2023
Six-Month Outcomes of Mechanical Thrombectomy for Treating Deep Vein Thrombosis: Analysis from the 500-Patient CLOUT Registry
Shaikh A, Zybulewski A, Paulisin J, Bisharat M, Mouawad N, Raskin A, Ichinose E, Abramowitz S, Lindquist J, Azene E, Shah N, Nguyen J, Cockrell J, Khalsa B, Khetarpaul V, Murrey D, Veerina K, Skripochnik E, Maldonado T, Bunte M, Annambhotla S, Schor J, Kado H, Mojibian H, Dexter D. Six-Month Outcomes of Mechanical Thrombectomy for Treating Deep Vein Thrombosis: Analysis from the 500-Patient CLOUT Registry. CardioVascular And Interventional Radiology 2023, 46: 1571-1580. PMID: 37580422, PMCID: PMC10615929, DOI: 10.1007/s00270-023-03509-8.Peer-Reviewed Original ResearchConceptsDeep vein thrombosisSerious adverse eventsMechanical thrombectomyVillalta scorePostthrombotic syndromeAdverse eventsVein thrombosisSymptom severityLarge prospective registryMedian Villalta scoreSix-month outcomesFemoral-popliteal segmentQuality of lifeClotTriever systemComer studyMarder scorePurposeMechanical thrombectomyProspective registryVenous patencyClinical outcomesDVT patientsOutcomes RegistryDuplex ultrasoundLife scoresVenous flowSix-Month Deep Vein Thrombosis Outcomes by Chronicity: Analysis of the Real-World ClotTriever Outcomes Registry
Abramowitz S, Kado H, Schor J, Annambhotla S, Mojibian H, Marino A, Maldonado T, Gandhi S, Paulisin J, Bunte M, Angel W, Roberts J, Veerina K, Long D, Elmasri F, Shaikh A, Beasley R, Dexter D, Investigators F. Six-Month Deep Vein Thrombosis Outcomes by Chronicity: Analysis of the Real-World ClotTriever Outcomes Registry. Journal Of Vascular And Interventional Radiology 2023, 34: 879-887.e4. PMID: 37105663, DOI: 10.1016/j.jvir.2022.12.480.Peer-Reviewed Original ResearchConceptsDeep vein thrombosisSerious adverse eventsChronic deep vein thrombosisClotTriever systemMechanical thrombectomyOutcomes RegistryStent placementDevice-related serious adverse eventsLower extremity deep vein thrombosisExtremity deep vein thrombosisComplete thrombus removalMedian Villalta scoreFatal pulmonary embolismReal-world patientsSelf-reported questionnaire scoresChronic thrombusSubacute groupVillalta scorePulmonary embolismVein thrombosisAdverse eventsPhysician's discretionThrombosis outcomesThrombus removalChronic subgroupRe: Society of Interventional Radiology Position Statement on Endovascular Management of Acute Iliofemoral Deep Vein Thrombosis
Mittleider D, Marko X, Pereira K, Gandhi R, Mojibian H. Re: Society of Interventional Radiology Position Statement on Endovascular Management of Acute Iliofemoral Deep Vein Thrombosis. Journal Of Vascular And Interventional Radiology 2023, 34: 920-921. PMID: 36649806, DOI: 10.1016/j.jvir.2022.12.482.Peer-Reviewed Original ResearchClotTriever system for mechanical thrombectomy of deep vein thrombosis
Chan S, Gaupp F, Mojibian H. ClotTriever system for mechanical thrombectomy of deep vein thrombosis. Future Cardiology 2023, 19: 29-38. PMID: 36637020, DOI: 10.2217/fca-2022-0100.Peer-Reviewed Original ResearchMeSH KeywordsHumansIliac VeinThrombectomyThrombolytic TherapyThrombosisTreatment OutcomeVenous ThrombosisConceptsDeep vein thrombosisClotTriever systemVein thrombosisMechanical thrombectomyCatheter-directed thrombolytic therapyCatheter-directed thrombolysisPercutaneous mechanical thrombectomyHigh bleeding riskPost-thrombotic syndromeCurrent treatment strategiesLong-term symptomsRemoval of clotsBleeding riskThrombolytic therapyImproved outcomesTreatment strategiesThrombectomy devicesUS FDAThrombosisThrombectomyClotsThrombolysisThrombusSyndromeTherapy
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 regressionDevelopment of paravertebral pseudoaneurysms following vertebral augmentation: a report of two cases
