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https://www.readbyqxmd.com/read/27005753/endoscopic-vein-harvest-does-not-negatively-affect-patency-of-great-saphenous-vein-lower-extremity-bypass
#1
Sikandar Z Khan, Mariel Rivero, Brian McCraith, Linda M Harris, Maciej L Dryjski, Hasan H Dosluoglu
OBJECTIVE: Although endoscopic vein harvest (EVH) has been reported to reduce the morbidity and length of stay compared with open vein harvest (OVH) for infrainguinal bypass procedures, there have been concerns about decreased graft patency and increased rates of reinterventions with EVH compared with OVH. We started using EVH in 2008, and currently it is our preferred approach. The goal of this study was to see if EVH is comparable to OVH in terms of graft patency and limb salvage and associated with fewer wound complications...
June 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27005751/poorer-limb-salvage-in-african-american-men-with-chronic-limb-ischemia-is-due-to-advanced-clinical-stage-and-higher-anatomic-complexity-at-presentation
#2
Mariel Rivero, Nader D Nader, Raphael Blochle, Linda M Harris, Maciej L Dryjski, Hasan H Dosluoglu
OBJECTIVE: African Americans (AAs) with symptomatic peripheral arterial disease (PAD) have been reported to have fewer revascularization attempts and poorer patency and limb salvage (LS) rates than Caucasians (CAUs). This study compared the outcomes between AA and CAU men with chronic limb ischemia. METHODS: All AA and CAU men who underwent treatment for symptomatic PAD between November 1, 2003, and May 31, 2012, were included. Patency rates, LS, major adverse cardiovascular and limb events, amputation-free survival, and survival were compared before and after propensity score matching and with multivariate (Cox regression) analysis...
May 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/26086512/the-effect-of-adding-functional-classification-to-asa-status-for-predicting-30-day-mortality
#3
Ognjen Visnjevac, Sina Davari-Farid, Jun Lee, Leili Pourafkari, Pradeep Arora, Hasan H Dosluoglu, Nader D Nader
BACKGROUND: The functional capacity to perform the activities of daily living is identified as an independent predictor of perioperative mortality but is not formally incorporated in the American Society of Anesthesiologists (ASA) classification. Our primary objective was to assess whether functional capacity is an independent predictor of 30-day and long-term mortality in a general population and, if so, to define how it may formally be incorporated into the routine preoperative ASA classification assessment...
July 2015: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/26070606/potential-clinical-feasibility-and-financial-impact-of-same-day-discharge-in-patients-undergoing-endovascular-aortic-repair-for-elective-infrarenal-aortic-aneurysm
#4
Vincent P Moscato, Monica S O'Brien-Irr, Maciej L Dryjski, Hasan H Dosluoglu, Gregory S Cherr, Linda M Harris
OBJECTIVE: The purpose of this study was to evaluate the potential feasibility and financial impact of same-day discharge after elective endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm. METHODS: All elective EVARs performed between January 2012 and June 2013 were identified. Demographics, comorbidities, complications, nursing care, financial data, and length of stay were analyzed. RESULTS: Sixty-seven (73%) EVARs were performed electively, 73% percutaneously...
October 2015: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/25499712/the-effect-of-acute-kidney-injury-after-revascularization-on-the-development-of-chronic-kidney-disease-and-mortality-in-patients-with-chronic-limb-ischemia
#5
Pradeep Arora, Sina Davari-Farid, Leili Pourafkari, Anu Gupta, Hasan H Dosluoglu, Nader D Nader
OBJECTIVE: This study examined the effect of perioperative acute kidney injury (AKI) on long-term kidney dysfunction and death after lower extremity revascularization. Perioperative AKI is commonly seen in the form of mild rises of serum creatinine after major cardiovascular surgeries. Its effect on long-term survival and development of chronic kidney disease (CKD) is well established in cardiac surgery patients. However, there are no data on the effect of AKI on long-term outcomes after revascularization for lower limb ischemia...
March 2015: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/25457253/the-validity-of-the-va-surgical-risk-tool-in-predicting-postoperative-mortality-among-octogenarians
#6
Ata H Afshar, Navyugjit Virk, Jahan Porhomayon, Leili Pourafkari, Hasan H Dosluoglu, Nader D Nader
BACKGROUND: To examine the validity of Veterans Affair-VA risk assessment tool in predicting the perioperative and overall mortality among octogenarians. METHODS: This is a single-institution retrospective observational study, in which the clinical information of 1,618 octogenarians were extracted from the VA Surgical Quality Improvement Program database. VA risk assessment tool and ASA classification were used to predict the probability of postoperative mortality and morbidity...
