2023
Quantitative cardiovascular magnetic resonance findings and clinical risk factors predict cardiovascular outcomes in breast cancer patients
Kwan J, Arbune A, Henry M, Hu R, Wei W, Nguyen V, Lee S, Lopez-Mattei J, Guha A, Huber S, Bader A, Meadows J, Sinusas A, Mojibian H, Peters D, Lustberg M, Hull S, Baldassarre L. Quantitative cardiovascular magnetic resonance findings and clinical risk factors predict cardiovascular outcomes in breast cancer patients. PLOS ONE 2023, 18: e0286364. PMID: 37252927, PMCID: PMC10228774, DOI: 10.1371/journal.pone.0286364.Peer-Reviewed Original ResearchConceptsBreast cancer patientsSystolic heart failureCardiovascular outcomesCancer patientsHeart failureValvular diseaseStrain abnormalitiesLeft ventricular ejection fraction reductionCancer treatment-related cardiotoxicityCardiovascular magnetic resonance findingsVentricular ejection fraction reductionYale-New Haven HospitalEjection fraction reductionTreatment-related cardiotoxicityAdverse cardiovascular outcomesClinical risk factorsNormal LV functionGlobal longitudinal strainIschemic heart diseaseMagnetic resonance findingsRisk regression modelsNew Haven HospitalSubclinical cardiotoxicityDiastolic dysfunctionStatin use
2022
Major Adverse Limb Events Among Patients with Premature Peripheral Artery Disease Compared with Those at the Common Age Undergoing Revascularization in the Vascular Quality Initiative
Kim TI, Loh S, DeWan A, Murray M, Mojibian H, Mani A, Mena-Hurtado C, Ochoa Chaar CI. Major Adverse Limb Events Among Patients with Premature Peripheral Artery Disease Compared with Those at the Common Age Undergoing Revascularization in the Vascular Quality Initiative. Annals Of Vascular Surgery 2022, 87: 188-197. PMID: 35926786, DOI: 10.1016/j.avsg.2022.07.007.Peer-Reviewed Original ResearchConceptsMajor adverse limb eventsChronic limb-threatening ischemiaLower extremity revascularizationAdverse limb eventsVascular Quality InitiativePeripheral artery diseaseYears of ageCommon ageLimb eventsArtery diseaseOutcomes of patientsLimb-threatening ischemiaGroup of patientsInsulin-dependent diabetesProportional hazards regressionQuality InitiativeUndergoing revascularizationMedical optimizationCurrent smokersD diseaseExtremity revascularizationPatient agePatients 60Medical therapyHazards regressionThe Impact of Clinical Follow-Up After Revascularization on the Outcomes of Patients with Chronic Limb Threatening Ischemia
Kiwan G, Mohamedali A, Kim T, Zhuo H, Zhang Y, Mena-Hurtado C, Mojibian H, Cardella J, Ochoa Chaar CI. The Impact of Clinical Follow-Up After Revascularization on the Outcomes of Patients with Chronic Limb Threatening Ischemia. Annals Of Vascular Surgery 2022, 86: 286-294. PMID: 35803459, DOI: 10.1016/j.avsg.2022.05.043.Peer-Reviewed Original ResearchConceptsLower extremity revascularizationReintervention rateCompliant patientsNoncompliant patientsLimb amputationSingle-center retrospective chart reviewChronic limb threatening ischemiaOverall reintervention rateOutcomes of patientsLimb threatening ischemiaMajor amputation ratePeripheral arterial diseaseRetrospective chart reviewLong-term outcomesMajor limb amputationImpact of ClinicalSignificant differencesMajor amputationAmputation ratePerioperative outcomesBaseline characteristicsChart reviewExtremity revascularizationIschemia patientsMore reinterventions
2020
Outcomes of treatment with paclitaxel-coated devices for peripheral arterial disease
Kim TI, Kiwan G, Mohamedali A, Zhang Y, Mena-Hurtado C, Mojibian H, Guzman RJ, Ochoa Chaar CI. Outcomes of treatment with paclitaxel-coated devices for peripheral arterial disease. Journal Of Vascular Surgery 2020, 73: 911-917. PMID: 33038480, DOI: 10.1016/j.jvs.2020.08.146.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAmputation, SurgicalCardiovascular AgentsCoated Materials, BiocompatibleDrug-Eluting StentsEndovascular ProceduresFemaleHumansLimb SalvageMaleMiddle AgedPaclitaxelPeripheral Arterial DiseaseProsthesis DesignRetreatmentRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeVascular PatencyConceptsPaclitaxel-coated devicesPeripheral artery diseaseCause of mortalityPCD useRisk of mortalityCumulative doseFemoropopliteal peripheral artery diseaseKaplan-Meier survival curvesLong-term mortalityPeripheral arterial diseaseCox regression analysisDrug-coated balloonsOutcome of treatmentDrug-eluting stentsMajor amputationPrimary patencyReintervention rateArtery diseaseArterial diseaseRandomized trialsOpen surgeryPresent studySingle institutionEndovascular interventionPatients