Nam D, Johnson MH, Mojibian H, Hebert RM, Cornman-Homonoff J. Development of paravertebral pseudoaneurysms following vertebral augmentation: a report of two cases. Clinical Imaging 2022, 90: 39-43. PMID: 35914342, DOI: 10.1016/j.clinimag.2022.07.004.Peer-Reviewed Original ResearchMeSH KeywordsAneurysm, FalseFractures, CompressionHumansKyphoplastyLumbar VertebraeSpinal FracturesTreatment OutcomeVertebroplastyConceptsPoor medical statusVertebral augmentationDirect puncture embolizationTrans-arterial embolizationArterial anatomyVascular injuryArterial supplySegmental arteriesRadiofrequency ablationSpinal cordAnastomotic veinsL4 levelMedical statusPseudoaneurysmAssociated anatomyEmbolizationAugmentationDistinct manifestationsAnatomyComplicationsKyphoplastyArteryCordInjuryThe 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 reinterventionsOutcomes from the ClotTriever Outcomes Registry show symptom duration may underestimate deep vein thrombus chronicity
Maldonado TS, Dexter DJ, Kado H, Schor J, Annambhotla S, Mojibian H, Beasley RE, Investigators C. Outcomes from the ClotTriever Outcomes Registry show symptom duration may underestimate deep vein thrombus chronicity. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2022, 10: 1251-1259. PMID: 35714903, DOI: 10.1016/j.jvsv.2022.04.015.Peer-Reviewed Original ResearchMeSH KeywordsFibrinolytic AgentsHumansIliac VeinRegistriesRetrospective StudiesThrombectomyThrombolytic TherapyTreatment OutcomeVenous ThrombosisConceptsDeep vein thrombosisLower extremity deep vein thrombosisExtremity deep vein thrombosisComplete thrombus removalSymptom durationThrombus removalChronic thrombusOutcomes RegistryClotTriever systemPatients' durationThrombus morphologyPrimary effectiveness end pointEffectiveness end pointPatient symptom durationIndependent core laboratorySingle-session procedureComer patientsMarder scoreSubacute thrombusAcute thrombusVein thrombosisChronic subgroupProcedural characteristicsThrombusChronicityInterim outcomes of mechanical thrombectomy for deep vein thrombosis from the All-Comer CLOUT Registry
Dexter DJ, Kado H, Schor J, Annambhotla S, Olivieri B, Mojibian H, Maldonado TS, Gandhi S, Paulisin J, Bunte MC, Angel W, Roberts J, Veerina K, Abramowitz S, Elmasri F, Hnath J, Jung M, Long D, Sanchez L, Cosme O, Skripochnik E, Lodha A, Shaikh A, King C, Bisharat M, Beasley RE, Investigators C. Interim outcomes of mechanical thrombectomy for deep vein thrombosis from the All-Comer CLOUT Registry. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2022, 10: 832-840.e2. PMID: 35218955, DOI: 10.1016/j.jvsv.2022.02.013.Peer-Reviewed Original ResearchConceptsDeep vein thrombosisLower extremity deep vein thrombosisPrimary effectiveness end pointExtremity deep vein thrombosisEffectiveness end pointSerious adverse eventsComer patientsVein thrombosisAdverse eventsClinical outcomesDevice-related serious adverse eventsBilateral deep vein thrombosisVenous Clinical Severity ScoreNumeric Pain Rating ScaleEnd pointComplete thrombus removalPost-thrombotic syndromeClinical severity scorePain rating scaleQuality of lifeClotTriever systemMarder scoreClinical improvementSymptom durationMechanical thrombectomy
2020
FlowTriever System for mechanical thromboembolectomy
Mojibian HR, Chow E, Pollak J. FlowTriever System for mechanical thromboembolectomy. Future Cardiology 2020, 17: 585-592. PMID: 33084387, DOI: 10.2217/fca-2020-0104.Peer-Reviewed Original ResearchMeSH KeywordsFibrinolytic AgentsHemorrhageHumansPulmonary EmbolismThrombectomyThrombolytic TherapyTreatment OutcomeConceptsCatheter-directed infusionFlowTriever SystemMechanical thromboembolectomyInari FlowTriever SystemAspiration thrombectomy deviceLytic therapyPulmonary embolismBenefits patientsThrombectomy devicesClinical usePatientsThromboembolectomyInfusionSubstantial numberThrombolysisContraindicationsEmbolismThrombolyticsTherapyOutcomes 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 interventionPatientsSimultaneous proximal embolic protection and inferior vena cava mechanical thrombectomy using the FlowTriever system
