2018
Endovascular 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 diagnosis
2016
Explantation of infected aortic aneurysm and endograft with ascending aorta to mesenteric bypass for mesenteric ischemia
Gates L, Chin JA, Bonde PN, Chaar C, Sumpio BE, Sarac TP. Explantation of infected aortic aneurysm and endograft with ascending aorta to mesenteric bypass for mesenteric ischemia. Journal Of Vascular Surgery 2016, 65: 219-223. PMID: 27183855, DOI: 10.1016/j.jvs.2016.03.411.Peer-Reviewed Original ResearchMeSH KeywordsAgedAneurysm, InfectedAnti-Bacterial AgentsAortic Aneurysm, AbdominalAortographyBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationCeliac ArteryCoated Materials, BiocompatibleCollateral CirculationComputed Tomography AngiographyDevice RemovalEndovascular ProceduresHepatic ArteryHumansMaleMesenteric Artery, SuperiorMesenteric IschemiaMesenteric Vascular OcclusionProsthesis-Related InfectionsReoperationRifampinSplanchnic CirculationTreatment OutcomeConceptsAortic aneurysmBilateral renal arteriesSurgical revascularization techniquesSuperior mesenteric arteryAbdominal aortic aneurysmAxillobifemoral bypassGelsoft graftAbdominal painMesenteric ischemiaRevascularization techniquesThoracoabdominal aortaInferior mesentericMesenteric arteryRenal arterySurgical issuesMesenteric bypassAneurysmsAortaPrevious treatmentEndograftArteryBypassMesentericResectionIschemia
2014
A comparison of open and endovascular revascularization for chronic mesenteric ischemia in a clinical decision model
Hogendoorn W, Hunink MG, Schlösser FJ, Moll FL, Muhs BE, Sumpio BE. A comparison of open and endovascular revascularization for chronic mesenteric ischemia in a clinical decision model. Journal Of Vascular Surgery 2014, 60: 715-725.e2. PMID: 24721175, DOI: 10.1016/j.jvs.2014.03.009.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overComparative Effectiveness ResearchComputer SimulationCost-Benefit AnalysisDecision Support TechniquesEndovascular ProceduresFemaleHealth Care CostsHumansIschemiaMaleMarkov ChainsMesenteric IschemiaMiddle AgedPatient SelectionPredictive Value of TestsQuality of LifeQuality-Adjusted Life YearsReoperationRisk AssessmentRisk FactorsSex FactorsTime FactorsTreatment OutcomeVascular DiseasesVascular PatencyVascular Surgical ProceduresConceptsChronic mesenteric ischemiaIncremental cost-effectiveness ratioEndovascular revascularizationCost-effectiveness ratioMesenteric ischemiaFemale patientsMortality riskAge groupsGood short-term resultsDisease-specific mortality riskPatients 60 yearsOverall mortality riskMarkov state transition modelTreatment of choiceExpensive treatment strategiesShort-term resultsHealth care perspectiveHealth care costsDifferent clinical scenariosProbabilistic sensitivity analysesClinical decision modelDecision analysis modelOlder patientsConservative managementYounger patients