2021
Contemporary outcomes of concomitant suprainguinal bypass with infrainguinal revascularization procedures in patients with chronic limb-threatening ischemia
Naazie I, Zarrintan S, Arhuidese I, Al-Nouri O, Abou-Zamzam A, Malas M. Contemporary outcomes of concomitant suprainguinal bypass with infrainguinal revascularization procedures in patients with chronic limb-threatening ischemia. Journal Of Vascular Surgery 2021, 75: 989-997.e1. PMID: 34606957, DOI: 10.1016/j.jvs.2021.08.105.Peer-Reviewed Original ResearchConceptsChronic limb-threatening ischemiaRisk of amputationSuprainguinal bypassRest painAmputation-free survivalIncreased riskLimb-threatening ischemiaInfrainguinal revascularizationTissue lossMajor amputationInfrainguinal bypassRevascularization proceduresIncreased risk of amputationPerioperative myocardial infarction rateAssociated with decreased riskConcomitant infrainguinal bypassOutcomes of patientsLog-rank testPerioperative myocardial infarctionKaplan-Meier survivalTreatment of patientsVascular Quality InitiativeMyocardial infarction rateInfrainguinal revascularization proceduresIncreased oddsImpact of impaired ambulatory capacity on the outcomes of peripheral vascular interventions among patients with chronic limb-threating ischemia
Naazie I, Arhuidese I, Zil-E-Ali A, Siracuse J, Malas M. Impact of impaired ambulatory capacity on the outcomes of peripheral vascular interventions among patients with chronic limb-threating ischemia. Journal Of Vascular Surgery 2021, 74: 489-498.e1. PMID: 33548441, DOI: 10.1016/j.jvs.2020.12.088.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAmputation, SurgicalChronic DiseaseDependent AmbulationEndovascular ProceduresFemaleFunctional StatusHospital MortalityHumansIschemiaLimb SalvageMaleMiddle AgedMobility LimitationPeripheral Arterial DiseaseProgression-Free SurvivalRegistriesRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsConceptsChronic limb-threatening ischemiaAmbulatory with assistanceAmputation-free survivalWheelchair-bound patientsAmbulatory capacityNonambulatory patientsBedridden patientsAmbulatory patientsPoor functional statusPeripheral endovascular interventionsAmbulatory impairmentIn-hospital deathLimb-threatening ischemiaFunctional statusPostoperative complicationsSecondary outcomesLogistic regressionPeripheral vascular interventionsPrimary outcomeQuality InitiativeEndovascular interventionStudy outcomesAmputationOdds of postoperative complicationsWheelchair-bound
2019
Survival after major lower extremity amputation in patients with end-stage renal disease
Arhuidese I, Nejim B, Aji E, Canner J, Malas M. Survival after major lower extremity amputation in patients with end-stage renal disease. Journal Of Vascular Surgery 2019, 70: 1291-1298. PMID: 31543169, DOI: 10.1016/j.jvs.2018.12.055.Peer-Reviewed Original ResearchConceptsKnee amputeesKnee amputationBurden of peripheral artery diseaseLower extremity amputationEstimates of life expectancyEnd-stage renal diseaseRisk-adjusted mortalityAmputation levelExtremity amputationRace-specific differencesRT recipientsHealthcare providersPeripheral arterial diseaseHD patientsLong-term mortalityUnited States Renal Data SystemMedian survivalBKAKneeHispanicsLife expectancyRenal transplantationMLEAAmputationCardiovascular diseaseOutcomes of Infrainguinal Lower Extremity Bypass Are Superior in Kidney Transplant Recipients Than Patients with Dialysis
Nejim B, Hicks C, Arhuidese I, Locham S, Dakour-Aridi H, Malas M. Outcomes of Infrainguinal Lower Extremity Bypass Are Superior in Kidney Transplant Recipients Than Patients with Dialysis. Annals Of Vascular Surgery 2019, 63: 209-217. PMID: 31349053, DOI: 10.1016/j.avsg.2019.04.026.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmputation, SurgicalBlood Vessel Prosthesis ImplantationDatabases, FactualFemaleHumansKidney Failure, ChronicKidney TransplantationLimb SalvageLower ExtremityMaleMiddle AgedPeripheral Arterial DiseaseProgression-Free SurvivalRenal DialysisRetrospective StudiesRisk FactorsSaphenous VeinTime FactorsVascular PatencyConceptsLower extremity bypassEnd-stage renal diseaseKT recipientsPrimary patencyDialysis therapyAmputation-free survivalKidney transplantationVascular Quality Initiative databaseRisk-adjusted hazardsKidney transplant recipientsPositive effects of KTRisk of mortalityEffects of KTRisk of amputationLower-extremity bypassSurgical outcomesTransplant recipientsBaseline characteristicsBypass proceduresDialysis patientsRenal diseaseComparative efficacyKT groupDT groupPatients
