2020
Racial differences in utilization and outcomes of hemodialysis access in the Unites States
Arhuidese I, AJi E, Muhammad R, Dhaliwal J, Shukla A, Malas M. Racial differences in utilization and outcomes of hemodialysis access in the Unites States. Journal Of Vascular Surgery 2020, 71: 1664-1673. PMID: 32173190, DOI: 10.1016/j.jvs.2019.07.092.Peer-Reviewed Original ResearchConceptsAutogenous fistulasPatient survivalInitiation of HDProsthetic graftsPrimary-assistedSecondary patencyFistula maturationCatheter useHispanic patientsFistula placementHD accessAssociated with better patencyAssociated with worse patencyOutcomes of arteriovenous fistulaUnited States Renal Database SystemCohort of hemodialysisLog-rank testCox regression analysisRisk-adjusted oddsNo significant differenceArteriovenous fistulaGraft maturationKaplan-MeierRetrospective analysisHemodialysis access
2019
Hemodialysis and peritoneal dialysis access related outcomes in the pediatric and adolescent population
Arhuidese I, Wanogho J, Faateh M, Aji E, Rideout D, Malas M. Hemodialysis and peritoneal dialysis access related outcomes in the pediatric and adolescent population. Journal Of Pediatric Surgery 2019, 55: 1392-1399. PMID: 31784099, DOI: 10.1016/j.jpedsurg.2019.09.017.Peer-Reviewed Original ResearchConceptsArteriovenous fistulaPeritoneal dialysisHD cathetersCatheter useAssociated with better patencyUnited States Renal Database SystemAssociated with better survivalAssociated with high mortalityMultivariate Cox regressionRetrospective cohort studyPersistent useInitiation of HDHD to PDPD catheterCatheter survivalSecondary patencyPatients 0Pediatric patientsBetter survivalPrimary assistedRisk-adjusted mortalityPediatric populationRetrospective analysisTransplantation potentialDialysis accessGender-Based Utilization and Outcomes of Autogenous Fistulas and Prosthetic Grafts for Hemodialysis Access
Arhuidese I, Faateh M, Meshkin R, Calero A, Shames M, Malas M. Gender-Based Utilization and Outcomes of Autogenous Fistulas and Prosthetic Grafts for Hemodialysis Access. Annals Of Vascular Surgery 2019, 65: 196-205. PMID: 31626935, DOI: 10.1016/j.avsg.2019.08.083.Peer-Reviewed Original ResearchMeSH KeywordsAgedArteriovenous Shunt, SurgicalBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationDatabases, FactualFemaleGraft Occlusion, VascularHealthcare DisparitiesHumansKidney Failure, ChronicMaleMiddle AgedPractice Patterns, Physicians'Prosthesis-Related InfectionsRenal DialysisRetrospective StudiesRisk FactorsSex FactorsTime FactorsTreatment OutcomeVascular PatencyConceptsArteriovenous fistulaHD cathetersPatient survivalAssociated with lower patencyOutcomes of arteriovenous fistulaMultivariate Cox regression analysisCohort of hemodialysisArteriovenous fistula maturationCox regression analysisLow patencyInitiation of HDRisk-adjusted analysisUnited States Renal Data SystemPopulation-based cohortPrimary-assistedAccess maturationAutogenous fistulasAVF maturationNo significant differenceConduit patencyKaplan-MeierHD accessRetrospective analysisProsthetic graftsCatheterVascular access for hemodialysis in the elderly
Arhuidese I, Cooper M, Rizwan M, Nejim B, Malas M. Vascular access for hemodialysis in the elderly. Journal Of Vascular Surgery 2019, 69: 517-525.e1. PMID: 30683199, DOI: 10.1016/j.jvs.2018.05.219.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overArteriovenous Shunt, SurgicalBlood Vessel Prosthesis ImplantationCatheterization, Central VenousClinical Decision-MakingDatabases, FactualFemaleGraft Occlusion, VascularHumansKidney Failure, ChronicLife ExpectancyMalePatient SelectionQuality of LifeRenal DialysisRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeUnited StatesVascular PatencyConceptsArteriovenous fistulaArteriovenous graftsElderly patientsPopulation-based cohort of elderly patientsHD cathetersMedian time to maturationOutcomes of arteriovenous fistulaUnited States Renal Database SystemCohort of elderly patientsMultivariate Cox regression analysisCatheter-free dialysisPre-emptive surgeryPrimary assisted patencyKaplan-Meier analysisCox regression analysisStudent's t-testPopulation-based cohortAssisted patencyTolerate surgerySecondary patencyPrimary patencySurgical riskModes of HDConduit patencyRetrospective analysis
2015
Quality Improvement Targets for Regional Variation in Surgical End-Stage Renal Disease Care
Zarkowsky DS, Hicks CW, Arhuidese I, Canner JK, Obeid T, Qazi U, Schneider E, Abularrage CJ, Black JH, Freischlag JA, Malas MB. Quality Improvement Targets for Regional Variation in Surgical End-Stage Renal Disease Care. JAMA Surgery 2015, 150: 764-770. PMID: 26107005, DOI: 10.1001/jamasurg.2015.1126.Peer-Reviewed Original ResearchConceptsEnd-stage renal diseaseUS Renal Data SystemFirst hemodialysisNephrology careAVF accessMortality hazardEnd-stage renal disease careLogistic regressionCongestive heart failureRenal replacement therapyMultivariable logistic regressionArteriovenous fistula accessQuality improvement targetsPatient comorbiditiesHeart failurePatient characteristicsRenal diseaseDisease careESRD mortalityReplacement therapyFistula accessUnivariate analysisRetrospective analysisBest practice guidelinesMAIN OUTCOMEPoststent ballooning is associated with increased periprocedural stroke and death rate in carotid artery stenting
Obeid T, Arnaoutakis D, Arhuidese I, Qazi U, Abularrage C, Black J, Perler B, Malas M. Poststent ballooning is associated with increased periprocedural stroke and death rate in carotid artery stenting. Journal Of Vascular Surgery 2015, 62: 616-623.e1. PMID: 26033011, DOI: 10.1016/j.jvs.2015.03.069.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAngioplasty, BalloonCarotid StenosisChi-Square DistributionDatabases, FactualFemaleHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioPatient SelectionRetrospective StudiesRisk AssessmentRisk FactorsSeverity of Illness IndexStentsStrokeTime FactorsTreatment OutcomeYoung AdultConceptsCarotid artery stentingCarotid endarterectomyHemodynamic depressionPerioperative strokeArtery stentingVascular Quality Initiative databaseApplication of carotid artery stentingAge of patientsIncreased perioperative riskIpsilateral CEASevere residual stenosisDeath rateCarotid artery lesionsLogistic regression analysisDegree of stenosisComplication rateSurgical riskPatient agePreoperative medicationsPerioperative riskRetrospective analysisSymptomatic statusIntraoperative techniquesResidual stenosisComparison to carotid endarterectomy