2023
Reply Long-Term Patient Outcomes After Femoropopliteal Peripheral Vascular Intervention in Patients With Intermittent Claudication
Altin S, Curtis J. Reply Long-Term Patient Outcomes After Femoropopliteal Peripheral Vascular Intervention in Patients With Intermittent Claudication. JACC Cardiovascular Interventions 2023, 16: 2336. PMID: 37758390, DOI: 10.1016/j.jcin.2023.08.027.Peer-Reviewed Original ResearchMeSH KeywordsFemoral ArteryHumansIntermittent ClaudicationPeripheral Arterial DiseasePopliteal ArteryRetrospective StudiesTreatment OutcomeVascular PatencyPulmonary Artery Catheter Use and Outcomes in Patients With ST-Elevation Myocardial Infarction and Cardiogenic Shock Treated With Impella (a Nationwide Analysis from the United States)
Ismayl M, Hussain Y, Aboeata A, Walters R, Naidu S, Messenger J, Basir M, Rao S, Goldsweig A, Altin S. Pulmonary Artery Catheter Use and Outcomes in Patients With ST-Elevation Myocardial Infarction and Cardiogenic Shock Treated With Impella (a Nationwide Analysis from the United States). The American Journal Of Cardiology 2023, 203: 304-314. PMID: 37517125, DOI: 10.1016/j.amjcard.2023.06.117.Peer-Reviewed Original ResearchConceptsST-elevation myocardial infarctionCardiogenic shockCatheter useHospital mortalityPA catheterCatheter placementInpatient costsMyocardial infarctionPulmonary artery catheter placementPulmonary artery catheter useNational Inpatient Sample databaseMultivariate logistic regression analysisPA catheter placementUse of ImpellaSimilar complication ratesMechanical circulatory supportLength of stayLogistic regression analysisHospital complicationsHospital lengthBaseline characteristicsComplication rateHematologic complicationsMortality benefitSecondary outcomesUse of telemedicine facilitated by trained telepresenters to manage advanced peripheral artery disease in rural areas
Breen T, Peake J, Keefe H, Moran J, Kunjukutty F, Pfau S, Altin S. Use of telemedicine facilitated by trained telepresenters to manage advanced peripheral artery disease in rural areas. Vascular Medicine 2023, 28: 239-240. PMID: 36628596, DOI: 10.1177/1358863x221148797.Peer-Reviewed Original Research
2022
Sex-Based Differences in Periprocedural Complications Following Lower Extremity Peripheral Vascular Intervention
Altin S, Gitto M, Secemsky E, Rao S, Hess C. Sex-Based Differences in Periprocedural Complications Following Lower Extremity Peripheral Vascular Intervention. Circulation Cardiovascular Interventions 2022, 15: e011768. PMID: 35938403, DOI: 10.1161/circinterventions.121.011768.Peer-Reviewed Original ResearchMeSH KeywordsFemaleHematomaHumansLower ExtremityMaleOdds RatioPeripheral Arterial DiseaseRetrospective StudiesRisk FactorsTreatment OutcomeConceptsLower extremity peripheral vascular interventionsPeripheral vascular interventionsSymptomatic peripheral artery diseasePeripheral artery diseasePeriprocedural complicationsArtery diseaseHigh riskHospital mortalityKnee amputationFemale sexVascular interventionsVascular Quality Initiative registryAccess site bleedingAccess site complicationsPercutaneous coronary interventionCoronary artery diseaseSex-based outcomesMultivariate logistic regressionWarrants further investigationSex-based differencesBaseline patientSite bleedingCoronary interventionSite complicationsContemporary cohortTransradial versus transfemoral approach for percutaneous coronary intervention in patients with ST-elevation myocardial infarction complicated by cardiogenic shock: a systematic review and meta-analysis
