2022
Major Adverse Limb Events Among Patients with Premature Peripheral Artery Disease Compared with Those at the Common Age Undergoing Revascularization in the Vascular Quality Initiative
Kim TI, Loh S, DeWan A, Murray M, Mojibian H, Mani A, Mena-Hurtado C, Ochoa Chaar CI. Major Adverse Limb Events Among Patients with Premature Peripheral Artery Disease Compared with Those at the Common Age Undergoing Revascularization in the Vascular Quality Initiative. Annals Of Vascular Surgery 2022, 87: 188-197. PMID: 35926786, DOI: 10.1016/j.avsg.2022.07.007.Peer-Reviewed Original ResearchConceptsMajor adverse limb eventsChronic limb-threatening ischemiaLower extremity revascularizationAdverse limb eventsVascular Quality InitiativePeripheral artery diseaseYears of ageCommon ageLimb eventsArtery diseaseOutcomes of patientsLimb-threatening ischemiaGroup of patientsInsulin-dependent diabetesProportional hazards regressionQuality InitiativeUndergoing revascularizationMedical optimizationCurrent smokersD diseaseExtremity revascularizationPatient agePatients 60Medical therapyHazards regressionThe Impact of Clinical Follow-Up After Revascularization on the Outcomes of Patients with Chronic Limb Threatening Ischemia
Kiwan G, Mohamedali A, Kim T, Zhuo H, Zhang Y, Mena-Hurtado C, Mojibian H, Cardella J, Ochoa Chaar CI. The Impact of Clinical Follow-Up After Revascularization on the Outcomes of Patients with Chronic Limb Threatening Ischemia. Annals Of Vascular Surgery 2022, 86: 286-294. PMID: 35803459, DOI: 10.1016/j.avsg.2022.05.043.Peer-Reviewed Original ResearchConceptsLower extremity revascularizationReintervention rateCompliant patientsNoncompliant patientsLimb amputationSingle-center retrospective chart reviewChronic limb threatening ischemiaOverall reintervention rateOutcomes of patientsLimb threatening ischemiaMajor amputation ratePeripheral arterial diseaseRetrospective chart reviewLong-term outcomesMajor limb amputationImpact of ClinicalSignificant differencesMajor amputationAmputation ratePerioperative outcomesBaseline characteristicsChart reviewExtremity revascularizationIschemia patientsMore reinterventions
2020
Outcomes of treatment with paclitaxel-coated devices for peripheral arterial disease
Kim TI, Kiwan G, Mohamedali A, Zhang Y, Mena-Hurtado C, Mojibian H, Guzman RJ, Ochoa Chaar CI. Outcomes of treatment with paclitaxel-coated devices for peripheral arterial disease. Journal Of Vascular Surgery 2020, 73: 911-917. PMID: 33038480, DOI: 10.1016/j.jvs.2020.08.146.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAmputation, SurgicalCardiovascular AgentsCoated Materials, BiocompatibleDrug-Eluting StentsEndovascular ProceduresFemaleHumansLimb SalvageMaleMiddle AgedPaclitaxelPeripheral Arterial DiseaseProsthesis DesignRetreatmentRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeVascular PatencyConceptsPaclitaxel-coated devicesPeripheral artery diseaseCause of mortalityPCD useRisk of mortalityCumulative doseFemoropopliteal peripheral artery diseaseKaplan-Meier survival curvesLong-term mortalityPeripheral arterial diseaseCox regression analysisDrug-coated balloonsOutcome of treatmentDrug-eluting stentsMajor amputationPrimary patencyReintervention rateArtery diseaseArterial diseaseRandomized trialsOpen surgeryPresent studySingle institutionEndovascular interventionPatients
2018
Endovascular iliac vein recanalization after Palma procedure for treatment of recalcitrant venous ulcer
Aurshina A, Mojibian H, Chaar C. Endovascular iliac vein recanalization after Palma procedure for treatment of recalcitrant venous ulcer. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2018, 6: 762-764. PMID: 30336904, DOI: 10.1016/j.jvsv.2018.05.022.Peer-Reviewed Original ResearchConceptsPalma procedureIliac veinIliac vein recanalizationRecalcitrant venous ulcersPost-thrombotic syndromeResolution of symptomsRight iliac veinNonhealing ulcerationsVein recanalizationEndovascular stentingUlcer healingVascular clinicVenous ulcersBypass graftVeinRecanalizationStentingUlcerationUlcersVenographySyndromeBypassClinicGraftHyperpigmentationNatural history of aneurysmal aortic arch branch vessels in a single tertiary referral center
