2024
Comparative analysis of negative pressure wound therapy (PICO) and standard dressing application after arterial vascular reconstructions.
Kostiuk V, Fereydooni S, Setia O, Loh S, Strosberg D, Tonnessen B, Ochoa Chaar C, Aboian E. Comparative analysis of negative pressure wound therapy (PICO) and standard dressing application after arterial vascular reconstructions. Vascular 2024, 17085381241296606. PMID: 39460535, DOI: 10.1177/17085381241296606.Peer-Reviewed Original ResearchGroin wound complicationsWound complicationsNegative pressure wound therapyNegative pressure therapyVascular reconstructionGroin dissectionPressure therapyPICO dressingIncidence of groin wound complicationsProcedure indicationArterial reconstructionWound therapyIncidence of wound complicationsReduction of wound complicationsMultivariate logistic regression analysisAssociated with lower riskSurgical site infectionAntibiotics post-operativelyFemoral artery dissectionOpen vascular reconstructionLogistic regression analysisSzilagyi classificationGroin surgerySite infectionPatient demographicsLong-Term Outcomes of Elective Endovascular versus Open Repair of Popliteal Artery Aneurysms in the VISION Database
Satam K, Brahmandam A, Zheng X, Mao J, Goodney P, Ochoa Chaar C. Long-Term Outcomes of Elective Endovascular versus Open Repair of Popliteal Artery Aneurysms in the VISION Database. Journal Of Vascular Surgery 2024 PMID: 39454844, DOI: 10.1016/j.jvs.2024.10.026.Peer-Reviewed Original ResearchPopliteal artery aneurysm repairGreat saphenous veinLong-term outcomesVascular Quality InitiativeAneurysm repairAssociated with increased survivalShort hospital length of stayGreat saphenous vein bypassHospital length of stayRandomized multicenter studyCox proportional hazards regressionKaplan-Meier curvesAssociated with lower mortalityPopliteal aneurysm repairPopliteal artery aneurysmPeripheral vascular interventionsProportional hazards regressionLength of stayP2Y12 inhibitorsBaseline characteristicsMulticenter studyEndovascular therapyArtery aneurysmPropensity-matchedSubgroup analysisRuptured Complex Aortoiliac Aneurysm in an Elderly Patient With a Kidney Transplant Presenting With Sciatica.
Kostiuk V, Rodriguez P, Aboian E, Kuwayama D, Guzman R, Ochoa Chaar C. Ruptured Complex Aortoiliac Aneurysm in an Elderly Patient With a Kidney Transplant Presenting With Sciatica. Vascular And Endovascular Surgery 2024, 15385744241296220. PMID: 39438778, DOI: 10.1177/15385744241296220.Peer-Reviewed Original ResearchCommon iliac artery aneurysmsIliac artery aneurysmsAbdominal aortic aneurysmArtery aneurysmRenal artery originsKidney transplantationAortic aneurysmEndovascular repairAneurysm repairArtery originLeft common iliac artery aneurysmConcomitant abdominal aortic aneurysmNon-contrast CT scanComplex aneurysm anatomyComplex aortoiliac aneurysmsIntra-abdominal aneurysmsFemoral-femoral bypassRinged PTFE graftEndovascular aneurysm repairKidney transplant functionFunctioning kidney transplantExternal iliac arteryRisk of ruptureSciatica symptomsAortoiliac aneurysmsOpen and Endovascular Treatment of the Common Femoral Artery in a Tertiary Care Center
Wells N, Hundito A, Tuttle M, Alameddine D, Aboian E, Arhuidese I, Fischer U, Perez-Lozada J, Guzman R, Ochoa Chaar C. Open and Endovascular Treatment of the Common Femoral Artery in a Tertiary Care Center. Journal Of Vascular Surgery 2024 PMID: 39442735, DOI: 10.1016/j.jvs.2024.10.027.Peer-Reviewed Original ResearchLower extremity revascularizationTreated with open surgeryPeripheral arterial diseaseCFA endarterectomyEndovascular therapyOpen surgeryEndovascular treatmentEndovascular lower extremity revascularizationTreated with endovascular therapyCompared to open surgeryAssociated with higher perioperative complicationsLower extremity revascularization proceduresPost-operative bleedingFemoral arteryImprove patient selectionKaplan-Meier analysisTertiary care centerTertiary-care centerLong-term outcomesEndovascular treatment of peripheral arterial diseaseLonger hospital lengthMALE-free survivalMultivariate logistic regressionTreatment of peripheral arterial diseaseCommon femoral arteryEarly Experience with Diclofenac Topical Gel for Moderate to Severe Post-Ablation Phlebitis
