2018
Outcomes of lower extremity bypass surgery in patients with renal transplants
Arhuidese I, Nejim B, Craig-Schapiro R, Rizwan M, Malas M. Outcomes of lower extremity bypass surgery in patients with renal transplants. Journal Of Vascular Surgery 2018, 68: 1833-1840.e2. PMID: 30470370, DOI: 10.1016/j.jvs.2017.12.086.Peer-Reviewed Original ResearchMeSH KeywordsAgedBioprosthesisBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationFemaleHumansKidney TransplantationLimb SalvageLower ExtremityMaleMiddle AgedPeripheral Arterial DiseasePostoperative ComplicationsRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeUnited StatesVascular PatencyVeinsConceptsOutcome of infrainguinal bypass surgeryInfrainguinal bypass surgeryPrimary assisted patencyRenal transplant patientsLong-term outcomesAssisted patencySecondary patencyTransplant patientsRenal transplantationProsthetic conduitLimb salvageBypass surgeryCohort of renal transplant patientsLower extremity bypass surgeryCox regression analysisEvaluate 30-dayMortality of patientsRisk-adjusted analysisUnited States Renal Data SystemPopulation-based cohortCritical limb ischemiaPopliteal-tibial bypassPrimary patencyRetrospective reviewAutogenous bypassAggressive 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
2017
Sex-based outcomes of lower extremity bypass surgery in hemodialysis patients
Arhuidese I, Kernodle A, Nejim B, Locham S, Hicks C, Malas M. Sex-based outcomes of lower extremity bypass surgery in hemodialysis patients. Journal Of Vascular Surgery 2017, 68: 153-160. PMID: 29276108, DOI: 10.1016/j.jvs.2017.10.063.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmputation, SurgicalBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationChi-Square DistributionClinical Decision-MakingDatabases, FactualDisease-Free SurvivalFemaleGraft Occlusion, VascularHumansKaplan-Meier EstimateKidney DiseasesLimb SalvageLogistic ModelsLower ExtremityMaleMiddle AgedMultivariate AnalysisOdds RatioPeripheral Arterial DiseaseProportional Hazards ModelsProsthesis DesignRenal DialysisRetrospective StudiesRisk FactorsSex FactorsTime FactorsTreatment OutcomeVascular PatencyVeinsConceptsAcute graft failureAutogenous conduitGraft failureProsthetic conduitBypass surgeryHemodialysis patientsAssociated with higher patencyLimb salvagePrimary assisted patencySex-based outcomesInfrainguinal bypass surgeryLower extremity bypass surgeryCox regression analysisPatient survival ratesRisk-adjusted analysisUnited States Renal Data SystemCritical limb ischemiaAssisted patencySecondary patencyConduit usePrimary patencySurgical outcomesNo significant differenceKaplan-MeierComparing patientsLong-term outcomes after autogenous versus synthetic lower extremity bypass in patients on hemodialysis
Arhuidese I, Hicks C, Locham S, Obeid T, Nejim B, Malas M. Long-term outcomes after autogenous versus synthetic lower extremity bypass in patients on hemodialysis. Surgery 2017, 162: 1071-1079. PMID: 28712733, DOI: 10.1016/j.surg.2017.04.026.Peer-Reviewed Original ResearchConceptsLong-term outcomesBypass operationProsthetic conduitHemodialysis patientsAutogenous conduitLimb salvageHigh-risk population of patientsEvaluate long-term outcomesCohort of hemodialysis patientsPrimary-assisted patencyFemoral-tibialType of bypassCox regression analysisLower extremity bypassPopulation of patientsUnited States Renal Data SystemHigh-risk populationPatient's life expectancyPopulation-based cohortCritical limb ischemiaPopliteal-tibial bypassSecondary patencyPrimary patencyConduit optionsPostoperative outcomes