2023
Utility of Hook Sign in the Diagnosis of Median Arcuate Ligament Syndrome
Chan S, Weininger G, Kozhimala M, Sumpio B, Levine L, Harris S, Zheng S, Ochoa Chaar C, Guzman R, Sumpio B. Utility of Hook Sign in the Diagnosis of Median Arcuate Ligament Syndrome. Annals Of Vascular Surgery 2023, 94: 165-171. PMID: 37023920, DOI: 10.1016/j.avsg.2023.03.018.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal PainCeliac ArteryConstriction, PathologicFemaleHumansMaleMedian Arcuate Ligament SyndromeRetrospective StudiesTreatment OutcomeConceptsMedian arcuate ligament syndromeBody mass indexCeliac artery compressionArcuate ligament syndromeCeliac arteryInstitutional review board-approved retrospective chart reviewDiagnosis of MALSElectronic medical record reviewMedian arcuate ligamentNonspecific abdominal painRetrospective chart reviewMedical record reviewTertiary academic centerSignificant predictorsHook signWilcoxon rank sum testRank sum testMALS patientsAbdominal painTomography angiography imagesArtery compressionChart reviewPatient demographicsArcuate ligamentRadiologic characteristics
2022
Prevalence and Characteristics of Patients with Median Arcuate Ligament Syndrome in a Cohort Diagnosed with Celiac Artery Compression.
Kozhimala M, Chan S, Weininger G, Sumpio B, Levine L, Harris S, Zheng S, Longo W, Ochoa Chaar C, Guzman R, Sumpio B. Prevalence and Characteristics of Patients with Median Arcuate Ligament Syndrome in a Cohort Diagnosed with Celiac Artery Compression. Journal Of The American College Of Surgeons 2022, 236: 1085-1091. PMID: 36476640, DOI: 10.1097/xcs.0000000000000500.Peer-Reviewed Original ResearchMeSH KeywordsCeliac ArteryComorbidityFemaleHumansMaleMedian Arcuate Ligament SyndromePrevalenceRetrospective StudiesConceptsMedian arcuate ligament syndromeCeliac artery compressionArcuate ligament syndromeCharacteristics of patientsMALS patientsArtery compressionArtery diseaseRenal diseaseMesenteric artery diseasePeripheral arterial diseasePeripheral artery diseaseRetrospective chart reviewCohort of patientsMedical record reviewFrequent differential diagnosisSignificant differencesAbdominal symptomsAtherosclerotic characteristicsEpigastric painGastrointestinal comorbiditiesChart reviewArterial diseaseAtherosclerotic diseaseRecord reviewClinical symptoms
2019
Safety and efficacy of venous ablation in octogenarians
Aurshina A, Zhang Y, Zhuo H, Cardella J, Orion K, Sumpio B, Sarac T, Chaar C. Safety and efficacy of venous ablation in octogenarians. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2019, 7: 685-692. PMID: 31421837, DOI: 10.1016/j.jvsv.2019.05.006.Peer-Reviewed Original ResearchConceptsVenous ablationYounger patientsTechnical successClinical successAge groupsRetrospective single-center reviewSingle-center reviewResolution of symptomsNumeric rating scaleAdvanced clinical stageSuperficial venous insufficiencyLarger vein diametersIntensity of symptomsYounger age groupsCardiovascular comorbiditiesPain improvementConsecutive patientsOutpatient officePathophysiology (CEAP) classificationVenous insufficiencyVenous diseaseClinical stageDuplex ultrasoundPatient populationUltrasound findingsCosts 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 forceps
2018
The effect of increasing catheter distance from the deep junction on the outcomes of radiofrequency vein ablation
