2024
Living in disadvantaged neighborhoods linked to less intervention for severe aortic stenosis
Ram C, Yousef S, Ma W, Vallabhajosyula I, Singh S, Agarwal R, Milewski R, Assi R, Patel P, Williams M, Geirsson A, Vallabhajosyula P. Living in disadvantaged neighborhoods linked to less intervention for severe aortic stenosis. Scientific Reports 2024, 14: 4952. PMID: 38418864, PMCID: PMC10902341, DOI: 10.1038/s41598-024-52660-w.Peer-Reviewed Original ResearchConceptsAortic valve replacementSevere aortic stenosisAfrican American raceArea Deprivation IndexAortic stenosisSevere ASArea deprivation index rankAortic valve replacement ratesAmerican raceAortic valve interventionPresentation of sepsisDiagnosis of ASADI groupValve replacementValve interventionDeprived neighbourhoodsAV interventionDisadvantaged neighborhoodsPatientsFemale genderDeprivation indexHigh-ADI groupLow-ADI groupStenosisRace
2023
TAVR explant with aortic root replacement using a homograft for an aortic rupture.
Singh S, Vallabhajosyula P, Geirsson A, Assi R. TAVR explant with aortic root replacement using a homograft for an aortic rupture. Multimedia Manual Of Cardio-Thoracic Surgery 2023, 2023 PMID: 36644957, DOI: 10.1510/mmcts.2022.101.Peer-Reviewed Original ResearchConceptsLeft coronary buttonAortic ruptureCoronary buttonsAortic rootAortic root replacementTranscatheter aortic valve prosthesisAortic valve prosthesisTAVR explantRoot replacementMale presentingCase reportTranscatheter prosthesesValve prosthesisStent frameBovine pericardiumProsthesisRuptureHaemopericardiumPseudoaneurysmHomograftsPresenting
2022
Commentary: The first operative risk score for contemporary aortic arch surgery
Assi R, Geirsson A, Vallabhajosyula P. Commentary: The first operative risk score for contemporary aortic arch surgery. Journal Of Thoracic And Cardiovascular Surgery 2022, 167: 609-610. PMID: 35489833, DOI: 10.1016/j.jtcvs.2022.03.017.Commentaries, Editorials and Letters
2021
Socioeconomic disparities in surveillance and follow‐up of patients with thoracic aortic aneurysm
Shang M, Weininger G, Mori M, Kahler‐Quesada A, Degife E, Brooks C, Yousef S, Williams M, Assi R, Geirsson A, Vallabhajosyula P. Socioeconomic disparities in surveillance and follow‐up of patients with thoracic aortic aneurysm. Journal Of Cardiac Surgery 2021, 37: 831-839. PMID: 34873754, DOI: 10.1111/jocs.16173.Peer-Reviewed Original ResearchConceptsAortic aneurysmArea Deprivation IndexCardiovascular specialistsSocioeconomic statusSurgical interventionAneurysm sizeReferral of patientsRisk of deathSignificant risk factorsThoracic aortic aneurysmComputed tomography scanLowest socioeconomic quartileLow socioeconomic statusLower Socioeconomic StatusADI quartileAortic surveillanceAortic dissectionConsecutive patientsPrimary outcomeSpecialist referralSurgical repairTimely followSurveillance imagingRisk regressionRisk factors
2020
Clinicopathologic Features of Tissue Granulomas in Transplant Recipients: A Single Center Study in a Nontuberculosis Endemic Region.
Nussbaum EZ, Patel KK, Assi R, Raad RA, Malinis M, Azar MM. Clinicopathologic Features of Tissue Granulomas in Transplant Recipients: A Single Center Study in a Nontuberculosis Endemic Region. Archives Of Pathology & Laboratory Medicine 2020, 145: 988-999. PMID: 33290524, DOI: 10.5858/arpa.2020-0271-oa.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedBartonellaBiopsyCommunicable DiseasesConnecticutCytomegalovirusFemaleGranulomaHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedOrgan TransplantationPrevalenceRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTransplantation, HomologousTreatment OutcomeYoung AdultConceptsEpidemiologic risk factorsPresence of symptomsInfectious etiologyAsymptomatic patientsTransplant recipientsTissue granulomasClinicopathologic featuresRisk factorsAllogeneic hematopoietic stem cell transplant recipientsHematopoietic stem cell transplant recipientsStem cell transplant recipientsYale-New Haven HospitalCommon infectious etiologiesLarge transplant populationCell transplant recipientsSingle-center studyCryptogenic organizing pneumoniaNew Haven HospitalRoutine disease surveillancePaucity of literatureCytomegalovirus hepatitisPosttransplant specimensBiopsy indicationOrganizing pneumoniaTransplant patientsMidterm outcomes and durability of sinus segment preservation compared with root replacement for acute type A aortic dissection
Bojko MM, Assi R, Bavaria JE, Suhail M, Habertheuer A, Hu RW, Harmon J, Milewski RK, Desai ND, Szeto WY, Vallabhajosyula P. Midterm outcomes and durability of sinus segment preservation compared with root replacement for acute type A aortic dissection. Journal Of Thoracic And Cardiovascular Surgery 2020, 163: 900-910.e2. PMID: 32620395, DOI: 10.1016/j.jtcvs.2020.04.064.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAdultAgedAortic AneurysmAortic DissectionAortic ValveAortic Valve InsufficiencyBlood Vessel Prosthesis ImplantationCardiac Surgical ProceduresFemaleHumansMaleMiddle AgedPostoperative ComplicationsRecurrenceReoperationRetrospective StudiesRisk AssessmentRisk FactorsSinus of ValsalvaTime FactorsTreatment OutcomeConceptsAcute typeRoot replacementAortic dissectionAortic insufficiencyRoot repairCumulative incidenceReplacement groupPostoperative aortic insufficiencyProximal aortic reoperationsRoot replacement groupMultivariable Cox regressionSinus of ValsalvaLongitudinal mixed modelsAortic reoperationValsalva dimensionsMidterm outcomesRoot dilationCox regressionFunctional outcomeRisk factorsReoperationSinusInsufficiencyDissectionMixed effects models
2018
Techniques and outcomes of secondary open repair for chronic dissection after acute repair of type A aortic dissection.