Melesio F, Mesa-Damiano M, Quinones-Rodriguez J, Staudaher S, Ochoa Chaar C, Rodriguez L. Early Experience with Diclofenac Topical Gel for Moderate to Severe Post-Ablation Phlebitis. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2024, 101994. PMID: 39419265, DOI: 10.1016/j.jvsv.2024.101994.Peer-Reviewed Original ResearchNon-steroidal anti-inflammatory drugsDiclofenac topical gelTopical gelNumeric Pain Rating ScaleLocalized pain reductionSignificant pain reliefPain rating scaleFirst-line treatmentRetrospective cohort studyTopical diclofenac gelAnti-inflammatory drugsNPRS scoreDiclofenac gelPain reductionInitial treatmentPain reliefNSAID groupPost-ablationAlone groupCohort studyPhlebitisPatientsRating ScaleTreatmentFour-time intervalsOptimizing 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 ResearchThe Incidence and Impact of Cardiac Function Decline after Lower Extremity Revascularization
Jamil Y, Huttler J, Alameddine D, Wu Z, Mena-Hurtado C, Velazquez E, Guzman R, Ochoa Chaar C. The Incidence and Impact of Cardiac Function Decline after Lower Extremity Revascularization. Annals Of Vascular Surgery 2024 PMID: 39343374, DOI: 10.1016/j.avsg.2024.07.119.Peer-Reviewed Original ResearchCardiac functional declineStable cardiac functionLower extremity revascularizationPeripheral arterial diseaseCardiac functionFollow-upExtremity revascularizationFunctional declineElectronic records of patientsKaplan-Meier analysisRecords of patientsMode of revascularizationAdverse limb eventsLower-extremity revascularizationTransthoracic echocardiogramReintervention rateHeart failureDiabetes mellitusPeriprocedural bleedingPatient characteristicsArtery diseasePatientsLimb eventsIncreased mortalityRevascularizationThe 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 patientsThe radiographic relationship of the femoral head, inguinal ligament, and common femoral artery bifurcation for optimal vascular access
Brahmandam A, Huttler J, Bellamkonda K, Setia O, Cardella J, Stewart W, Guzman R, Ochoa Chaar C. The radiographic relationship of the femoral head, inguinal ligament, and common femoral artery bifurcation for optimal vascular access. Journal Of Vascular Surgery 2024, 80: a21-a22. DOI: 10.1016/j.jvs.2024.07.019.Peer-Reviewed Original ResearchA comparison of below-knee vs above-knee endovenous ablation of varicose veins
Bai H, Gokani V, Storch J, Kibrik P, Aziz F, Sachdev U, Fukaya E, Ochoa Chaar C, Obi A, Ting W. A comparison of below-knee vs above-knee endovenous ablation of varicose veins. Journal Of Vascular Surgery 2024, 80: a15. DOI: 10.1016/j.jvs.2024.06.012.Peer-Reviewed Original ResearchThe Degree of Inferior Vena Cava Filter Tilt Associated with Challenging Retrieval
Kostiuk V, Grubman S, Brahmandam A, Schneider E, Tonnessen B, Perez Lozada J, Guzman R, Ochoa Chaar C. The Degree of Inferior Vena Cava Filter Tilt Associated with Challenging Retrieval. Annals Of Vascular Surgery 2024, 109: 135-142. PMID: 39025218, DOI: 10.1016/j.avsg.2024.06.020.Peer-Reviewed Original ResearchIVC filter tiltInferior vena cavaInferior vena cava filter retrievalFilter tiltEndovascular techniquesFilter retrievalInferior vena cava axisRight jugular vein accessInferior vena cava diameterElectronic charts of patientsInferior vena cava filter removalAssociated with technical difficultiesCharts of patientsFailed retrievalJugular vein accessLowest renal veinRight jugular veinRegression analysisFilter placementIVC filtersRenal veinVein accessVena cavaProcedural characteristicsFilter removalPresentation and patterns of reinterventions after revascularization in patients with premature Peripheral Arterial Disease
Sivakumar A, Satam K, Wu Z, Alameddine D, Aboian E, Chaer R, Schermerhorn M, Moreira C, Guzman R, Ochoa Chaar C. Presentation and patterns of reinterventions after revascularization in patients with premature Peripheral Arterial Disease. Journal Of Vascular Surgery 2024 PMID: 39002606, DOI: 10.1016/j.jvs.2024.07.021.Peer-Reviewed Original ResearchPremature peripheral arterial diseaseLower extremity revascularizationOlder patientsPeripheral arterial diseaseArtery diseaseRetrospective review of consecutive patientsReview of consecutive patientsDistressed Communities IndexAge of presentationFrequency of reinterventionsEnd-stage renal diseaseKaplan-Meier curvesOutcomes of lower extremity revascularizationLong-term outcomesCoronary artery diseaseMALE-free survivalAdverse limb eventsOverall survivalReintervention rateConsecutive patientsFrequent reinterventionsPerioperative complicationsRetrospective reviewNo significant differenceInstitutional experienceThe radiographic relationship of the femoral head, inguinal ligament, and common femoral artery bifurcation for optimal vascular access
