2020
Regional Anesthesia is Underutilized for Carotid Endarterectomy Despite Improved Perioperative Outcomes Compared with General Anesthesia
Lumas S, Hsiang W, Akhtar S, Ochoa Chaar CI. Regional Anesthesia is Underutilized for Carotid Endarterectomy Despite Improved Perioperative Outcomes Compared with General Anesthesia. Annals Of Vascular Surgery 2020, 73: 336-343. PMID: 33373769, DOI: 10.1016/j.avsg.2020.11.035.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement ProgramCarotid endarterectomyGeneral anesthesiaRegional anesthesiaImproved outcomesSurgeons National Surgical Quality Improvement ProgramChronic obstructive pulmonary diseaseOutcomes of CEASurgical Quality Improvement ProgramCombined end pointObstructive pulmonary diseaseChoice of anestheticQuality Improvement ProgramAnesthesia typeHospital lengthPerioperative outcomesBaseline characteristicsPatient characteristicsCarotid surgeryHeart failurePropensity matchingPulmonary diseaseGA patientsMyocardial infarctionAmerican CollegeEndograft type and anesthesia mode are associated with mortality of endovascular aneurysm repair for ruptured abdominal aortic aneurysms
Bellamkonda KS, Yousef S, Zhang Y, Dardik A, Geirsson A, Chaar CIO. Endograft type and anesthesia mode are associated with mortality of endovascular aneurysm repair for ruptured abdominal aortic aneurysms. Vascular 2020, 29: 155-162. PMID: 32787557, DOI: 10.1177/1708538120947859.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAnesthesia, GeneralAortic Aneurysm, AbdominalAortic RuptureBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationDatabases, FactualEndovascular ProceduresFemaleHumansMaleMiddle AgedProsthesis DesignRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeYoung AdultConceptsInfrarenal abdominal aortic aneurysmAbdominal aortic aneurysmEndovascular aneurysm repairBody mass indexAortic aneurysmEndograft typeAneurysm repairOverall mortalityMass indexSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseRuptured infrarenal abdominal aortic aneurysmQuality Improvement Program databaseRuptured abdominal aortic aneurysmLower body mass indexAbdominal aortic aneurysm diameterAneurysmal iliac arteriesDependent functional statusCharacteristics of patientsImprovement Program databasePrimary treatment modalityOpen abdominal surgeryAortic aneurysm diameterSignificant differencesConcomitant stentingTrends of hospital-based surgery for varicose veins in the elderly
Kim TI, Zhang Y, Guzman RJ, Ochoa Chaar CI. Trends of hospital-based surgery for varicose veins in the elderly. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2020, 9: 146-153.e2. PMID: 32360785, DOI: 10.1016/j.jvsv.2020.04.016.Peer-Reviewed Original ResearchMeSH KeywordsAblation TechniquesAge FactorsAgedAged, 80 and overAnesthesia, GeneralDatabases, FactualFemaleHospitalizationHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeUnited StatesVaricose VeinsVascular Surgical ProceduresVenous InsufficiencyConceptsProportion of patientsAdverse eventsVenous ablationGeneral anesthesiaVaricose veinsAge groupsVein ablationVein surgeryHospital-based surgeryCurrent Procedural Terminology codesHigh-risk patientsVaricose vein surgeryProcedural Terminology codesLarge national databaseYounger age groupsPaucity of dataMore comorbiditiesAnesthesiologists classificationOverall morbidityVenous surgeryDialysis populationVenous insufficiencyOpen surgeryConservative measuresOperative characteristics
2019
Use of neuraxial anesthesia for hybrid lower extremity revascularization is associated with reduced perioperative morbidity
Fereydooni A, O'Meara T, Popescu WM, Dardik A, Ochoa Chaar CI. Use of neuraxial anesthesia for hybrid lower extremity revascularization is associated with reduced perioperative morbidity. Journal Of Vascular Surgery 2019, 71: 1296-1304.e7. PMID: 31708304, DOI: 10.1016/j.jvs.2019.07.072.Peer-Reviewed Original ResearchConceptsChronic obstructive pulmonary diseaseLower extremity revascularizationPeripheral arterial diseaseObstructive pulmonary diseaseNeuraxial anesthesiaGeneral anesthesiaPulmonary diseaseVentilator requirementHospital stayPerioperative morbidityBaseline characteristicsExtremity revascularizationWound infectionFunctional statusSurgeons National Surgical Quality Improvement Program datasetNational Surgical Quality Improvement Program datasetComplex peripheral arterial diseaseUse of NADependent functional statusInvasive hybrid proceduresPrimary anesthetic techniqueSicker patient populationGroup of patientsNAA groupHybrid procedure