February 2015: American Journal of Surgery
https://www.readbyqxmd.com/read/25221962/the-role-of-perioperative-transfusion-on-long-term-survival-of-veterans-undergoing-surgery
#7
Jun Lee, Vlad Radulescue, Jahan Porhomayon, Leili Pourafkari, Pradeep Arora, Hasan H Dosluoglu, Nader D Nader
OBJECTIVE: To examine the influence of perioperative blood transfusions on perioperative outcomes and late survival. BACKGROUND: Perioperative blood transfusion has been reported to have a negative impact on perioperative morbidity but its long-term effect on survival is unknown. The purpose of this study was to evaluate the effects of perioperative transfusion on perioperative outcomes and survival. METHODS: We studied 12,345 surgical procedures from Veteran Administration Surgical Quality Improvement Program database from July 1998 through 2010...
January 2015: Annals of Surgery
https://www.readbyqxmd.com/read/24829310/statin-use-is-associated-with-improved-overall-survival-without-affecting-patency-and-limb-salvage-rates-following-open-or-endovascular-revascularization
#8
Hasan H Dosluoglu, Sina Davari-Farid, Leili Pourafkari, Linda M Harris, Nader D Nader
The aim of the study was to determine statin drug association with patency, limb salvage rates and survival after revascularization in patients with chronic limb ischemia. We retrospectively reviewed all patients who underwent revascularization for intermittent claudication or critical limb ischemia between 05/2001 and 12/2009. Patients were grouped based on statin therapy at the time of revascularization. Early postoperative outcomes as well as patency, limb salvage, and survival rates were compared between groups...
April 2014: Vascular Medicine
https://www.readbyqxmd.com/read/24789693/functional-capacity-as-a-significant-independent-predictor-of-postoperative-mortality-for-octogenarian-asa-iii-patients
#9
Ognjen Visnjevac, Jun Lee, Leili Pourafkari, Hasan H Dosluoglu, Nader D Nader
BACKGROUND: The American Society of Anesthesiology's (ASA) 6-point physical status classification remains one of the most significant predictors of perioperative morbidity and mortality and is the most widely used risk stratification tool worldwide. Its utility is significantly limited for octogenarians, however, as the majority of these patients are classified as ASA-III. Thus, for patients aged 80 or older, we hypothesized that incorporating patients' functional status, defined by the ability to perform activities of daily living independently, would improve perioperative risk stratification...
October 2014: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/23978571/ambulatory-percutaneous-endovascular-abdominal-aortic-aneurysm-repair
#10
Hasan H Dosluoglu, Purandath Lall, Raphael Blochle, Linda M Harris, Maciej L Dryjski
OBJECTIVE: Percutaneous endovascular abdominal aortic aneurysm repair (PEVAR) has been associated with fewer groin wound complications and shorter operative times, but same-day discharge (SDD) has not been reported. The goal of our article is to assess the feasibility and safety of ambulatory PEVAR and identify patient characteristics that are eligible for this approach. METHODS: Consecutive patients who underwent elective endovascular abdominal aortic aneurysm repair (EVAR) between March 2011 and December 2012 were reviewed...
January 2014: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/23738505/low-levels-of-high-density-lipoproteins-are-associated-with-acute-kidney-injury-following-revascularization-for-chronic-limb-ischemia
#11
Pradeep Arora, Sina Davari-Farid, Matthew P Gannon, James W Lohr, Hasan H Dosluoglu, Nader D Nader
OBJECTIVES: Perioperative acute kidney injury (AKI) is not uncommon, following revascularization. HDL has been shown to reduce organ injury in animal models. The aim of the study is to examine the association of HDL on AKI in patients undergoing revascularization for chronic limb ischemia. METHODS: All patients who underwent revascularization between June 2001 and December 2009 were analyzed. Patients on dialysis and with incomplete data were excluded. Patients were grouped for HDL < or ≥40 mg/dL...