Brownstein AJ, Rajaee S, Erben Y, Li Y, Rizzo JA, Lyall V, Mojibian H, Ziganshin BA, Elefteriades JA. Natural history of aneurysmal aortic arch branch vessels in a single tertiary referral center. Journal Of Vascular Surgery 2018, 68: 1631-1639.e1. PMID: 29803680, DOI: 10.1016/j.jvs.2018.03.412.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAortic Aneurysm, ThoracicAortic RuptureAortographyBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationClinical Decision-MakingComputed Tomography AngiographyConnecticutDatabases, FactualDisease ProgressionEndovascular ProceduresFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsStentsTertiary Care CentersTime FactorsTreatment OutcomeWatchful WaitingYoung AdultConceptsAortic arch branch vesselsArch branch vesselsOperative repairNatural historyArtery aneurysmAortic aneurysmBranch vesselsCommon carotid artery aneurysmLeft subclavian artery aneurysmSingle tertiary referral centerSubclavian artery aneurysmTertiary referral centerCarotid artery aneurysmComputed tomography scanMultivariable regression analysisBenign natural historyCross-sectional imagingAortic operationsChest painOperative interventionPatient demographicsPostoperative hemorrhageReferral centerAortic dissectionRight subclavianNatural history and management of splanchnic artery aneurysms in a single tertiary referral center
Erben Y, Brownstein AJ, Rajaee S, Li Y, Rizzo JA, Mojibian H, Ziganshin BA, Elefteriades JA. Natural history and management of splanchnic artery aneurysms in a single tertiary referral center. Journal Of Vascular Surgery 2018, 68: 1079-1087. PMID: 29573962, DOI: 10.1016/j.jvs.2017.12.057.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal PainAdultAgedAged, 80 and overAneurysmAneurysm, RupturedAsymptomatic DiseasesCeliac ArteryClinical Decision-MakingComorbidityComputed Tomography AngiographyConnecticutDatabases, FactualDisease ProgressionEmbolization, TherapeuticFemaleHumansMaleMesenteric ArteriesMiddle AgedMultivariate AnalysisReferral and ConsultationRetrospective StudiesRisk FactorsSex FactorsSmokingSplenectomyTertiary Care CentersTime FactorsTreatment OutcomeVascular Surgical ProceduresConceptsSplanchnic artery aneurysmsOperative interventionArtery aneurysmAbdominal operationsEndovascular embolizationOpen abdominal surgical proceduresPostoperative acute kidney injurySingle tertiary referral centerNatural historyUnderwent operative interventionAcute kidney injuryMultisystem organ failureSevere abdominal painSingle-center experienceTertiary referral centerHistory of smokingPopulation of patientsAbdominal surgical proceduresAneurysm growth rateOpen abdominal operationsComputed tomography scanMultivariable regression analysisRisk of ruptureAbdominal painAsymptomatic patientsIncreased mortality in octogenarians treated for lifestyle limiting claudication
Erben Y, Mena‐Hurtado C, Miller S, Jean R, Sumpio BJ, Velasquez CA, Mojibian H, Aruny J, Dardik A, Sumpio B. Increased mortality in octogenarians treated for lifestyle limiting claudication. Catheterization And Cardiovascular Interventions 2018, 91: 1331-1338. PMID: 29405592, DOI: 10.1002/ccd.27523.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overComorbidityDatabases, FactualEndovascular ProceduresFemaleHealth StatusHumansIntermittent ClaudicationLength of StayMaleMiddle AgedPeripheral Arterial DiseaseRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeUnited StatesVascular Surgical ProceduresConceptsCharlson Comorbidity IndexOpen surgeryTreatment modalitiesHigher Charlson comorbidity indexMean Charlson Comorbidity IndexYounger cohortsInfectious wound complicationsInfra-inguinal interventionsAcute kidney injuryPeripheral arterial diseasePeripheral artery diseaseCongestive heart failureNationwide Inpatient SampleBinary logistic regression analysisLogistic regression analysisSkilled nursing facilitiesTreatment of LLCHospital mortalityComorbidity indexExercise therapyHospital stayKidney injuryOverall morbidityWound complicationsLonger LOSNatural history and management of renal artery aneurysms in a single tertiary referral center
Brownstein AJ, Erben Y, Rajaee S, Li Y, Rizzo JA, Mojibian H, Ziganshin BA, Elefteriades JA. Natural history and management of renal artery aneurysms in a single tertiary referral center. Journal Of Vascular Surgery 2018, 68: 137-144. PMID: 29398313, DOI: 10.1016/j.jvs.2017.10.086.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAneurysmClinical Decision-MakingComorbidityComputed Tomography AngiographyConnecticutDatabases, FactualDisease ProgressionEmbolization, TherapeuticFemaleFlank PainHumansHypertensionMaleMiddle AgedMultivariate AnalysisPostoperative ComplicationsRenal ArteryRetrospective StudiesRisk FactorsSex FactorsSmokingTime FactorsTreatment OutcomeVascular Surgical ProceduresWatchful WaitingConceptsRenal artery aneurysmBenign natural historyOperative repairRenal arteryNatural historyArtery aneurysmSingle tertiary referral centerMean overall diameterHistory of hypertensionRenal function changesSingle-center experienceTertiary referral centerProximal renal arteriesComputed tomography scanMultivariable regression analysisDistal renal arteryUncontrolled hypertensionAsymptomatic patientsFlank painPostoperative complicationsOpen resectionReferral centerSmoking historyRetrospective reviewAneurysm characteristics