Murali N, Division of Interventional Radiology D, Nezami N, Latich I, Brown J, Mojibian H, Division of Vascular and Interventional Radiology D. Simultaneous proximal embolic protection and inferior vena cava mechanical thrombectomy using the FlowTriever system. Diagnostic And Interventional Radiology 2020, 26: 345-348. PMID: 32209508, PMCID: PMC7360082, DOI: 10.5152/dir.2019.19458.Peer-Reviewed Original ResearchConceptsProximal embolic protectionMechanical thrombectomy devicesPulmonary embolismNew mechanical thrombectomy deviceHepatic hematomaEmbolic protectionThrombectomy devicesSevere bilateral lower extremity edemaBilateral lower extremity edemaLarge hepatic hematomaPossible pulmonary embolismLower extremity edemaFlowTriever SystemExtremity edemaRadical hysterectomyMechanical thrombectomyOcclusive thrombusIVC compressionPercutaneous managementCase reportComplete resolutionLabel useOvarian cancerDisease processInterventional radiologists
2019
Natural history and management of Kommerell's diverticulum in a single tertiary referral center
Erben Y, Brownstein AJ, Velasquez CA, Li Y, Rizzo JA, Mojibian H, Tanweer M, Zafar MA, Ziganshin BA, Elefteriades JA. Natural history and management of Kommerell's diverticulum in a single tertiary referral center. Journal Of Vascular Surgery 2019, 71: 2004-2011. PMID: 31708305, DOI: 10.1016/j.jvs.2019.08.260.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAortaAortic RuptureAortographyCardiovascular AbnormalitiesComputed Tomography AngiographyConnecticutDatabases, FactualDisease ProgressionDiverticulumFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk FactorsSex FactorsSubclavian ArteryTertiary Care CentersTreatment OutcomeVascular MalformationsVascular Surgical ProceduresYoung AdultConceptsAberrant subclavian arteryKommerell's diverticulumNatural historyOperative interventionBack painCT scanChest/back painLeft aberrant subclavian arteryRight aberrant subclavian arterySingle tertiary referral centerRight-sided aortaSingle-center experienceTertiary referral centerDeep vein thrombosisSerial CT scansComputed tomography scanMultivariable regression analysisRare developmental abnormalityAsymptomatic patientsHemorrhagic transformationDistal emboliEndovascular repairIschemic strokeMost patientsReferral centerCosts and complications of endovascular inferior vena cava filter retrieval
Brahmandam A, Skrip L, Mojibian H, Aruny J, Sumpio B, Dardik A, Sarac T, Ochoa Chaar CI. Costs and complications of endovascular inferior vena cava filter retrieval. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2019, 7: 653-659.e1. PMID: 31307952, DOI: 10.1016/j.jvsv.2019.02.017.Peer-Reviewed Original ResearchConceptsAdvanced endovascular techniquesIVC filter retrievalFilter dwell timeInferior vena cava filter retrievalEndovascular techniquesFilter retrievalProcedural costsAdditional endovascular techniquesVenous ultrasound examinationVenous access sitesAbnormal radiologic findingsComputed tomography scanTotal procedural timeComplication rateMost complicationsPatient characteristicsTertiary centerRadiologic findingsOutside hospitalIVC filtersLower extremitiesTomography scanUltrasound examinationAccess siteBronchoscopy forcepsAnomalous course of the left common iliac vein anterior to the right common iliac artery with resultant May-Thurner syndrome
Fereydooni A, Deyholos C, Nezami N, Feler JR, Mojibian H, Nassiri N. Anomalous course of the left common iliac vein anterior to the right common iliac artery with resultant May-Thurner syndrome. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2019, 7: 450-451. PMID: 31000065, DOI: 10.1016/j.jvsv.2019.01.059.Peer-Reviewed Original Research
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 subclavianCollet-Sicard syndrome secondary to internal carotid artery pseudoaneurysm
Erben Y, Ghare MI, Patel A, Mojibian H, Matouk C. Collet-Sicard syndrome secondary to internal carotid artery pseudoaneurysm. Journal Of Vascular Surgery 2018, 67: 1596-1597. PMID: 29685252, DOI: 10.1016/j.jvs.2017.04.054.Peer-Reviewed Original ResearchNatural 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 LOS