2020
Hemodynamic events during carotid stenting are associated with significant periprocedural stroke and adverse events
Arhuidese I, Ottinger M, Shukla A, Moudgil N, Armstrong P, Illig K, Johnson B, Shames M. Hemodynamic events during carotid stenting are associated with significant periprocedural stroke and adverse events. Journal Of Vascular Surgery 2020, 71: 1941-1953.e1. PMID: 32085961, DOI: 10.1016/j.jvs.2019.05.056.Peer-Reviewed Original ResearchConceptsPeriprocedural strokePeriprocedural hypertensionHemodynamic eventsLength of stayCarotid symptomsPreprocedure medicationsMyocardial infarctionAngiotensin-converting enzyme inhibitorsCox regression analysisSymptomatic carotid diseaseVascular Quality InitiativePopulation-based cohortAssociated with significant increasesSusceptible patientsPeriprocedural outcomesBeta-blockersAdverse eventsKaplan-MeierComparing patientsCAS proceduresPeriprocedural hypotensionCardiac diseaseCarotid angioplastyCarotid stentingCarotid disease
2018
Comparing the efficacy of shunting approaches and cerebral monitoring during carotid endarterectomy using a national database
Wiske C, Arhuidese I, Malas M, Patterson R. Comparing the efficacy of shunting approaches and cerebral monitoring during carotid endarterectomy using a national database. Journal Of Vascular Surgery 2018, 68: 416-425. PMID: 29571621, DOI: 10.1016/j.jvs.2017.11.077.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overBlood Pressure DeterminationCarotid Artery DiseasesCerebrovascular CirculationChi-Square DistributionDatabases, FactualElectroencephalographyEndarterectomy, CarotidFemaleHospital MortalityHumansIntraoperative Neurophysiological MonitoringLength of StayLogistic ModelsMaleMonitoring, IntraoperativeMultivariate AnalysisOdds RatioPractice Patterns, Physicians'Retrospective StudiesRisk FactorsStrokeSurgeonsTime FactorsTreatment OutcomeUnited StatesConceptsRate of in-hospital deathIn-hospital deathShunt groupPractice patternsRoutine shuntingCerebral monitoringReturn to the operating roomRisk factorsPostoperative length of stayVascular Quality Initiative databaseShorter postoperative length of stayPressure monitoringVascular Quality Initiative registryMultivariate logistic regression modelCerebral monitoring techniquesRisk-adjusted analysisPatient risk factorsMonitoring groupLow-frequency outcomesRate of strokeNational databaseLength of stayConcomitant proceduresSurgical approachRe-exploration
2016
Perioperative Outcomes of Thoracic Outlet Syndrome Surgical Repair in a Nationally Validated Database
Nejim B, Alshaikh H, Arhuidese I, Obeid T, Lum Y, Canner J, Locham S, Malas M. Perioperative Outcomes of Thoracic Outlet Syndrome Surgical Repair in a Nationally Validated Database. Angiology 2016, 68: 502-507. PMID: 28537129, DOI: 10.1177/0003319716677666.Peer-Reviewed Original ResearchConceptsThoracic outlet syndromeArterial TOSVenous TOSNeurogenic TOSAmerican College of Surgeons National Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseMedian in-hospital stayThoracic outlet syndrome typesVenous thoracic outlet syndromeTreatment of thoracic outlet syndromeNeurogenic thoracic outlet syndromeArterial thoracic outlet syndromeQuality Improvement Program databaseRib resection surgeryMedian operative timeIn-hospital stayNationally validated databasePropensity score matchingPerioperative outcomesSurgical repairPostoperative outcomesResection surgeryProgram databaseOperative time