb-threatening ischemia in the BEST-CLI Trial. Journal Of Vascular Surgery 2023, 78: 1012-1020.e2. PMID: 37318428, DOI: 10.1016/j.jvs.2023.05.040.Peer-Reviewed Original ResearchConceptsChronic limb-threatening ischemiaSingle-segment great saphenous veinLimb-threatening ischemiaRisk-adjusted analysisCohort 2Cohort 1BEST-CLICardiovascular eventsEndovascular revascularizationPerioperative complicationsRevascularization strategyLower extremity bypass surgeryMajor adverse cardiovascular eventsBest Surgical TherapyBEST-CLI trialPeri-procedure complicationsAdverse cardiovascular eventsPeri-procedural complicationsThirty-day mortalityAcute renal failureGreat saphenous veinEndovascular revascularization strategiesBest EndovascularPerioperative morbidityBypass surgeryHybrid Revision of Dysfunctional Aneurysmal Arteriovenous Fistulas
Kostiuk V, Chen J, Dahl N, Turner J, Chaar C. Hybrid Revision of Dysfunctional Aneurysmal Arteriovenous Fistulas. Vascular And Endovascular Surgery 2023, 57: 909-913. PMID: 37300698, DOI: 10.1177/15385744231183488.Peer-Reviewed Original ResearchHigh-Risk Characteristics for Clinical Failure after Isolated Femoropopliteal Peripheral Vascular Interventions
Kim T, Schneider P, Iannuzzi J, Ochoa Chaar C. High-Risk Characteristics for Clinical Failure after Isolated Femoropopliteal Peripheral Vascular Interventions. Annals Of Vascular Surgery 2023, 96: 253-260. PMID: 37088359, DOI: 10.1016/j.avsg.2023.04.010.Peer-Reviewed Original ResearchConceptsPaclitaxel-coated devicesPeripheral vascular interventionsClinical failureHigh riskRisk scoreRest painVascular interventionsMultivariable hierarchical logistic regressionRisk score developmentPrimary end pointHigh-risk patientsVascular Quality InitiativeLower extremity revascularizationTrans-Atlantic InterInsulin-dependent diabetesNovel risk scoreHigh-risk characteristicsLoss of patencyHierarchical logistic regressionMajor amputationLate mortalityMinor amputationExtremity revascularizationOcclusion lengthFemale sexThe management of patients with popliteal artery aneurysms presenting with acute limb ischemia
Satam K, Aboian E, Cardella J, Slade M, Nassiri N, Dardik A, Guzman R, Ochoa Chaar C. The management of patients with popliteal artery aneurysms presenting with acute limb ischemia. Journal Of Vascular Surgery 2023, 78: 506-513. PMID: 37086824, DOI: 10.1016/j.jvs.2023.04.019.Peer-Reviewed Original ResearchConceptsAcute limb ischemiaEndovascular repairPeripheral vascular interventionsOpen repairLimb ischemiaEndovascular popliteal artery aneurysm repairPopliteal artery aneurysm repairVascular Quality Initiative databaseMajor amputation ratePopliteal artery aneurysmsCoronary artery diseaseManagement of patientsLong-term outcomesMultivariable regression analysisHigher inpatientMajor amputationPAA repairAmputation rateHospital lengthPerioperative complicationsPerioperative mortalityPostoperative lengthDecreased complicationsInfrainguinal bypassOnly patientsUtility of Hook Sign in the Diagnosis of Median Arcuate Ligament Syndrome
Chan S, Weininger G, Kozhimala M, Sumpio B, Levine L, Harris S, Zheng S, Ochoa Chaar C, Guzman R, Sumpio B. Utility of Hook Sign in the Diagnosis of Median Arcuate Ligament Syndrome. Annals Of Vascular Surgery 2023, 94: 165-171. PMID: 37023920, DOI: 10.1016/j.avsg.2023.03.018.Peer-Reviewed Original ResearchConceptsMedian arcuate ligament syndromeBody mass indexCeliac artery compressionArcuate ligament syndromeCeliac arteryInstitutional review board-approved retrospective chart reviewDiagnosis of MALSElectronic medical record reviewMedian arcuate ligamentNonspecific abdominal painRetrospective chart reviewMedical record reviewTertiary academic centerSignificant predictorsHook signWilcoxon rank sum testRank sum testMALS patientsAbdominal painTomography angiography imagesArtery compressionChart reviewPatient demographicsArcuate ligamentRadiologic characteristicsThe association between diabetes mellitus and its management with outcomes following endovascular repair for descending thoracic aortic aneurysm