2019
Natural history and management of Kommerell's diverticulum in a single tertiary referral center
Erben Y, Brownstein AJ, Velasquez CA, Li Y, Rizzo JA, Mojibian H, Tanweer M, Zafar MA, Ziganshin BA, Elefteriades JA. Natural history and management of Kommerell's diverticulum in a single tertiary referral center. Journal Of Vascular Surgery 2019, 71: 2004-2011. PMID: 31708305, DOI: 10.1016/j.jvs.2019.08.260.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAortaAortic RuptureAortographyCardiovascular AbnormalitiesComputed Tomography AngiographyConnecticutDatabases, FactualDisease ProgressionDiverticulumFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk FactorsSex FactorsSubclavian ArteryTertiary Care CentersTreatment OutcomeVascular MalformationsVascular Surgical ProceduresYoung AdultConceptsAberrant subclavian arteryKommerell's diverticulumNatural historyOperative interventionBack painCT scanChest/back painLeft aberrant subclavian arteryRight aberrant subclavian arterySingle tertiary referral centerRight-sided aortaSingle-center experienceTertiary referral centerDeep vein thrombosisSerial CT scansComputed tomography scanMultivariable regression analysisRare developmental abnormalityAsymptomatic patientsHemorrhagic transformationDistal emboliEndovascular repairIschemic strokeMost patientsReferral centerCosts 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 forcepsPatient perspectives on inferior vena cava filter retrieval
Aurshina A, Brahmandam A, Zhang Y, Yang Y, Mojibian H, Sarac T, Ochoa Chaar CI. Patient perspectives on inferior vena cava filter retrieval. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2019, 7: 507-513. PMID: 30850353, DOI: 10.1016/j.jvsv.2018.11.011.Peer-Reviewed Original ResearchMeSH KeywordsAdultClinical Decision-MakingComorbidityDevice RemovalDirect-to-Consumer AdvertisingFemaleHealth CommunicationHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPatient CompliancePatient Education as TopicPatientsPulmonary EmbolismRetrospective StudiesRisk FactorsSex FactorsVena Cava FiltersConceptsIVC filter placementMajority of patientsFilter placementIVC filtersPatient's perspectiveRetrospective single-center reviewSingle-center reviewLong-term complicationsPrimary care providersTelephone surveyInferior Vena Cava Filter Retrieval RatesInferior vena cava filter retrievalTeam of physiciansFilter retrieval ratesElectronic medical recordsTerms of demographicsHealth-related communicationPatient demographicsPatient characteristicsPatient factorsMedical recordsPatient awarenessVascular specialistsOverall retrieval rateLong-term effectsPrognostic and functional implications of left atrial late gadolinium enhancement cardiovascular magnetic resonance
Quail M, Grunseich K, Baldassarre LA, Mojibian H, Marieb MA, Cornfeld D, Soufer A, Sinusas AJ, Peters DC. Prognostic and functional implications of left atrial late gadolinium enhancement cardiovascular magnetic resonance. Journal Of Cardiovascular Magnetic Resonance 2019, 21: 2. PMID: 30602395, PMCID: PMC6317232, DOI: 10.1186/s12968-018-0514-3.Peer-Reviewed Original ResearchConceptsLA late gadolinium enhancementNew-onset atrial arrhythmiasLate gadolinium enhancementAtrial arrhythmiasAtrial late gadolinium enhancementLA functionAtrial fibrillationGadolinium enhancementCardiovascular magnetic resonance imagingNew atrial arrhythmiasPoor procedural outcomesLV diastolic functionLA ejection fractionVentricular mechanical functionCardiovascular magnetic resonanceMagnetic resonance imagingSeptal eDiastolic functionEjection fractionHazard ratioLA volumeProcedural outcomesPrognostic biomarkerCardiac diseasePrior history
2018
Natural history of aneurysmal aortic arch branch vessels in a single tertiary referral center