Brahmandam A, Huttler J, Bellamkonda K, Setia O, Cardella J, Stewart W, Guzman R, Ochoa Chaar C. The radiographic relationship of the femoral head, inguinal ligament, and common femoral artery bifurcation for optimal vascular access. Journal Of Vascular Surgery 2024, 79: a17-a18. DOI: 10.1016/j.jvs.2024.04.032.Peer-Reviewed Original ResearchIntravascular Ultrasound Use is Associated with Improved Patency in Lower Extremity Peripheral Arterial Interventions
Brahmandam A, Kim T, Parziale S, Deng Y, Setia O, Tonnessen B, Ochoa Chaar C, Guzman R, Aboian E. Intravascular Ultrasound Use is Associated with Improved Patency in Lower Extremity Peripheral Arterial Interventions. Annals Of Vascular Surgery 2024, 106: 410-418. PMID: 38810722, DOI: 10.1016/j.avsg.2024.03.008.Peer-Reviewed Original ResearchChronic limb-threatening ischemiaChronic limb threatening ischemia patientsGeneralized estimating equationsPeripheral vascular interventionsPeripheral arterial diseaseAssociated with improved patencyPredictors of 1-year outcomeIntravascular ultrasound useVascular Quality InitiativeSubgroup analysisAdjunctive useD lesionsTASC CPropensity matchingTreatment modalitiesTrans-Atlantic Inter-Society Consensus (TASC) classificationMajor amputationLimb-threatening ischemiaBalloon angioplastyIntravascular ultrasoundImproved patencyUltrasound useOne-year followQuality InitiativePredictors of patencyPathophysiology and Conservative Management of Chronic Venous Insufficiency
Batarseh P, Damara F, Ochoa Chaar C. Pathophysiology and Conservative Management of Chronic Venous Insufficiency. 2024, 21-29. DOI: 10.1201/9781003316626-4.Peer-Reviewed Original ResearchAnticoagulation in Patients with Premature Peripheral Artery Disease Undergoing Lower Extremity Revascularization
Kim T, DeWan A, Murray M, Wang H, Mani A, Mena-Hurtado C, Guzman R, Ochoa Chaar C. Anticoagulation in Patients with Premature Peripheral Artery Disease Undergoing Lower Extremity Revascularization. Annals Of Vascular Surgery 2024, 105: 150-157. PMID: 38593922, DOI: 10.1016/j.avsg.2024.02.006.Peer-Reviewed Original ResearchPremature peripheral arterial diseaseAntiplatelet therapyVascular Quality InitiativeArtery diseaseAdjunct to antiplatelet therapyReturn to the operating roomPost-operative anticoagulationCompared to patientsPostoperative antiplatelet therapyOne-year outcomesCongestive heart failureLower extremity revascularizationMajor adverse limb eventsCoronary artery diseaseEffects of anticoagulantsAmputation-free survivalEarly onset of diseaseAdverse limb eventsPeripheral vascular interventionsOnset of diseasePeripheral arterial diseaseLower-extremity revascularizationPropensity score matchingPerioperative mortalityBaseline characteristicsAtherectomy – The Options, the Evidence, and When Should It Be Used
Pinto P, Ochoa Chaar C. Atherectomy – The Options, the Evidence, and When Should It Be Used. Annals Of Vascular Surgery 2024, 107: 127-135. PMID: 38583766, DOI: 10.1016/j.avsg.2023.12.104.Peer-Reviewed Original ResearchPeripheral vascular interventionsEndovascular techniquesLack of level 1 evidenceFirst-line therapyLevel 1 evidenceOffice-based laboratoriesComplex atherosclerotic lesionsProspective studyDissection riskEndovascular technologyBailout stentingArtery calcificationAmbulatory surgery centersSurgery centersModerate disease burdenVascular interventionsPlaque modificationDisease burdenAtherectomyAtherosclerotic lesionsPatientsTheoretical benefitsPractitioner preferencesAtherectomy technologiesTherapyComparative 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 characteristicsThe Use and Impact of Cilostazol on Patients Undergoing Endovascular Peripheral Interventions
Alameddine D, Damara F, Pinto Rodriguez P, Huttler J, Slade M, Arhuidese I, Aboian E, Ochoa Chaar C. The Use and Impact of Cilostazol on Patients Undergoing Endovascular Peripheral Interventions. Annals Of Vascular Surgery 2024, 103: 47-57. PMID: 38387798, DOI: 10.1016/j.avsg.2023.12.071.Peer-Reviewed Original ResearchImpact of cilostazolPeripheral vascular interventionsPeripheral arterial diseaseTreatment of intermittent claudicationRates of long-term mortalityPeripheral vascular interventional proceduresKaplan-Meier methodCongestive heart failureLong-term mortalityLong-term outcomesEndovascular peripheral interventionsRenal complicationsPatient demographicsBaseline characteristicsHeart failureDiabetes mellitusArtery diseaseIntermittent claudicationCilostazolPatientsVascular interventionsPeripheral interventionsClaudicationOutcomesInterventionVenography 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