Aurshina A, Zhang Y, Wang F, Cardella J, Orion K, Sumpio B, Sarac T, Chaar C. The effect of increasing catheter distance from the deep junction on the outcomes of radiofrequency vein ablation. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2018, 6: 614-620. PMID: 29784594, DOI: 10.1016/j.jvsv.2018.04.006.Peer-Reviewed Original ResearchConceptsVein ablationGroup BMultivariable analysisTechnical successClinical successRetrospective single-center reviewSingle-center reviewSuperficial venous refluxDeep venous thrombosisGroup A. Group BNumeric rating scalePast medical historyPredictors of recurrenceSaphenous vein ablationDeep venous systemLong-term recurrenceLarger vein diametersIntensity of symptomsCatheter distanceVenous refluxComplication rateVenous thrombosisRecurrence rateMean ageMedical historyThe effect of commercial insurance policies on outcomes of venous ablation
Chaar C, Aurshina A, Zhang Y, Wang F, Cardella J, Orion K, Sumpio B, Sarac T. The effect of commercial insurance policies on outcomes of venous ablation. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2018, 6: 331-337.e1. PMID: 29661363, DOI: 10.1016/j.jvsv.2017.11.013.Peer-Reviewed Original ResearchConceptsQuality of lifeVenous ablationChronic venous insufficiencyClinical successTechnical successComplication rateMultivariable analysisVenous insufficiencySubgroup analysisImprovement of QOLRetrospective single-center reviewNumeric rating scale scoreSingle-center reviewResolution of symptomsNumeric rating scaleTechnical success rateBlue Cross Blue ShieldImproved patient outcomesRating Scale scoresIntensity of symptomsSignificant differencesC3 diseaseChart reviewIndependent predictorsProcedural successEndovascular interventions decrease length of hospitalization and are cost-effective in acute mesenteric ischemia
Erben Y, Protack CD, Jean RA, Sumpio BJ, Miller SM, Liu S, Trejo G, Sumpio BE. Endovascular interventions decrease length of hospitalization and are cost-effective in acute mesenteric ischemia. Journal Of Vascular Surgery 2018, 68: 459-469. PMID: 29459015, DOI: 10.1016/j.jvs.2017.11.078.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAcute Kidney InjuryAdolescentAdultAgedAged, 80 and overComorbidityCost SavingsCost-Benefit AnalysisDatabases, FactualEndovascular ProceduresFemaleHospital CostsHospital MortalityHumansLength of StayLinear ModelsLogistic ModelsMaleMesenteric IschemiaMesenteric Vascular OcclusionMiddle AgedMultivariate AnalysisOdds RatioPatient DischargePropensity ScoreProportional Hazards ModelsRetrospective StudiesRisk FactorsSplanchnic CirculationTime FactorsTreatment OutcomeUnited StatesVascular Surgical ProceduresYoung AdultConceptsAcute mesenteric ischemiaAcute kidney injuryEndovascular interventionHospital mortalityMesenteric ischemiaHospitalization costsOpen groupPropensity-adjusted logistic regression analysisTreatment of AMISevere Charlson Comorbidity IndexEnd pointCharlson Comorbidity IndexOpen surgical revascularizationPrimary end pointSecondary end pointsIncreased hazard ratioLength of hospitalizationMean hospitalization costNational Inpatient SampleCost of hospitalizationLogistic regression analysisSkilled nursing facilitiesLower mortality rateComorbidity indexHospital stayImproved mortality in treatment of patients with endovascular interventions for chronic mesenteric ischemia
Erben Y, Jean RA, Protack CD, Chiu AS, Liu S, Sumpio BJ, Miller SM, Sumpio BE. Improved mortality in treatment of patients with endovascular interventions for chronic mesenteric ischemia. Journal Of Vascular Surgery 2018, 67: 1805-1812. PMID: 29395425, DOI: 10.1016/j.jvs.2017.10.071.Peer-Reviewed Original ResearchConceptsChronic mesenteric ischemiaCost of hospitalizationNational Inpatient SampleMesenteric ischemiaHospital factorsENDO groupCharlson Comorbidity Index scoreEnd pointComorbidity Index scorePrimary end pointSecondary end pointsTreatment of patientsHealth care costsLower mortality rateHospital mortalityHospital stayImproved mortalityLonger LOSMean LOSImproved survivalMean ageEndovascular interventionInpatient SampleOpen groupDevastating diagnosisIncreased 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