Brownstein AJ, Rajaee S, Erben Y, Li Y, Rizzo JA, Lyall V, Mojibian H, Ziganshin BA, Elefteriades JA. Natural history of aneurysmal aortic arch branch vessels in a single tertiary referral center. Journal Of Vascular Surgery 2018, 68: 1631-1639.e1. PMID: 29803680, DOI: 10.1016/j.jvs.2018.03.412.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAortic Aneurysm, ThoracicAortic RuptureAortographyBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationClinical Decision-MakingComputed Tomography AngiographyConnecticutDatabases, FactualDisease ProgressionEndovascular ProceduresFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsStentsTertiary Care CentersTime FactorsTreatment OutcomeWatchful WaitingYoung AdultConceptsAortic arch branch vesselsArch branch vesselsOperative repairNatural historyArtery aneurysmAortic aneurysmBranch vesselsCommon carotid artery aneurysmLeft subclavian artery aneurysmSingle tertiary referral centerSubclavian artery aneurysmTertiary referral centerCarotid artery aneurysmComputed tomography scanMultivariable regression analysisBenign natural historyCross-sectional imagingAortic operationsChest painOperative interventionPatient demographicsPostoperative hemorrhageReferral centerAortic dissectionRight subclavianNatural history and management of splanchnic artery aneurysms in a single tertiary referral center
Erben Y, Brownstein AJ, Rajaee S, Li Y, Rizzo JA, Mojibian H, Ziganshin BA, Elefteriades JA. Natural history and management of splanchnic artery aneurysms in a single tertiary referral center. Journal Of Vascular Surgery 2018, 68: 1079-1087. PMID: 29573962, DOI: 10.1016/j.jvs.2017.12.057.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal PainAdultAgedAged, 80 and overAneurysmAneurysm, RupturedAsymptomatic DiseasesCeliac ArteryClinical Decision-MakingComorbidityComputed Tomography AngiographyConnecticutDatabases, FactualDisease ProgressionEmbolization, TherapeuticFemaleHumansMaleMesenteric ArteriesMiddle AgedMultivariate AnalysisReferral and ConsultationRetrospective StudiesRisk FactorsSex FactorsSmokingSplenectomyTertiary Care CentersTime FactorsTreatment OutcomeVascular Surgical ProceduresConceptsSplanchnic artery aneurysmsOperative interventionArtery aneurysmAbdominal operationsEndovascular embolizationOpen abdominal surgical proceduresPostoperative acute kidney injurySingle tertiary referral centerNatural historyUnderwent operative interventionAcute kidney injuryMultisystem organ failureSevere abdominal painSingle-center experienceTertiary referral centerHistory of smokingPopulation of patientsAbdominal surgical proceduresAneurysm growth rateOpen abdominal operationsComputed tomography scanMultivariable regression analysisRisk of ruptureAbdominal painAsymptomatic patientsIncreased 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 LOSNatural history and management of renal artery aneurysms in a single tertiary referral center
Brownstein AJ, Erben Y, Rajaee S, Li Y, Rizzo JA, Mojibian H, Ziganshin BA, Elefteriades JA. Natural history and management of renal artery aneurysms in a single tertiary referral center. Journal Of Vascular Surgery 2018, 68: 137-144. PMID: 29398313, DOI: 10.1016/j.jvs.2017.10.086.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAneurysmClinical Decision-MakingComorbidityComputed Tomography AngiographyConnecticutDatabases, FactualDisease ProgressionEmbolization, TherapeuticFemaleFlank PainHumansHypertensionMaleMiddle AgedMultivariate AnalysisPostoperative ComplicationsRenal ArteryRetrospective StudiesRisk FactorsSex FactorsSmokingTime FactorsTreatment OutcomeVascular Surgical ProceduresWatchful WaitingConceptsRenal artery aneurysmBenign natural historyOperative repairRenal arteryNatural historyArtery aneurysmSingle tertiary referral centerMean overall diameterHistory of hypertensionRenal function changesSingle-center experienceTertiary referral centerProximal renal arteriesComputed tomography scanMultivariable regression analysisDistal renal arteryUncontrolled hypertensionAsymptomatic patientsFlank painPostoperative complicationsOpen resectionReferral centerSmoking historyRetrospective reviewAneurysm characteristics
2016
Simple Renal Cysts as Markers of Thoracic Aortic Disease
Ziganshin BA, Theodoropoulos P, Salloum MN, Zaza KJ, Tranquilli M, Mojibian HR, Dahl NK, Fang H, Rizzo JA, Elefteriades JA. Simple Renal Cysts as Markers of Thoracic Aortic Disease. Journal Of The American Heart Association 2016, 5: e002248. PMID: 26746998, PMCID: PMC4859353, DOI: 10.1161/jaha.115.002248.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge DistributionAgedAged, 80 and overAortic Aneurysm, ThoracicAortic DissectionAortographyConnecticutFemaleHumansKidney Diseases, CysticMagnetic Resonance AngiographyMaleMiddle AgedPrevalenceRetrospective StudiesRisk FactorsSex DistributionTomography, X-Ray ComputedYoung AdultConceptsPrevalence of SRCThoracic aortic diseaseSimple renal cystsAortic aneurysmAortic dissectionControl groupAortic diseaseRenal cystsPresence of SRCType B aortic dissectionAortic disease patientsType B dissectionAbdominal computed tomographyB aortic dissectionAbdominal aortic aneurysmMagnetic resonance imagingB dissectionMale predominanceDisease patientsSilent diseaseClinical markersComputed tomographyPatientsAneurysmsResonance imaging