Summers S, Rastogi V, Yadavalli S, Wang S, Schaller M, Jones D, Ochoa Chaar C, de Bruin J, Verhagen H, Schermerhorn M. The association between diabetes mellitus and its management with outcomes following endovascular repair for descending thoracic aortic aneurysm. Journal Of Vascular Surgery 2023, 78: 313-323. PMID: 36966848, DOI: 10.1016/j.jvs.2023.02.024.Peer-Reviewed Original ResearchConceptsThoracic aortic aneurysmDiabetes mellitusNoninsulin medicationsPerioperative mortalityAortic aneurysmHospital complicationsEndovascular repairDietary managementSimilar perioperative mortalityMultivariable Cox regressionHigh perioperative mortalityVascular Quality InitiativeMultivariable logistic regressionEndovascular aneurysm repairMultivariable regression analysisDM statusNoninsulin therapySac regressionInsulin therapyTherapy cohortAneurysm repairDietary therapyDM subgroupCox regressionInsulin medicationCarbon 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 characteristicsIncidence and Significance of Deep Venous Reflux in Patients Treated with Saphenous Vein Ablation
Satam K, Aurshina A, Zhuo H, Zhang Y, Cardella J, Aboian E, Tonnessen B, Guzman R, Ochoa Chaar C. Incidence and Significance of Deep Venous Reflux in Patients Treated with Saphenous Vein Ablation. Annals Of Vascular Surgery 2023, 91: 182-190. PMID: 36693564, DOI: 10.1016/j.avsg.2022.11.034.Peer-Reviewed Original ResearchConceptsDeep venous refluxDeep vein thrombosisVenous ablationNumeric rating scaleVenous refluxHistory of DVTLong-term symptomatic reliefAdvanced venous diseasePain medication useTertiary care centerSaphenous vein ablationElectronic medical recordsClinical reliefPatient characteristicsVein ablationVein thrombosisMedication useSymptomatic reliefVenous insufficiencyVenous diseaseCompression stockingsInitial ultrasoundBlack raceSubgroup analysisMedical records
2022
Prevalence and Characteristics of Patients with Median Arcuate Ligament Syndrome in a Cohort Diagnosed with Celiac Artery Compression.
Kozhimala M, Chan S, Weininger G, Sumpio B, Levine L, Harris S, Zheng S, Longo W, Ochoa Chaar C, Guzman R, Sumpio B. Prevalence and Characteristics of Patients with Median Arcuate Ligament Syndrome in a Cohort Diagnosed with Celiac Artery Compression. Journal Of The American College Of Surgeons 2022, 236: 1085-1091. PMID: 36476640, DOI: 10.1097/xcs.0000000000000500.Peer-Reviewed Original ResearchConceptsMedian arcuate ligament syndromeCeliac artery compressionArcuate ligament syndromeCharacteristics of patientsMALS patientsArtery compressionArtery diseaseRenal diseaseMesenteric artery diseasePeripheral arterial diseasePeripheral artery diseaseRetrospective chart reviewCohort of patientsMedical record reviewFrequent differential diagnosisSignificant differencesAbdominal symptomsAtherosclerotic characteristicsEpigastric painGastrointestinal comorbiditiesChart reviewArterial diseaseAtherosclerotic diseaseRecord reviewClinical symptoms
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 outcomesPatientsMortalityStrokeEmbolismOutcomesFibrillationDiagnostic and Technical Challenges in the Care of a Complex Patient With Post-Thrombotic Syndrome
Chan SM, Lee A, Roy B, Chaar CIO. Diagnostic and Technical Challenges in the Care of a Complex Patient With Post-Thrombotic Syndrome. Vascular And Endovascular Surgery 2021, 55: 515-518. PMID: 33563142, DOI: 10.1177/1538574421995020.Peer-Reviewed Original ResearchConceptsPost-thrombotic syndromeDeep vein thrombosisVein thrombosisComplex patientsIliofemoral deep vein thrombosisExtensive deep vein thrombosisAccurate patient evaluationVenous recanalizationEndovascular treatmentSymptomatic reliefPatient evaluationMorbid conditionsClinical successSyndromePatientsThrombosisAlternative accessCareRecanalizationSymptomsStrokeStrategies to Minimize Iodinated Contrast Volume in Patients with Chronic Kidney Disease Undergoing Peripheral Vascular Interventions