Ahsan M, Ahmad S, Latif A, Lateef N, Ahsan M, Abusnina W, Nathan S, Altin S, Kolte D, Messenger J, Tannenbaum M, Goldsweig A. Transradial versus transfemoral approach for percutaneous coronary intervention in patients with ST-elevation myocardial infarction complicated by cardiogenic shock: a systematic review and meta-analysis. European Heart Journal - Quality Of Care And Clinical Outcomes 2022, 8: 640-650. PMID: 35460230, PMCID: PMC9442849, DOI: 10.1093/ehjqcco/qcac018.Peer-Reviewed Original ResearchConceptsST-elevation myocardial infarctionPercutaneous coronary interventionAccess site bleedingCardiogenic shockTransfemoral accessTransradial accessTIMI3 flowSite bleedingCoronary interventionProcedural successContrast volumeYear mortalityMyocardial infarctionRisk ratioSystematic reviewProcedural success rateConfidence intervalsCoronary flow gradeRandom-effects modelFlow gradeTransfemoral approachRetrospective studyLower mortalityBleedingMortality
2021
Outcomes of mechanical circulatory support for acute myocardial infarction complicated by cardiogenic shock
Kim Y, Shapero K, Ahn SS, Goldsweig AM, Desai N, Altin SE. Outcomes of mechanical circulatory support for acute myocardial infarction complicated by cardiogenic shock. Catheterization And Cardiovascular Interventions 2021, 99: 658-663. PMID: 34156755, PMCID: PMC10877703, DOI: 10.1002/ccd.29834.Peer-Reviewed Original ResearchMeSH KeywordsHeart-Assist DevicesHumansIntra-Aortic Balloon PumpingMyocardial InfarctionRetrospective StudiesShock, CardiogenicTreatment OutcomeConceptsIntra-aortic balloon pumpMechanical circulatory supportAcute kidney injuryNational Inpatient SampleHospital mortalityAcute myocardial infarctionCardiogenic shockKidney injuryCirculatory supportMyocardial infarctionNational Cardiovascular Data RegistryPropensity scoreEfficacy of ImpellaPremier Healthcare DatabaseRetrospective cohort studyHigher hospital costsLength of stayReal-world observational dataImpella useCohort studyImpella deviceBalloon pumpPrimary outcomeInpatient SampleRisk factors
2020
Predictors of Underutilization of Medical Therapy in Patients Undergoing Endovascular Revascularization for Peripheral Artery Disease
Altin S, Castro-Dominguez Y, Kennedy K, Orion K, Lanksy A, Abbott J, Aronow H. Predictors of Underutilization of Medical Therapy in Patients Undergoing Endovascular Revascularization for Peripheral Artery Disease. JACC Cardiovascular Interventions 2020, 13: 2911-2918. PMID: 33357529, DOI: 10.1016/j.jcin.2020.08.036.Peer-Reviewed Original ResearchConceptsGuideline-directed medical therapyGDMT prescriptionPeripheral artery diseaseAntiplatelet agentsArtery diseaseLower extremity peripheral vascular interventionsAngiotensin receptor blocker useSymptomatic peripheral artery diseaseTraditional atherosclerotic risk factorsChronic limb-threatening ischemiaEnd-stage renal diseaseAtherosclerotic disease burdenDischarge prescription ratesGuideline-recommended therapiesAngiotensin receptor blockersAtherosclerotic risk factorsReceptor blocker useVascular Study GroupLimb-threatening ischemiaPeripheral vascular interventionsVascular Quality InitiativeCongestive heart failureCoronary artery diseaseMultivariate logistic regressionBlocker useSeasonal variation in U.S. hospitalizations for chronic limb‐threatening ischemia
Altin SE, Kim YG, Aronow HD, Armstrong EJ, Goldsweig AM, Dardik A, Lanksy AJ, Mena‐Hurtado C, Abbott JD. Seasonal variation in U.S. hospitalizations for chronic limb‐threatening ischemia. Catheterization And Cardiovascular Interventions 2020, 96: 1473-1480. PMID: 32902126, DOI: 10.1002/ccd.29261.Peer-Reviewed Original ResearchConceptsCritical limb-threatening ischemiaLimb-threatening ischemiaNational Inpatient SampleMinor amputationChronic limb-threatening ischemiaUtilization Project National Inpatient SampleProvider education effortsCoronary artery diseaseAmputation rateHospital mortalityImportant comorbidityDiabetic statusOverall cohortSecondary outcomesArtery diseaseHospital admissionPrimary outcomeHospitalization incidenceU.S. hospitalizationsDiagnosis codesInpatient SampleHigher oddsAdmission seasonHealthcare costsMortality rate