2018
Infrainguinal bypass surgery outcomes are worse in hemodialysis patients compared with patients with renal transplants
Arhuidese I, Nejim B, Locham S, Malas M. Infrainguinal bypass surgery outcomes are worse in hemodialysis patients compared with patients with renal transplants. Journal Of Vascular Surgery 2018, 69: 850-856. PMID: 30583904, DOI: 10.1016/j.jvs.2018.05.252.Peer-Reviewed Original ResearchMeSH KeywordsAgedBlood Vessel Prosthesis ImplantationDatabases, FactualFemaleHumansKidney Failure, ChronicKidney TransplantationLimb SalvageLower ExtremityMaleMiddle AgedPeripheral Arterial DiseasePostoperative ComplicationsRenal DialysisRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeUnited StatesVascular PatencyConceptsInfrainguinal bypass surgeryRenal transplantationRT patientsPatient survivalOutcome of infrainguinal bypass surgeryHD patientsBenefits of renal transplantationLimb salvageEnd-stage renal diseaseCox regression analysisLong-term outcomesEvaluate 30-dayRisk-adjusted analysisPopulation-based cohortCritical limb ischemiaU.S. Renal Data SystemRetrospective reviewBypass surgeryKaplan-MeierSurgery outcomesPatient-level riskRenal diseaseHemodialysis patientsLimb ischemiaPatientsAggressive 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
2016
Outcomes after open infrainguinal bypass in patients with scleroderma
Arhuidese I, Malas M, Obeid T, Massada K, Khaled A, Alzahrani A, Samaha G, Reifsnyder T. Outcomes after open infrainguinal bypass in patients with scleroderma. Journal Of Vascular Surgery 2016, 64: 117-123. PMID: 27005756, DOI: 10.1016/j.jvs.2015.12.057.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAutograftsBaltimoreCritical IllnessFemaleGraft SurvivalHumansIschemiaKaplan-Meier EstimateLimb SalvageLower ExtremityMaleMiddle AgedMultivariate AnalysisPeripheral Arterial DiseaseProportional Hazards ModelsRetrospective StudiesRisk FactorsSaphenous VeinScleroderma, SystemicSeverity of Illness IndexTime FactorsTreatment OutcomeVascular GraftingVascular PatencyConceptsInfrainguinal bypass surgeryLong-term outcomesBypass surgerySystemic sclerosisGraft failureSociety for Vascular Surgery standardsScleroderma patientsArtery diseaseFollow-up durationStandard deviation ageCox regression analysisSevere peripheral arterial diseaseHistory of hypertensionLower extremity bypassCoronary artery diseaseLimb salvage rateCritical limb ischemiaPeripheral arterial diseaseDeviation ageReporting of outcomesKaplan-MeierPoor outcomeSalvage rateInfrainguinal bypassLimb ischemia
2015
Contemporary Outcomes for Open Infrainguinal Bypass in the Endovascular Era
Reifsnyder T, Arhuidese I, Hicks C, Obeid T, Massada K, Khaled A, Qazi U, Malas M. Contemporary Outcomes for Open Infrainguinal Bypass in the Endovascular Era. Annals Of Vascular Surgery 2015, 30: 52-58. PMID: 26549809, DOI: 10.1016/j.avsg.2015.10.003.Peer-Reviewed Original ResearchConceptsPeripheral arterial diseaseInfrainguinal bypassLimb salvage rateCritical limb ischemiaGraft failureVein conduitSociety for Vascular Surgery standardsSalvage ratePredictors of graft failureLimb ischemiaAutogenous vein conduitPrimary-assisted patencySymptomatic peripheral arterial diseaseCohort of patientsMonitoring of high-risk groupsCox regression analysisLong-term outcomesSixty-five casesHigh-risk groupManagement of comorbiditiesLower-extremity revascularizationPrimary patencySecondary patencyRedo bypassAutogenous vein grafts
2014
Design of the Revascularization With Open Bypass vs Angioplasty and Stenting of the Lower Extremity Trial (ROBUST): A Randomized Clinical Trial
Malas M, Qazi U, Glebova N, Arhuidese I, Reifsnyder T, Black J, Perler B, Freischlag J. Design of the Revascularization With Open Bypass vs Angioplasty and Stenting of the Lower Extremity Trial (ROBUST): A Randomized Clinical Trial. JAMA Surgery 2014, 149: 1289-1295. PMID: 25353642, DOI: 10.1001/jamasurg.2014.369.Peer-Reviewed Original ResearchConceptsReduce health care costsRandomized clinical trialsOpen bypassPercutaneous transluminal angioplastyCritical limb ischemiaHospital admission costsQuality-of-life questionnaireHealth care costsAnkle brachial indexQuality of lifeImprovement of quality of lifeEXTREME trialClinical trialsTransluminal angioplastyLimb ischemiaAmputation-free survivalTransAtlantic Inter-Society ConsensusCare costsRobust trialsFemoropopliteal bypassTASC II BSecondary aimAdmission costsBrachial indexSuperficial femoral artery lesions