July 2013: Renal Failure
https://www.readbyqxmd.com/read/23683380/clinical-presentation-and-outcome-after-failed-infrainguinal-endovascular-and-open-revascularization-in-patients-with-chronic-limb-ischemia
#12
COMPARATIVE STUDY
Hasan H Dosluoglu, Purandath Lall, Raphael Blochle, Linda M Harris, Maciej L Dryjski
OBJECTIVE: Failure of prior endovascular (EV) interventions for chronic limb ischemia has been reported to negatively affect patency and limb salvage after subsequent revascularization procedures. The goal of our study was to compare the clinical presentation of patients who failed infrainguinal EV and open revascularizations (OR) and the effect of the initial intervention on final outcomes. METHODS: From June 2001 to October 2010, 216 patients (237 limbs; 66 disabling claudication [DC], 171 critical limb ischemia [CLI]) presented with failed infrainguinal OR or EV revascularization for chronic limb ischemia...
July 2013: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/23391086/commentary-endovascular-therapy-should-be-the-first-line-of-treatment-in-patients-with-severe-tasc-ii-c-or-d-aortoiliac-occlusive-disease
#13
COMMENT
Hasan H Dosluoglu
No abstract text is available yet for this article.
February 2013: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/23332311/commentary-on-abo-blood-type-does-not-influence-the-risk-of-cardiovascular-complications-and-mortality-after-vascular-surgery
#14
COMMENT
H H Dosluoglu, N D Nader
No abstract text is available yet for this article.
March 2013: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/22901510/procedural-trends-in-the-treatment-of-peripheral-arterial-disease-by-insurer-status-in-new-york-state
#15
Monica S O'Brien-Irr, Linda M Harris, Hasan H Dosluoglu, Maciej L Dryjski
BACKGROUND: Type or lack of insurance may affect access to care, treatment, and outcomes. We evaluated trends for surgical management of all peripheral arterial disease (PAD) in-hospital admissions by insurer status in New York State. STUDY DESIGN: Statewide Planning and Research Cooperative System (SPARCS) data were obtained and cross-referenced for diagnostic and procedure codes. Data from 2001 to 2002 were averaged and used as a baseline. Change in indication, volume of admissions, procedures, and amputations were calculated for the years 2003 to 2008 and were analyzed by insurer status...
September 2012: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/22560307/long-term-limb-salvage-and-survival-after-endovascular-and-open-revascularization-for-critical-limb-ischemia-after-adoption-of-endovascular-first-approach-by-vascular-surgeons
#16
Hasan H Dosluoglu, Purandath Lall, Linda M Harris, Maciej L Dryjski
OBJECTIVE: The adoption of endovascular interventions has been reported to lower amputation rates, but patients who undergo endovascular and open revascularization are not directly comparable. We have adopted an endovascular-first approach but individualize the revascularization technique according to patient characteristics. This study compared characteristics of patients who had endovascular and open procedures and assessed the long-term outcomes. METHODS: From December 2002 to September 2010, 433 patients underwent infrainguinal revascularization for critical limb ischemia (CLI; Rutherford IV-VI) of 514 limbs (endovascular: 295 patients, 363 limbs; open: 138 patients, 151 limbs)...
August 2012: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/22429984/commentary-on-selection-thirty-day-outcome-and-costs-for-short-stay-endovascular-aortic-aneurysm-repair-sevar
#17
COMMENT
H H Dosluoglu, M L Dryjski
No abstract text is available yet for this article.
June 2012: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/21992638/a-new-approach-to-treating-infected-vascular-reconstructions-the-hybrid-endovac-technique
#18
EDITORIAL
Maciej Dryjski, Hasan H Dosluoglu
No abstract text is available yet for this article.
October 2011: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/21894138/infrainguinal-disease-treatment-to-stent-or-not-to-stent
#19
REVIEW
H Dosluoglu, P Lall
Infrainguinal endovascular interventions have increasingly played a central role in relieving symptoms of claudication and limb salvage over the last decade. Multiple modalities currently exist for treating these arteries; however, balloon angioplasty with or without stenting still remains the most commonly used technique. Despite the concerns regarding the use of stents with stent fractures and in-stent restenosis, there is increased evidence from randomized and non-randomized studies that use of nitinol stents improves patency rates in most patients with >5 cm long lesions...
October 2011: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/21592825/comments-regarding-influence-of-use-of-a-vascular-closure-device-on-incidence-and-surgical-management-of-access-sites-complications-after-percutaneous-interventions
#20
COMMENT
H H Dosluoglu
No abstract text is available yet for this article.
August 2011: European Journal of Vascular and Endovascular Surgery
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