2019
Gender-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 graftsCatheterSurvival after major lower extremity amputation in patients with end-stage renal disease
Arhuidese I, Nejim B, Aji E, Canner J, Malas M. Survival after major lower extremity amputation in patients with end-stage renal disease. Journal Of Vascular Surgery 2019, 70: 1291-1298. PMID: 31543169, DOI: 10.1016/j.jvs.2018.12.055.Peer-Reviewed Original ResearchConceptsKnee amputeesKnee amputationBurden of peripheral artery diseaseLower extremity amputationEstimates of life expectancyEnd-stage renal diseaseRisk-adjusted mortalityAmputation levelExtremity amputationRace-specific differencesRT recipientsHealthcare providersPeripheral arterial diseaseHD patientsLong-term mortalityUnited States Renal Data SystemMedian survivalBKAKneeHispanicsLife expectancyRenal transplantationMLEAAmputationCardiovascular disease
2018
Outcomes of lower extremity bypass surgery in patients with renal transplants
Arhuidese I, Nejim B, Craig-Schapiro R, Rizwan M, Malas M. Outcomes of lower extremity bypass surgery in patients with renal transplants. Journal Of Vascular Surgery 2018, 68: 1833-1840.e2. PMID: 30470370, DOI: 10.1016/j.jvs.2017.12.086.Peer-Reviewed Original ResearchMeSH KeywordsAgedBioprosthesisBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationFemaleHumansKidney TransplantationLimb SalvageLower ExtremityMaleMiddle AgedPeripheral Arterial DiseasePostoperative ComplicationsRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeUnited StatesVascular PatencyVeinsConceptsOutcome of infrainguinal bypass surgeryInfrainguinal bypass surgeryPrimary assisted patencyRenal transplant patientsLong-term outcomesAssisted patencySecondary patencyTransplant patientsRenal transplantationProsthetic conduitLimb salvageBypass surgeryCohort of renal transplant patientsLower extremity bypass surgeryCox regression analysisEvaluate 30-dayMortality of patientsRisk-adjusted analysisUnited States Renal Data SystemPopulation-based cohortCritical limb ischemiaPopliteal-tibial bypassPrimary patencyRetrospective reviewAutogenous bypass
2017
Sex-based outcomes of lower extremity bypass surgery in hemodialysis patients
Arhuidese I, Kernodle A, Nejim B, Locham S, Hicks C, Malas M. Sex-based outcomes of lower extremity bypass surgery in hemodialysis patients. Journal Of Vascular Surgery 2017, 68: 153-160. PMID: 29276108, DOI: 10.1016/j.jvs.2017.10.063.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmputation, SurgicalBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationChi-Square DistributionClinical Decision-MakingDatabases, FactualDisease-Free SurvivalFemaleGraft Occlusion, VascularHumansKaplan-Meier EstimateKidney DiseasesLimb SalvageLogistic ModelsLower ExtremityMaleMiddle AgedMultivariate AnalysisOdds RatioPeripheral Arterial DiseaseProportional Hazards ModelsProsthesis DesignRenal DialysisRetrospective StudiesRisk FactorsSex FactorsTime FactorsTreatment OutcomeVascular PatencyVeinsConceptsAcute graft failureAutogenous conduitGraft failureProsthetic conduitBypass surgeryHemodialysis patientsAssociated with higher patencyLimb salvagePrimary assisted patencySex-based outcomesInfrainguinal bypass surgeryLower extremity bypass surgeryCox regression analysisPatient survival ratesRisk-adjusted analysisUnited States Renal Data SystemCritical limb ischemiaAssisted patencySecondary patencyConduit usePrimary patencySurgical outcomesNo significant differenceKaplan-MeierComparing patientsLong-term outcomes after autogenous versus synthetic lower extremity bypass in patients on hemodialysis
Arhuidese I, Hicks C, Locham S, Obeid T, Nejim B, Malas M. Long-term outcomes after autogenous versus synthetic lower extremity bypass in patients on hemodialysis. Surgery 2017, 162: 1071-1079. PMID: 28712733, DOI: 10.1016/j.surg.2017.04.026.Peer-Reviewed Original ResearchConceptsLong-term outcomesBypass operationProsthetic conduitHemodialysis patientsAutogenous conduitLimb salvageHigh-risk population of patientsEvaluate long-term outcomesCohort of hemodialysis patientsPrimary-assisted patencyFemoral-tibialType of bypassCox regression analysisLower extremity bypassPopulation of patientsUnited States Renal Data SystemHigh-risk populationPatient's life expectancyPopulation-based cohortCritical limb ischemiaPopliteal-tibial bypassSecondary patencyPrimary patencyConduit optionsPostoperative outcomes
2016
Carotid Revascularization in Asymptomatic Patients after Renal Transplantation
Arhuidese I, Craig-Schapiro R, Obeid T, Nejim B, Hicks C, Malas M. Carotid Revascularization in Asymptomatic Patients after Renal Transplantation. Annals Of Vascular Surgery 2016, 38: 130-135. PMID: 27522968, DOI: 10.1016/j.avsg.2016.06.008.Peer-Reviewed Original ResearchMeSH KeywordsAgedAngioplastyCarotid Artery DiseasesChi-Square DistributionEndarterectomy, CarotidFemaleHumansIncidenceKaplan-Meier EstimateKidney TransplantationLogistic ModelsMaleMiddle AgedMyocardial InfarctionOdds RatioPropensity ScoreProportional Hazards ModelsRetrospective StudiesRisk AssessmentRisk FactorsStentsStrokeTime FactorsTreatment OutcomeUnited StatesConceptsRenal transplant patientsCarotid artery stentingCox regression analysisTransplant patientsLong-term strokeCarotid endarterectomyCarotid revascularizationPerioperative strokeMyocardial infarctionRenal transplantationCarotid artery stenting cohortIncidence of perioperative complicationsCohort of renal transplant patientsChronic renal insufficiencyAssociated with increased riskAsymptomatic carotid artery stenosisRisk of periprocedural strokeRisk of perioperative strokeStroke-free survivalPropensity scoreSociety of Vascular SurgeryBaseline medical characteristicsUnited States Renal Data SystemBenefit of revascularizationCarotid artery stenosis
2014
Mortality benefits of different hemodialysis access types are age dependent
Hicks C, Canner J, Arhuidese I, Zarkowsky D, Qazi U, Reifsnyder T, Black J, Malas M. Mortality benefits of different hemodialysis access types are age dependent. Journal Of Vascular Surgery 2014, 61: 449-456. PMID: 25175630, DOI: 10.1016/j.jvs.2014.07.091.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAged, 80 and overArteriovenous Shunt, SurgicalCatheterization, Central VenousCatheters, IndwellingCentral Venous CathetersChi-Square DistributionFemaleHumansMaleMiddle AgedMultivariate AnalysisPatient SelectionProportional Hazards ModelsRenal DialysisRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeUnited StatesYoung AdultConceptsArteriovenous fistulaArteriovenous graftsHemodialysis cathetersMortality benefitDialysis accessBenefits of arteriovenous fistulasPredictor of overall mortalityCox proportional hazards modelsEffects of ageAge groupsUnited States Renal Data SystemRisk of deathAccess typeYears of ageProportional hazards modelHemodialysis access typePatient ageHemodialysis initiationRisk-adjusted mortalityOverall mortalityDialysis patientsPatientsHazards modelSpline modelIncreasing age