2018
Risks Associated With Primary and Redo Carotid Endarterectomy in the Endovascular Era
Arhuidese I, Faateh M, Nejim B, Locham S, Abularrage C, Malas M. Risks Associated With Primary and Redo Carotid Endarterectomy in the Endovascular Era. JAMA Surgery 2018, 153: 252-259. PMID: 29117272, PMCID: PMC5885921, DOI: 10.1001/jamasurg.2017.4477.Peer-Reviewed Original ResearchConceptsPrimary carotid endarterectomyRedo carotid endarterectomyAsymptomatic patientsSymptomatic patientsCarotid endarterectomyMyocardial infarctionProspective cohort of patientsPoint of careCohort of patientsPerioperative myocardial infarctionRisk of deathAsymptomatic carotid stenosisVascular Quality InitiativeRisk of strokeExcess riskMain OutcomesSociety for Vascular SurgeryClinicians' expectationsCommunity hospitalProfessional guidelinesConsecutive patientsProspective cohortNo significant differenceEndovascular therapyQuality Initiative
2016
Stenting versus endarterectomy after prior ipsilateral carotid endarterectomy
Arhuidese I, Obeid T, Nejim B, Locham S, Hicks C, Malas M. Stenting versus endarterectomy after prior ipsilateral carotid endarterectomy. Journal Of Vascular Surgery 2016, 65: 1-11. PMID: 27707617, DOI: 10.1016/j.jvs.2016.07.115.Peer-Reviewed Original ResearchMeSH KeywordsAgedAngioplastyCarotid StenosisChi-Square DistributionCranial Nerve InjuriesDatabases, FactualEndarterectomy, CarotidFemaleHumansKaplan-Meier EstimateMaleMiddle AgedMultivariate AnalysisMyocardial InfarctionPatient SelectionPropensity ScoreProportional Hazards ModelsRecurrenceReoperationRetrospective StudiesRisk FactorsStentsStrokeTime FactorsTreatment OutcomeUnited StatesConceptsIpsilateral CEACohort of patientsCarotid endarterectomyMyocardial infarctionPatient characteristicsOutcomes of carotid revascularizationVascular Quality Initiative (VQI) databaseSuperiority of carotid endarterectomyAssociated with high mortalityCranial nerve injuryIpsilateral carotid endarterectomyCompare patient characteristicsCox regression analysisRedo carotid endarterectomyIncreased risk of strokeAccess site complicationsPopulation-based studyPopulation-based evaluationRisk of strokeIpsilateral eventsAsymptomatic patientsSymptomatic patientsPeriprocedural periodPostoperative strokeCAS patientsPerioperative and Long-term Outcomes After Carotid Endarterectomy in Hemodialysis Patients
Cooper M, Arhuidese I, Obeid T, Hicks C, Canner J, Malas M. Perioperative and Long-term Outcomes After Carotid Endarterectomy in Hemodialysis Patients. JAMA Surgery 2016, 151: 947-952. PMID: 27366897, DOI: 10.1001/jamasurg.2016.1504.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAsymptomatic DiseasesDatabases, FactualEndarterectomy, CarotidFemaleHeart FailureHispanic or LatinoHumansKidney Failure, ChronicMaleMiddle AgedMobility LimitationMyocardial InfarctionPostoperative PeriodPulmonary Disease, Chronic ObstructiveRenal DialysisRetrospective StudiesRisk FactorsSex FactorsSmokingStrokeSurvival RateTime FactorsUnited StatesConceptsLong-term outcomesRisk of carotid endarterectomyAsymptomatic patientsLong-term strokeSymptomatic patientsCarotid endarterectomyDialysis patientsPerioperative strokeCohort of symptomatic patientsHistory of congestive heart failureMedian follow-up timePredictor of long-term mortalityMyocardial infarctionAssociated with poor outcomesDialysis-dependent patientsFollow-up timeOutcomes of carotid endarterectomyCox regression analysisCongestive heart failurePredictors of perioperative strokeLong-term mortalityChronic obstructive pulmonary diseaseDecrease stroke riskObstructive pulmonary diseasePatient-importantCarotid 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 stenosisOutcomes after carotid artery stenting in hemodialysis patients
Arhuidese I, Obeid T, Hicks C, Yin K, Canner J, Segev D, Malas M. Outcomes after carotid artery stenting in hemodialysis patients. Journal Of Vascular Surgery 2016, 63: 1511-1516. PMID: 27106247, DOI: 10.1016/j.jvs.2016.02.044.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAngioplastyCarotid Artery DiseasesChi-Square DistributionDatabases, FactualDisease-Free SurvivalFemaleHumansKidney DiseasesLogistic ModelsMaleMiddle AgedMultivariate AnalysisMyocardial InfarctionPatient SelectionProportional Hazards ModelsRenal DialysisRetrospective StudiesRisk AssessmentRisk FactorsStentsStrokeTime FactorsTreatment OutcomeUnited StatesConceptsCarotid artery stentingHemodialysis patientsStudy of outcomesArtery stentingObservational study of outcomesCohort of hemodialysis patientsAsymptomatic dialysis patientsSingle-institution seriesMedian follow-upLong-term freedomPerceived poor outcomesLong-term outcomesPlanning carotid artery stentingLong-term survivalPopulation-based studyPredictors of strokeSymptomatic patientsPopulation-based study of outcomesPatient survivalRandomized studySymptomatic statusPoor outcomeFollow-upCox regressionDialysis patients