Lee SR, Dardik A, Chaar CIO. Strategies to Minimize Iodinated Contrast Volume in Patients with Chronic Kidney Disease Undergoing Peripheral Vascular Interventions. Annals Of Vascular Surgery 2021, 73: 490-495. PMID: 33556507, DOI: 10.1016/j.avsg.2021.01.081.Peer-Reviewed Original ResearchConceptsPeripheral vascular interventionsChronic kidney diseaseVascular interventionsPostcontrast acute kidney injuryChronic limb threatening ischemiaSuccessful endovascular revascularizationAcute kidney injuryCKD stage 4Limb threatening ischemiaPC-AKIEndovascular revascularizationKidney injuryUse of ICMContrast volumeKidney diseaseIntravascular lesionsContrast mediumPatientsStage 4InterventionRiskRevascularizationIschemiaInjuryTherapy
2020
Correlation of venous symptoms with iliac vein stenosis on magnetic resonance imaging
Aurshina A, Huber S, Deng Y, Attaran R, Nassiri N, Dardik A, Ochoa Chaar CI. Correlation of venous symptoms with iliac vein stenosis on magnetic resonance imaging. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2020, 9: 1291-1296.e1. PMID: 33387666, DOI: 10.1016/j.jvsv.2020.12.077.Peer-Reviewed Original ResearchConceptsIliac vein stenosisMagnetic resonance imagingElectronic medical recordsVenous symptomsVein stenosisEMR reviewResonance imagingLower extremity venous diseaseTelephone survey resultsConsecutive adult patientsThird of patientsBrief telephone surveyAdult patientsPatient characteristicsConsecutive patientsVenous stenosisVenous diseaseRetrospective studyMean ageMedical recordsStenosisPatientsMRI scansSymptomsPelvisRegional Anesthesia is Underutilized for Carotid Endarterectomy Despite Improved Perioperative Outcomes Compared with General Anesthesia
Lumas S, Hsiang W, Akhtar S, Ochoa Chaar CI. Regional Anesthesia is Underutilized for Carotid Endarterectomy Despite Improved Perioperative Outcomes Compared with General Anesthesia. Annals Of Vascular Surgery 2020, 73: 336-343. PMID: 33373769, DOI: 10.1016/j.avsg.2020.11.035.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement ProgramCarotid endarterectomyGeneral anesthesiaRegional anesthesiaImproved outcomesSurgeons National Surgical Quality Improvement ProgramChronic obstructive pulmonary diseaseOutcomes of CEASurgical Quality Improvement ProgramCombined end pointObstructive pulmonary diseaseChoice of anestheticQuality Improvement ProgramAnesthesia typeHospital lengthPerioperative outcomesBaseline characteristicsPatient characteristicsCarotid surgeryHeart failurePropensity matchingPulmonary diseaseGA patientsMyocardial infarctionAmerican CollegeLocation of reflux in the saphenous vein does not affect outcomes of vein ablation
Aurshina A, Cardella J, Sumpio B, Zhuo H, Zhang Y, Dardik A, Ochoa Chaar CI. Location of reflux in the saphenous vein does not affect outcomes of vein ablation. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2020, 9: 932-937. PMID: 33249108, DOI: 10.1016/j.jvsv.2020.11.013.Peer-Reviewed Original ResearchConceptsVenous ablationSaphenous veinElectronic medical recordsMean patient ageRecurrence of painSingle-center reviewIncidence of complicationsClinical success rateNumeric rating scaleTechnical success ratePatients' electronic medical recordsTelephone surveySuccess rateIntensity of symptomsValvular refluxCEAP classSymptomatic patientsConsecutive patientsOutpatient officePatient agePatient characteristicsVein ablationDuplex ultrasonographySymptom improvementBilateral treatmentMultiple Reinterventions for Claudication are Associated with Progression to Chronic Limb-Threatening Ischemia
Kim TI, Kiwan G, Mohamedali A, Zhang Y, Dardik A, Guzman RJ, Ochoa Chaar CI. Multiple Reinterventions for Claudication are Associated with Progression to Chronic Limb-Threatening Ischemia. Annals Of Vascular Surgery 2020, 72: 166-174. PMID: 33227462, DOI: 10.1016/j.avsg.2020.10.004.Peer-Reviewed Original ResearchConceptsChronic limb-threatening ischemiaLower extremity revascularizationCongestive heart failureHeart failureOpen revascularizationMultiple reinterventionsSingle-center retrospective reviewChronic limb threatening ischemiaLimb threatening ischemiaLimb-threatening ischemiaNumber of reinterventionsLong-term outcomesMultivariable logistic regressionRate of progressionBenign natural historyIndex revascularizationMajor amputationRest painPerioperative complicationsExtremity revascularizationRetrospective reviewRisk factorsDisease progressionOpen procedureClaudication