2018
Aggressive infrainguinal revascularization in renal transplant patients is justifiable
Craig-Schapiro R, Nejim B, Arhuidese I, Malas M. Aggressive infrainguinal revascularization in renal transplant patients is justifiable. American Journal Of Transplantation 2018, 18: 1718-1725. PMID: 29288558, DOI: 10.1111/ajt.14636.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmputation, SurgicalFemaleFollow-Up StudiesHumansKidney Failure, ChronicKidney TransplantationLimb SalvageLower ExtremityMaleMiddle AgedPatient SelectionPostoperative ComplicationsPrognosisReoperationRetrospective StudiesRisk AssessmentRisk FactorsSurvival RateTime FactorsVascular GraftingVascular PatencyConceptsCritical limb ischemiaRenal transplant patientsTransplant patientsNontransplant patientsLimb ischemiaPrimary patencyInfrainguinal revascularizationRisk factorsMultivariate Cox regression analysisVascular Quality Initiative databaseEnd-stage renal diseaseDistal bypassCox regression analysisOutcomes of lower extremity revascularizationPrimary patency lossLower extremity revascularizationAmputation-free survivalLimb salvage outcomesAssociated with limb lossOverall survivalProsthetic conduitVein conduitPatency lossRenal diseaseInfrainguinal bypass
2017
Sex-based outcomes of lower extremity bypass surgery in hemodialysis patients
Arhuidese I, Kernodle A, Nejim B, Locham S, Hicks C, Malas M. Sex-based outcomes of lower extremity bypass surgery in hemodialysis patients. Journal Of Vascular Surgery 2017, 68: 153-160. PMID: 29276108, DOI: 10.1016/j.jvs.2017.10.063.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmputation, SurgicalBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationChi-Square DistributionClinical Decision-MakingDatabases, FactualDisease-Free SurvivalFemaleGraft Occlusion, VascularHumansKaplan-Meier EstimateKidney DiseasesLimb SalvageLogistic ModelsLower ExtremityMaleMiddle AgedMultivariate AnalysisOdds RatioPeripheral Arterial DiseaseProportional Hazards ModelsProsthesis DesignRenal DialysisRetrospective StudiesRisk FactorsSex FactorsTime FactorsTreatment OutcomeVascular PatencyVeinsConceptsAcute graft failureAutogenous conduitGraft failureProsthetic conduitBypass surgeryHemodialysis patientsAssociated with higher patencyLimb salvagePrimary assisted patencySex-based outcomesInfrainguinal bypass surgeryLower extremity bypass surgeryCox regression analysisPatient survival ratesRisk-adjusted analysisUnited States Renal Data SystemCritical limb ischemiaAssisted patencySecondary patencyConduit usePrimary patencySurgical outcomesNo significant differenceKaplan-MeierComparing patientsRacial 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
2016
Racial disparities after vascular trauma are age-dependent
Hicks C, Canner J, Zarkowsky D, Arhuidese I, Obeid T, Malas M. Racial disparities after vascular trauma are age-dependent. Journal Of Vascular Surgery 2016, 64: 418-424. PMID: 26993377, DOI: 10.1016/j.jvs.2016.01.049.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAmputation, SurgicalBlack or African AmericanChi-Square DistributionFemaleHealth Status DisparitiesHealthcare DisparitiesHospital MortalityHumansLimb SalvageMaleMiddle AgedMultivariate AnalysisOdds RatioRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeUnited StatesVascular System InjuriesWhite PeopleWounds, PenetratingYoung AdultConceptsRacial disparitiesBlack patientsAge groupsRisk adjustmentWhite patientsOlder black patientsRisk of amputationSignificant racial disparitiesTrauma patientsCompare in-hospital mortalityNationwide Inpatient SampleYoung black patientsOlder age groupsRisk of deathYoung white patientsInternational ClassificationIn-hospital mortalityEffects of raceOlder populationWhite counterpartsInpatient SampleTrauma populationVascular traumaAmputationEdition codes