2016
Serial Native T1 Mapping to Monitor Cardiac Response to Treatment in Light-Chain Amyloidosis
Hur DJ, Dicks DL, Huber S, Mojibian HR, Meadows JL, Seropian SE, Baldassarre LA. Serial Native T1 Mapping to Monitor Cardiac Response to Treatment in Light-Chain Amyloidosis. Circulation Cardiovascular Imaging 2016, 9: e004770. PMID: 27682238, DOI: 10.1161/circimaging.116.004770.Peer-Reviewed Original ResearchSystemic Inflammatory Disease and its Association With Type II Endoleak and Late Interventions After Endovascular Aneurysm Repair
Shalaby SY, Foster TR, Hall MR, Brownson KE, Vasilas P, Federman DG, Mojibian HR, Dardik A. Systemic Inflammatory Disease and its Association With Type II Endoleak and Late Interventions After Endovascular Aneurysm Repair. JAMA Surgery 2016, 151: 147. PMID: 26501863, DOI: 10.1001/jamasurg.2015.3219.Peer-Reviewed Original ResearchConceptsSystemic inflammatory diseaseEndovascular aneurysm repairType II endoleakAneurysm repairInflammatory diseasesPostoperative complicationsSignificant endoleakChronic inflammationSac expansionVeterans Affairs Connecticut Healthcare SystemLate sac expansionPersistent autoimmune responseSac diameter increaseSimilar comorbid conditionsMajor postoperative complicationsOverall postoperative complicationsAbdominal aortic aneurysmMore endoleaksYearly imagingAortic remodelingRetrospective reviewComorbid conditionsAutoimmune responseSac ruptureAortic aneurysm
2015
Atypical aortic arch branching variants: A novel marker for thoracic aortic disease
Dumfarth J, Chou AS, Ziganshin BA, Bhandari R, Peterss S, Tranquilli M, Mojibian H, Fang H, Rizzo JA, Elefteriades JA. Atypical aortic arch branching variants: A novel marker for thoracic aortic disease. Journal Of Thoracic And Cardiovascular Surgery 2015, 149: 1586-1592. PMID: 25802134, DOI: 10.1016/j.jtcvs.2015.02.019.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAneurysmAorta, ThoracicAortic DiseasesAortographyCardiovascular AbnormalitiesCase-Control StudiesConnecticutDeglutition DisordersFemaleHumansMaleMiddle AgedPredictive Value of TestsPrevalenceRisk FactorsSubclavian ArteryTime FactorsTomography, X-Ray ComputedVascular MalformationsVertebral ArteryConceptsThoracic aortic diseaseAberrant right subclavian arteryLeft vertebral arteryRight subclavian arteryBovine aortic archAortic arch variationsAortic archControl groupSubclavian arteryAortic diseaseVertebral arteryArch anatomyAortic branch variationsNormal arch anatomyBicuspid aortic valveHistorical control groupAortic arch variantsAortic arch anatomySignificant higher prevalenceChart reviewBranch patternAortic aneurysmAortic valveHigh prevalenceGeneral population
2011
The chimney procedure is an emergently available endovascular solution for visceral aortic aneurysm rupture
Schlösser FJ, Aruny JE, Freiburg CB, Mojibian HR, Sumpio BE, Muhs BE. The chimney procedure is an emergently available endovascular solution for visceral aortic aneurysm rupture. Journal Of Vascular Surgery 2011, 53: 1386-1390. PMID: 21276684, DOI: 10.1016/j.jvs.2010.11.097.Peer-Reviewed Original ResearchConceptsComputed tomography angiographyChimney procedureAortic side branchesOpen surgical repairThoracoabdominal aortic aneurysmsAortic aneurysm rupturePlacement of stentsOpen repairMesenteric arterySurgical repairEndovascular solutionGraft migrationAortic aneurysmTomography angiographyAneurysm ruptureEmergency patientsPatientsStentsType ISide branchesRepairMost institutionsEndoleakEndograftAngiography
2008
Open thoracic or thoracoabdominal aortic aneurysm repair after previous abdominal aortic aneurysm surgery
Schlösser FJ, Mojibian H, Verhagen HJ, Moll FL, Muhs BE. Open thoracic or thoracoabdominal aortic aneurysm repair after previous abdominal aortic aneurysm surgery. Journal Of Vascular Surgery 2008, 48: 761-768. PMID: 18486428, DOI: 10.1016/j.jvs.2008.02.006.Peer-Reviewed Original ResearchConceptsThoracoabdominal aortic aneurysm repairAortic aneurysm repairAortic aneurysm surgeryThoracoabdominal aortic aneurysmsPrior AAA repairAbdominal aortic aneurysm surgeryThoracoabdominal aortic aneurysm surgeryAneurysm repairAAA surgerySignificant risk factorsAneurysm surgeryThoracic aortic aneurysmAortic aneurysmAAA repairRisk factorsRelative riskInfrarenal abdominal aortic aneurysm surgeryOpen thoracoabdominal aortic aneurysm repairThoracic aortic aneurysm repairThoracic aortic aneurysm surgeryDistal aortic perfusionIncidence of thoracicInfrarenal AAA surgeryVisceral ischemic timeAortic clamp time