2017
Distal embolization during lower extremity endovascular interventions
Chaar C, Shebl F, Sumpio B, Dardik A, Indes J, Sarac T. Distal embolization during lower extremity endovascular interventions. Journal Of Vascular Surgery 2017, 66: 143-150. PMID: 28366300, DOI: 10.1016/j.jvs.2017.01.032.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmputation, SurgicalAngioplasty, BalloonAtherectomyChi-Square DistributionCritical IllnessDatabases, FactualDisease-Free SurvivalEmbolismFemaleFemoral ArteryHumansIncidenceIntermittent ClaudicationIschemiaLimb SalvageLower ExtremityMaleMiddle AgedMultivariate AnalysisNew EnglandOdds RatioPeripheral Arterial DiseaseProportional Hazards ModelsRegistriesRetrospective StudiesRisk AssessmentRisk FactorsStentsTime FactorsTreatment OutcomeVascular PatencyConceptsLower extremity endovascular interventionsSuperficial femoral arteryCritical limb ischemiaDistal embolizationLoss of patencyEndovascular interventionBalloon angioplastyLimb ischemiaAdditional endovascular interventionArterial endovascular interventionUse of atherectomyVascular Study GroupLength of occlusionNew England databaseNumber of arteriesMajor amputationMost patientsPatient characteristicsFemoral arteryRisk factorsStudy groupMultivariable regressionLimb lossLower riskAngioplasty
2016
Percutaneous endovascular aneurysm repair in morbidly obese patients
Chin JA, Skrip L, Sumpio BE, Cardella JA, Indes JE, Sarac TP, Dardik A, Chaar C. Percutaneous endovascular aneurysm repair in morbidly obese patients. Journal Of Vascular Surgery 2016, 65: 643-650.e1. PMID: 28034584, DOI: 10.1016/j.jvs.2016.06.115.Peer-Reviewed Original ResearchMeSH KeywordsAdultAneurysmCatheterization, PeripheralChi-Square DistributionDatabases, FactualEndovascular ProceduresFemaleFemoral ArteryHumansMaleMiddle AgedObesity, MorbidOperative TimePostoperative ComplicationsPuncturesRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeUnited StatesWound HealingConceptsEndovascular aneurysm repairMO patientsSuperobese patientsObese patientsAneurysm repairSurgical outcomesSevere chronic obstructive pulmonary diseaseShorter total operation timeTotal endovascular aneurysm repairChronic obstructive pulmonary diseasePercutaneous endovascular aneurysm repairSurgeons National Surgical Quality Improvement Program filesMorbidly obese patientsObstructive pulmonary diseaseSimilar baseline characteristicsPercutaneous femoral accessCurrent Procedural TerminologyPEVAR groupBaseline comorbiditiesWound complicationsBaseline characteristicsFemoral accessPulmonary diseaseTotal operation timeFemoral cutdown
2013
A Comparison of Immediate Postoperative Rigid and Soft Dressings for Below-Knee Amputations
Sumpio B, Shine SR, Mahler D, Sumpio BE. A Comparison of Immediate Postoperative Rigid and Soft Dressings for Below-Knee Amputations. Annals Of Vascular Surgery 2013, 27: 774-780. PMID: 23880455, DOI: 10.1016/j.avsg.2013.03.007.Peer-Reviewed Original ResearchMeSH KeywordsAmputeesBandagesEquipment DesignFollow-Up StudiesHumansKneePostoperative CarePostoperative PeriodRetrospective StudiesTibiaWound HealingConceptsRigid dressingSoft dressingsDressing groupHealing timeYale-New Haven HospitalSoft dressing groupKaplan-Meier analysisBelow knee amputationEvidence-based guidelinesQuicker healing timeNew Haven HospitalInitial castingPlastic dressingEarly ambulationPatient demographicsDiabetes mellitusKnee amputationPostoperative dressingKnee immobilizerRetrospective analysisAverage agePatientsPostsurgical dressingsRigid plasterKnee amputees
