2022
Association of Renin-Angiotensin-Aldosterone System Inhibitor Usage Patterns with Midterm Amputation-Free Survival after Lower Extremity Bypass for Peripheral Arterial Disease
Naazie I, Arhuidese I, Abdelgawwad M, Unkart J, Conte M, Malas M. Association of Renin-Angiotensin-Aldosterone System Inhibitor Usage Patterns with Midterm Amputation-Free Survival after Lower Extremity Bypass for Peripheral Arterial Disease. Annals Of Vascular Surgery 2022, 88: 79-89. PMID: 36028182, DOI: 10.1016/j.avsg.2022.07.022.Peer-Reviewed Original ResearchConceptsRenin-angiotensin-aldosterone system inhibitor useRenin-angiotensin-aldosterone system inhibitorsLower extremity bypassAmputation-free survivalPeripheral arterial diseaseArtery diseaseAssociated with improved 30-day mortalityAssociated with improved survivalAssociated with 2.8-foldPeripheral arterial disease patientsLEB outcomesArtery disease patientsLower-extremity bypassSurvival benefitSystem inhibitorsPostoperative periodRAAS inhibitionStudy cohortCox regressionPrimary outcomePotential confoundersIncreased oddsDisease patientsPatientsMortality
2018
Utilization, patency, and complications associated with vascular access for hemodialysis in the United States
Arhuidese I, Orandi B, Nejim B, Malas M. Utilization, patency, and complications associated with vascular access for hemodialysis in the United States. Journal Of Vascular Surgery 2018, 68: 1166-1174. PMID: 30244924, DOI: 10.1016/j.jvs.2018.01.049.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overArteriovenous Shunt, SurgicalBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationCatheterization, Central VenousCatheter-Related InfectionsCentral Venous CathetersDatabases, FactualFemaleGraft Occlusion, VascularHumansMaleMedical AuditMedicareMiddle AgedPractice Patterns, Physicians'Prosthesis-Related InfectionsRenal DialysisRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeUnited StatesVascular PatencyConceptsCatheter-free dialysisPrimary assisted patencyAutogenous fistulasPrimary patencyProsthetic graftsCatheter useAssisted patencySecondary patencySevere infectionsMedian time to maturationOutcome of vascular accessVascular accessAssociated with high mortalityLong-term hemodialysisComplications associated with vascular accessPatient survivalRetrospective studyAccess infectionFistula useGraft useHemodialysis cathetersFistulaCompare outcomesLow infection riskCatheter
2017
Racial disparities after infrainguinal bypass surgery in hemodialysis patients
Arhuidese I, Wang S, Locham S, Faateh M, Nejim B, Malas M. Racial disparities after infrainguinal bypass surgery in hemodialysis patients. Journal Of Vascular Surgery 2017, 66: 1163-1174. PMID: 28647200, DOI: 10.1016/j.jvs.2017.04.044.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmputation, SurgicalBlack or African AmericanBlood Vessel Prosthesis ImplantationChi-Square DistributionDatabases, FactualFemaleHealthcare DisparitiesHispanic or LatinoHumansKaplan-Meier EstimateKidney DiseasesLimb SalvageLogistic ModelsMaleMedicareMiddle AgedMultivariate AnalysisOdds RatioPeripheral Arterial DiseasePostoperative ComplicationsProcess Assessment, Health CarePropensity ScoreProportional Hazards ModelsRenal DialysisRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeUnited StatesVascular PatencyWhite PeopleConceptsInfrainguinal bypass surgeryGraft failureHD patientsPeripheral arterial diseaseLimb salvageBypass surgeryEvaluate long-term graft patencyArtery diseaseWhite patientsGraft patencyBlack patientsSurgical treatment of peripheral arterial diseaseLong-term graft failurePrimary assisted patencyAcute graft failureCox regression analysisLong-term mortalityLong-term graft patencyAll-cause mortalityLimb lossTreatment of peripheral arterial diseasePopliteal-tibial bypassAssisted patencyPrimary patencySecondary patency
2015
Racial/Ethnic Disparities Associated With Initial Hemodialysis Access
Zarkowsky DS, Arhuidese IJ, Hicks CW, Canner JK, Qazi U, Obeid T, Schneider E, Abularrage CJ, Freischlag JA, Malas MB. Racial/Ethnic Disparities Associated With Initial Hemodialysis Access. JAMA Surgery 2015, 150: 529-536. PMID: 25923973, DOI: 10.1001/jamasurg.2015.0287.Peer-Reviewed Original ResearchConceptsMedical insurance statusEnd-stage renal diseaseUS Renal Data SystemInitial hemodialysis accessWhite patientsArteriovenous fistulaBlack patientsHispanic patientsRace/ethnicityNephrology careInsurance statusRenal diseaseHemodialysis accessChronic obstructive pulmonary diseaseLogistic regressionMore white patientsInfluence of comorbiditiesObstructive pulmonary diseaseRacial/Ethnic DisparitiesCoronary artery diseaseCategory of patientsMultivariable logistic regressionPatterns of utilizationDifferent races/ethnicitiesFistula utilization
2014
Mortality variability after endovascular versus open abdominal aortic aneurysm repair in a large tertiary vascular center using a Medicare-derived risk prediction model
Hicks C, Black J, Arhuidese I, Asanova L, Qazi U, Perler B, Freischlag J, Malas M. Mortality variability after endovascular versus open abdominal aortic aneurysm repair in a large tertiary vascular center using a Medicare-derived risk prediction model. Journal Of Vascular Surgery 2014, 61: 291-297. PMID: 25154686, DOI: 10.1016/j.jvs.2014.04.078.Peer-Reviewed Original ResearchMeSH KeywordsAgedAortic Aneurysm, AbdominalChi-Square DistributionDecision Support TechniquesEndovascular ProceduresFemaleHumansLogistic ModelsMaleMedicareMultivariate AnalysisOdds RatioPatient SelectionRetrospective StudiesRisk AssessmentRisk FactorsTertiary Care CentersTime FactorsTreatment OutcomeUnited StatesVascular Surgical ProceduresConceptsEndovascular AAA repairTertiary vascular centerOpen AAA repairAAA repairRisk prediction modelOpen repairTertiary centerVascular centersOpen abdominal aortic aneurysm (AAA) repairOpen abdominal aortic aneurysm repairAbdominal aortic aneurysm (AAA) repairAbdominal aortic aneurysm repairPreoperative renal diseasePreoperative risk statusEvaluate 30-day mortalityAortic aneurysm repairHigh-risk patientsMortality risk prediction modelHigh-risk groupMultivariate logistic regressionAortic centersOperative mortalityInfrarenal AAAAneurysm repairLower-volume hospitals