2015
Atypical aortic arch branching variants: A novel marker for thoracic aortic disease
Dumfarth J, Chou AS, Ziganshin BA, Bhandari R, Peterss S, Tranquilli M, Mojibian H, Fang H, Rizzo JA, Elefteriades JA. Atypical aortic arch branching variants: A novel marker for thoracic aortic disease. Journal Of Thoracic And Cardiovascular Surgery 2015, 149: 1586-1592. PMID: 25802134, DOI: 10.1016/j.jtcvs.2015.02.019.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAneurysmAorta, ThoracicAortic DiseasesAortographyCardiovascular AbnormalitiesCase-Control StudiesConnecticutDeglutition DisordersFemaleHumansMaleMiddle AgedPredictive Value of TestsPrevalenceRisk FactorsSubclavian ArteryTime FactorsTomography, X-Ray ComputedVascular MalformationsVertebral ArteryConceptsThoracic aortic diseaseAberrant right subclavian arteryLeft vertebral arteryRight subclavian arteryBovine aortic archAortic arch variationsAortic archControl groupSubclavian arteryAortic diseaseVertebral arteryArch anatomyAortic branch variationsNormal arch anatomyBicuspid aortic valveHistorical control groupAortic arch variantsAortic arch anatomySignificant higher prevalenceChart reviewBranch patternAortic aneurysmAortic valveHigh prevalenceGeneral population
2010
Previous PICC Placement May Be Associated With Catheter-Related Infections in Hemodialysis Patients
Butler PJ, Sood S, Mojibian H, Tal MG. Previous PICC Placement May Be Associated With Catheter-Related Infections in Hemodialysis Patients. CardioVascular And Interventional Radiology 2010, 34: 120-123. PMID: 20857109, DOI: 10.1007/s00270-010-9974-z.Peer-Reviewed Original ResearchConceptsHemodialysis catheter placementPICC placementHemodialysis patientsVenous thrombosisCatheter placementPICC line useCatheter-related complicationsMethodsA retrospective reviewModifiable risk factorsCatheter-related infectionsNumber of cathetersResultsOne hundred eightyLarge university hospitalRadiologic recordsCentral cathetersRetrospective reviewVascular damageVascular accessUniversity HospitalRisk factorsImproved outcomesPatientsCatheterInfectionThrombosis
2008
Open thoracic or thoracoabdominal aortic aneurysm repair after previous abdominal aortic aneurysm surgery
Schlösser FJ, Mojibian H, Verhagen HJ, Moll FL, Muhs BE. Open thoracic or thoracoabdominal aortic aneurysm repair after previous abdominal aortic aneurysm surgery. Journal Of Vascular Surgery 2008, 48: 761-768. PMID: 18486428, DOI: 10.1016/j.jvs.2008.02.006.Peer-Reviewed Original ResearchConceptsThoracoabdominal aortic aneurysm repairAortic aneurysm repairAortic aneurysm surgeryThoracoabdominal aortic aneurysmsPrior AAA repairAbdominal aortic aneurysm surgeryThoracoabdominal aortic aneurysm surgeryAneurysm repairAAA surgerySignificant risk factorsAneurysm surgeryThoracic aortic aneurysmAortic aneurysmAAA repairRisk factorsRelative riskInfrarenal abdominal aortic aneurysm surgeryOpen thoracoabdominal aortic aneurysm repairThoracic aortic aneurysm repairThoracic aortic aneurysm surgeryDistal aortic perfusionIncidence of thoracicInfrarenal AAA surgeryVisceral ischemic timeAortic clamp time
2007
Increased aortic arch calcification in patients older than 75 years: Implications for carotid artery stenting in elderly patients
Bazan HA, Pradhan S, Mojibian H, Kyriakides T, Dardik A. Increased aortic arch calcification in patients older than 75 years: Implications for carotid artery stenting in elderly patients. Journal Of Vascular Surgery 2007, 46: 841-845. PMID: 17980267, DOI: 10.1016/j.jvs.2007.06.048.Peer-Reviewed Original ResearchConceptsAortic arch calcificationPatients 75 yearsAortic archArch calcificationElderly patientsCarotid arteryArch classificationPatient comorbiditiesYounger patientsTomography scanAortic arch typeHigher periprocedural riskMean calcium scoreRisk of embolizationComputed tomography scanAortic arch classificationCalcium contentType I aortic archPeriprocedural riskEffect of ageCalcium scoreConsecutive patientsMultiplanar image reconstructionConsecutive seriesThoracic aorta