2012
Lower extremity limb salvage with cryoplasty: a single-center cohort study
Basco MT, Schlösser FJ, Muhs BE, Indes JE, Blume PA, Key JJ, Aruny JE, Sumpio BE. Lower extremity limb salvage with cryoplasty: a single-center cohort study. Vascular 2012, 20: 36-41. PMID: 22328618, DOI: 10.1258/vasc.2011.oa0309.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAmputation, SurgicalChi-Square DistributionConnecticutCryosurgeryFemaleHumansIschemiaKaplan-Meier EstimateLimb SalvageLower ExtremityMaleMiddle AgedPatient SelectionPeripheral Arterial DiseaseRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeConceptsChronic critical limb ischemiaCritical limb ischemiaCohort studyLimb ischemiaArtery diseaseSalvage rateSingle-center cohort studyRetrospective cohort studyLimb salvage ratePeripheral artery diseaseHistory of smokingLower extremity revascularizationCoronary artery diseaseKaplan-Meier analysisTechnical success rateLower extremity limb salvagePoor wound healingLower extremity lesionsRecent clinical experienceInadequate conduitMajor amputationPersistent ulcerationRest painSurgical revascularizationUncontrolled hypertension
2010
Retrospective evaluation of clinical outcomes in subjects with split‐thickness skin graft: comparing V.A.C.® therapy and conventional therapy in foot and ankle reconstructive surgeries
Blume PA, Key JJ, Thakor P, Thakor S, Sumpio B. Retrospective evaluation of clinical outcomes in subjects with split‐thickness skin graft: comparing V.A.C.® therapy and conventional therapy in foot and ankle reconstructive surgeries. International Wound Journal 2010, 7: 480-487. PMID: 20825510, PMCID: PMC7951281, DOI: 10.1111/j.1742-481x.2010.00728.x.Peer-Reviewed Original ResearchConceptsAnkle reconstructive surgeryConventional therapyGraft survivalNPWT/ROCFClinical outcomesReconstructive surgerySplit-thickness skin graft survivalSplit-thickness skin graftNegative pressure wound therapyDuration of graftImproved graft survivalOverall graft takeVacuum-Assisted TherapySkin graft survivalPressure wound therapyGraft failureRetrospective reviewRetrospective studyOutpatient treatmentGraft takeSkin graftsCT groupWound therapyRetrospective evaluationLevel I
2007
Predictors for the Healing of Transmetatarsal Amputations: Retrospective Study of 91 Amputations
Blume P, Salonga C, Garbalosa J, Pierre-Paul D, Key J, Gahtan V, Sumpio BE. Predictors for the Healing of Transmetatarsal Amputations: Retrospective Study of 91 Amputations. Vascular 2007, 15: 126-133. PMID: 17573017, DOI: 10.2310/6670.2007.00035.Peer-Reviewed Original ResearchRevision open anterior approaches for spine procedures
Gumbs AA, Hanan S, Yue JJ, Shah RV, Sumpio B. Revision open anterior approaches for spine procedures. The Spine Journal 2007, 7: 280-285. PMID: 17482110, DOI: 10.1016/j.spinee.2006.05.015.Peer-Reviewed Original ResearchConceptsRevision operationsEarly complicationsAnterior lumbar spinal surgeryAnterior lumbar interbody fusionOpen exposureFemoral nerve palsyLumbosacral vertebral bodiesOpen anterior approachProlonged postoperative ileusDeep venous thrombosisTertiary care hospitalLumbar spinal surgeryUrinary tract infectionLumbar interbody fusionArtificial disc replacementAnterior exposureExposure surgeonPostoperative ileusNerve palsyPrimary surgeryLate complicationsTract infectionsAnterior approachCare hospitalSerious complications
2005
The Open Anterior Paramedian Retroperitoneal Approach for Spine Procedures