Assi R, Bavaria JE, Desai ND. Techniques and outcomes of secondary open repair for chronic dissection after acute repair of type A aortic dissection. The Journal Of Cardiovascular Surgery 2018, 59: 759-766. PMID: 29943963, DOI: 10.23736/s0021-9509.18.10646-x.Peer-Reviewed Original ResearchConceptsAortic dissectionSecondary open repairThoraco-abdominal aortaDistal false lumenRisk of ruptureAcute TAADChronic dissectionAcceptable morbidityAcute typeAcute repairPrimary tearDistal aortaOpen repairAneurysmal dilatationFalse lumenDistal reoperationExperienced handsIndex operationProgressive degenerationSuccessful repairAortaDissectionHybrid procedureRepairReoperation
2015
Advanced age and disease predict lack of symptomatic improvement after endovascular iliac treatment in male veterans.
Assi R, Brownson KE, Hall MR, Kuwahara G, Vasilas P, Dardik A. Advanced age and disease predict lack of symptomatic improvement after endovascular iliac treatment in male veterans. The Yale Journal Of Biology And Medicine 2015, 88: 85-91. PMID: 25745377, PMCID: PMC4345543.Peer-Reviewed Original ResearchConceptsCritical limb ischemiaFirst post-operative visitIliac artery occlusive diseaseArtery occlusive diseasePost-operative visitSymptomatic improvementLimb ischemiaStent placementOcclusive diseaseMale veteransVA Connecticut Healthcare SystemAnkle-brachial indexSuccessful endovascular procedureAdditional surgical interventionPatient-related factorsLong-term outcomesQuality of lifeIliac artery interventionsEndovascular angioplastyAngiographic successSecondary patencyDistal runoffArtery interventionSuccessful revascularizationEndovascular treatment
2014
Metabolic Syndrome Predicts Restenosis after Carotid Endarterectomy
Williams WT, Assi R, Hall MR, Protack CD, Lu DY, Wong DJ, Vasilas P, Dardik A. Metabolic Syndrome Predicts Restenosis after Carotid Endarterectomy. Journal Of The American College Of Surgeons 2014, 219: 771-777. PMID: 25158910, DOI: 10.1016/j.jamcollsurg.2014.04.014.Peer-Reviewed Original ResearchConceptsCarotid endarterectomyMetabolic syndromeIndependent predictorsVeterans Affairs Connecticut Healthcare SystemChronic renal insufficiencyPercent of patientsEffective surgical optionMajor adverse eventsHigh-risk populationLong-term surveillanceHigh-density lipoproteinLong-term survivalPreoperative comorbiditiesStroke prophylaxisRenal insufficiencyAdverse eventsMost patientsPatient ageMultivariable analysisSerum triglyceridesSurgical optionsRetrospective studyAdverse outcomesMean durationBlood glucoseSexually transmitted infections of the anus and rectum
Assi R, Hashim PW, Reddy VB, Einarsdottir H, Longo WE. Sexually transmitted infections of the anus and rectum. World Journal Of Gastroenterology 2014, 20: 15262-15268. PMID: 25386074, PMCID: PMC4223259, DOI: 10.3748/wjg.v20.i41.15262.BooksConceptsGlobal human immunodeficiency virusHuman papillomavirus vaccinationSignificant public health concernHuman immunodeficiency virusImmunodeficiency syndrome (AIDS) epidemicLatest treatment recommendationsPublic health concernHIV/AIDSAnal cytologyAnorectal STIsPapillomavirus vaccinationClinical presentationColorectal surgeonsImmunodeficiency virusAnorectal diseaseTreatment recommendationsAnorectal lesionsHealth concernSTIsRectumInfectionAnusVaccinationLesionsCytology
2013
Metabolic syndrome is associated with type II endoleak after endovascular abdominal aortic aneurysm repair
Hall MR, Protack CD, Assi R, Williams WT, Wong DJ, Lu D, Muhs BE, Dardik A. Metabolic syndrome is associated with type II endoleak after endovascular abdominal aortic aneurysm repair. Journal Of Vascular Surgery 2013, 59: 938-943. PMID: 24360238, PMCID: PMC3966942, DOI: 10.1016/j.jvs.2013.10.081.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAortic Aneurysm, AbdominalAortographyBlood Vessel Prosthesis ImplantationEndoleakEndovascular ProceduresHumansKaplan-Meier EstimateMaleMetabolic SyndromeMiddle AgedRetrospective StudiesRisk FactorsTime FactorsTomography, X-Ray ComputedTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsConceptsEndovascular abdominal aortic aneurysm repairType II endoleakAbdominal aortic aneurysm repairAortic aneurysm repairBody mass indexAbdominal aortic aneurysmHigh-density lipoproteinAneurysm repairMetabolic syndromeMass indexAortic aneurysmSac expansionInfrarenal abdominal aortic aneurysmVeterans Affairs Connecticut Healthcare SystemAneurysm sac expansionDevelopment of endoleaksNon-MetS groupAcute kidney injurySerum high-density lipoproteinPerioperative myocardial infarctionEndoleak typeMetS factorsMore endoleaksKidney injuryRadiologic surveillance