2019
Outcomes of Infrainguinal Lower Extremity Bypass Are Superior in Kidney Transplant Recipients Than Patients with Dialysis
Nejim B, Hicks C, Arhuidese I, Locham S, Dakour-Aridi H, Malas M. Outcomes of Infrainguinal Lower Extremity Bypass Are Superior in Kidney Transplant Recipients Than Patients with Dialysis. Annals Of Vascular Surgery 2019, 63: 209-217. PMID: 31349053, DOI: 10.1016/j.avsg.2019.04.026.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmputation, SurgicalBlood Vessel Prosthesis ImplantationDatabases, FactualFemaleHumansKidney Failure, ChronicKidney TransplantationLimb SalvageLower ExtremityMaleMiddle AgedPeripheral Arterial DiseaseProgression-Free SurvivalRenal DialysisRetrospective StudiesRisk FactorsSaphenous VeinTime FactorsVascular PatencyConceptsLower extremity bypassEnd-stage renal diseaseKT recipientsPrimary patencyDialysis therapyAmputation-free survivalKidney transplantationVascular Quality Initiative databaseRisk-adjusted hazardsKidney transplant recipientsPositive effects of KTRisk of mortalityEffects of KTRisk of amputationLower-extremity bypassSurgical outcomesTransplant recipientsBaseline characteristicsBypass proceduresDialysis patientsRenal diseaseComparative efficacyKT groupDT groupPatients
2018
Comparing the efficacy of shunting approaches and cerebral monitoring during carotid endarterectomy using a national database
Wiske C, Arhuidese I, Malas M, Patterson R. Comparing the efficacy of shunting approaches and cerebral monitoring during carotid endarterectomy using a national database. Journal Of Vascular Surgery 2018, 68: 416-425. PMID: 29571621, DOI: 10.1016/j.jvs.2017.11.077.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overBlood Pressure DeterminationCarotid Artery DiseasesCerebrovascular CirculationChi-Square DistributionDatabases, FactualElectroencephalographyEndarterectomy, CarotidFemaleHospital MortalityHumansIntraoperative Neurophysiological MonitoringLength of StayLogistic ModelsMaleMonitoring, IntraoperativeMultivariate AnalysisOdds RatioPractice Patterns, Physicians'Retrospective StudiesRisk FactorsStrokeSurgeonsTime FactorsTreatment OutcomeUnited StatesConceptsRate of in-hospital deathIn-hospital deathShunt groupPractice patternsRoutine shuntingCerebral monitoringReturn to the operating roomRisk factorsPostoperative length of stayVascular Quality Initiative databaseShorter postoperative length of stayPressure monitoringVascular Quality Initiative registryMultivariate logistic regression modelCerebral monitoring techniquesRisk-adjusted analysisPatient risk factorsMonitoring groupLow-frequency outcomesRate of strokeNational databaseLength of stayConcomitant proceduresSurgical approachRe-explorationAggressive infrainguinal revascularization in renal transplant patients is justifiable
Craig-Schapiro R, Nejim B, Arhuidese I, Malas M. Aggressive infrainguinal revascularization in renal transplant patients is justifiable. American Journal Of Transplantation 2018, 18: 1718-1725. PMID: 29288558, DOI: 10.1111/ajt.14636.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmputation, SurgicalFemaleFollow-Up StudiesHumansKidney Failure, ChronicKidney TransplantationLimb SalvageLower ExtremityMaleMiddle AgedPatient SelectionPostoperative ComplicationsPrognosisReoperationRetrospective StudiesRisk AssessmentRisk FactorsSurvival RateTime FactorsVascular GraftingVascular PatencyConceptsCritical limb ischemiaRenal transplant patientsTransplant patientsNontransplant patientsLimb ischemiaPrimary patencyInfrainguinal revascularizationRisk factorsMultivariate Cox regression analysisVascular Quality Initiative databaseEnd-stage renal diseaseDistal bypassCox regression analysisOutcomes of lower extremity revascularizationPrimary patency lossLower extremity revascularizationAmputation-free survivalLimb salvage outcomesAssociated with limb lossOverall survivalProsthetic conduitVein conduitPatency lossRenal diseaseInfrainguinal bypass
2016
Abdominal aortic aneurysm repair in octogenarians is associated with higher mortality compared with nonoctogenarians
Hicks C, Obeid T, Arhuidese I, Qazi U, Malas M. Abdominal aortic aneurysm repair in octogenarians is associated with higher mortality compared with nonoctogenarians. Journal Of Vascular Surgery 2016, 64: 956-965.e1. PMID: 27364946, DOI: 10.1016/j.jvs.2016.03.440.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overAortic Aneurysm, AbdominalChi-Square DistributionComorbidityDatabases, FactualEndovascular ProceduresFemaleHumansKaplan-Meier EstimateLogistic ModelsMaleMultivariate AnalysisPatient SelectionPostoperative ComplicationsPrevalenceRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeUnited StatesVascular Surgical ProceduresConceptsOpen AAA repairEndovascular AAA repairAAA repairPerioperative mortalityHistory of aortic surgeryAbdominal aortic aneurysm (AAA) repairAbdominal aortic aneurysm repairPrevalence of congestive heart failureVascular Quality Initiative databaseContrast dye volumeAssociated with high mortalityInfrarenal AAA repairMortality outcomesAortic aneurysm repairChronic renal insufficiencyOne-year mortalityCongestive heart failureAortic surgeryRenal insufficiencyAneurysm repairBlood transfusionOctogenarian patientsIntraoperative differencesYounger patientsIntraoperative use
2015
Poststent 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