Gumbs AA, Shah RV, Yue JJ, Sumpio B. The Open Anterior Paramedian Retroperitoneal Approach for Spine Procedures. JAMA Surgery 2005, 140: 339-343. PMID: 15837883, DOI: 10.1001/archsurg.140.4.339.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overFemaleHumansIntervertebral Disc DisplacementIntraoperative ComplicationsLumbar VertebraeLumbosacral RegionMaleMiddle AgedOrthopedic Fixation DevicesPostoperative ComplicationsRetroperitoneal SpaceRetrospective StudiesSpinal DiseasesSpinal FusionTreatment OutcomeConceptsAnterior lumbar interbody fusionLumbar interbody fusionRetroperitoneal exposureIliac veinInterbody fusionDisc replacementTertiary care university hospitalAnterior spinal approachLumbosacral vertebral bodiesClostridium difficile colitisEarly postoperative complicationsCare university hospitalAnterior spinal surgeryArtificial disc replacementVascular surgery literatureAnterior exposureUreteral tearDifficile colitisPostoperative complicationsUrinary retentionComplication rateIntraoperative complicationsPostoperative courseRetroperitoneal approachRetrospective review
2002
Single-Stage Surgical Treatment of Noninfected Diabetic Foot Ulcers
Blume PA, Paragas LK, Sumpio BE, Attinger CE. Single-Stage Surgical Treatment of Noninfected Diabetic Foot Ulcers. Plastic & Reconstructive Surgery 2002, 109: 601-609. PMID: 11818842, DOI: 10.1097/00006534-200202000-00029.Peer-Reviewed Original ResearchConceptsSingle-stage surgical treatmentHospital staySurgical treatmentRecurrence rateSingle-stage approachPerioperative hospital stayAdditional surgical proceduresDiabetic foot woundsLevel of ambulationDiabetic foot ulcersImmediate primary closureLocal random flapsMedian total timeExpedient returnPedal ulcersAmbulatory statusPostoperative complicationsChart reviewFoot ulcersFoot woundsPathologic findingsTotal excisionRetrospective studyPrimary closureOsseous deformities
2000
Gender does not impact infrainguinal vein bypass graft outcome
Frangos S, Karimi S, Kerstein M, Harpavat M, Sumpio B, Roberts A, Gahtan V. Gender does not impact infrainguinal vein bypass graft outcome. Surgery 2000, 127: 679-686. PMID: 10840364, DOI: 10.1067/msy.2000.105859.Peer-Reviewed Original ResearchConceptsGraft patencySurvival rateMultivariate analysisInfrainguinal vein bypass graftsCox proportional hazards modelInfrainguinal occlusive diseaseLimb salvage rateVein bypass graftsBypass graft operationsProportional hazards modelLife-table analysisInfrainguinal vein bypassPercentage of womenMajor amputationGraft outcomePostoperative complicationsIncisional complicationsOcclusive diseasePostoperative outcomesLimb salvageRenal diseaseBypass graftPatient selectionVein graftsMorbidity rate
1994
Splenomegaly and variceal bleeding--hemodynamic basis and treatment implications.
Gusberg RJ, Peterec SM, Sumpio BE, Meier GH. Splenomegaly and variceal bleeding--hemodynamic basis and treatment implications. Hepatogastroenterology 1994, 41: 573-7. PMID: 7721248.Peer-Reviewed Original ResearchMeSH KeywordsBlood PressureEsophageal and Gastric VaricesFemaleGastrointestinal HemorrhageHepatic VeinsHumansHypertension, PortalLiver Cirrhosis, AlcoholicMaleMonitoring, IntraoperativePortal PressureProspective StudiesRadiographyRegional Blood FlowRetrospective StudiesSplenic VeinSplenomegalySplenorenal Shunt, SurgicalConceptsCirrhotic patientsPortal pressurePortal hypertensionSplenic embolizationVariceal bleedingHemodynamic basisSpleen sizeDistal splenorenal shuntPortal hypertensive patientsSplenic venous flowVariceal bleedersDefinitive therapyHypertensive patientsSplenorenal shuntSplenic enlargementSplenic veinVenous flowHemodynamic significancePatientsSplenomegalySplenic inflowTreatment implicationsHypertensionBleedingSplenectomy