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2. An International, Expert-Based Delphi Consensus Document on Controversial Issues about TransCarotid Artery Revascularization (TCAR)

Author

Paraskevas, Kosmas I., AbuRahma, Ali F., Abularrage, Christopher J., Clair, Daniel G., Eldrup-Jorgensen, Jens, Kashyap, Vikram S., Dardik, Alan, de Borst, Gert J., Dermody, Meghan, Faggioli, Gianluca, Hicks, Caitlin W., Kwolek, Christopher J., Lyden, Sean P., Mansilha, Armando, Van Herzeele, Isabelle, Myrcha, Piotr, Leal Lorenzo, Jose Ignacio, Jim, Jeffrey, Pini, Rodolfo, Secemsky, Eric A., Spinelli, Francesco, Capoccia, Laura, Stone, David H., Stoner, Michael C., Zeebregts, Clark J., Lal, Brajesh K., Schneider, Peter A., Malas, Mahmoud B., and Schermerhorn, Marc L.

Published
2025
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4. Racial Disparities Associated With Reinterventions After Elective Endovascular Aortic Aneurysm Repair

Author

Vervoort, Dominique, Canner, Joseph K, Haut, Elliott R, Black, James H, Abularrage, Christopher J, Zarkowsky, Devin S, Iannuzzi, James C, and Hicks, Caitlin W

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Cardiovascular, Clinical Research, Good Health and Well Being, Aged, Aortic Aneurysm, Abdominal, Blood Vessel Prosthesis Implantation, Elective Surgical Procedures, Endovascular Procedures, Female, Humans, Medicare, Retrospective Studies, Risk Factors, Treatment Outcome, United States, EVAR, Vascular surgery, Health services research, Surgery, Clinical sciences
Abstract

BackgroundThere are substantial racial and socioeconomic disparities underlying endovascular abdominal aortic aneurysm repair (EVAR) in the United States. To date, race-based variations in reinterventions following elective EVAR have not been studied. Here, we aim to examine racial disparities associated with reinterventions following elective EVAR in a real-world cohort.Materials and methodsWe used the Vascular Quality Initiative EVAR dataset to identify all patients undergoing elective EVAR between January 2009 and December 2018 in the United States. We compared the association of race with reinterventions after EVAR and all-cause mortality using Welch two-sample t-tests, multivariate logistic regression, and Cox proportional hazards analyses adjusting for baseline differences between groups.ResultsAt median follow-up of 1.1 ± 1.1 y (1.3 ± 1.4 y Black, 1.1 ± 1.1 y White; P = 0.02), a total of 1,164 of 42,481 patients (2.7%) underwent reintervention after elective EVAR, including 2.7% (n = 1,096) White versus 3.2% (n = 68) Black (P = 0.21). Black patients requiring reintervention were more frequently female, more frequently current or former smokers, and less frequently insured by Medicare/Medicaid (P < 0.05). After adjusting for baseline differences, the risk of reintervention after elective EVAR was significantly lower for Black versus White patients (HR 0.74, 95% CI 0.55-0.99; P = 0.04). All-cause mortality was comparable between groups (HR 0.81, 95% CI 0.33-2.00, P = 0.65).ConclusionsThere are significant differences between Black and White patients in the risk of reintervention after elective EVAR in the United States. The etiology of this difference deserves investigation.

Published
2021

8. Quantifying the risk-adjusted hospital costs of postoperative complications after lower extremity bypass in patients with claudication

Author

Sorber, Rebecca, Alshaikh, Husain N, Nejim, Besma, Abularrage, Christopher J, Black, James H, Malas, Mahmoud B, and Hicks, Caitlin W

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Cardiovascular, Clinical Research, Patient Safety, Evaluation of treatments and therapeutic interventions, 6.4 Surgery, Aged, Aged, 80 and over, Cost-Benefit Analysis, Databases, Factual, Elective Surgical Procedures, Female, Hospital Costs, Humans, Intermittent Claudication, Lower Extremity, Male, Middle Aged, Peripheral Arterial Disease, Postoperative Complications, Retrospective Studies, Risk Assessment, Risk Factors, Time Factors, Treatment Outcome, Vascular Grafting, Intermittent claudication, Lower extremity bypass, Postoperative complications, Premier Healthcare Database, Structured exercise therapy, Medical and Health Sciences, Cardiovascular System & Hematology, Cardiovascular medicine and haematology, Clinical sciences
Abstract

ObjectiveIncreasing evidence has shown that the risks associated with surgical revascularization for intermittent claudication outweigh the benefits. The aim of our study was to quantify the cost of care associated with perioperative complications after elective lower extremity bypass (LEB) in patients presenting with intermittent claudication.MethodsAll patients undergoing first-time LEB for claudication in the Healthcare Database (2009-2015) were included. The primary outcome was in-hospital postoperative complications, including major adverse limb events (MALE), major adverse cardiac events (MACE), acute kidney injury, and wound complications. The overall crude hospital costs are reported, and a generalized linear model with log link and inverse Gaussian distribution was used to calculate the predicted hospital costs for specific complications.ResultsOverall, 7154 patients had undergone elective LEB for claudication during the study period. The median age was 66 years (interquartile range, 59-73 years), 67.5% were male, and 75.3% were white. Two thirds of patients (61.2%) had Medicare insurance, followed by private insurance (26.9%), Medicaid (7.7%), and other insurance (4.2%). In-hospital complications occurred in 8.5% of patients, including acute kidney injury in 3.0%, MALE in 2.8%, wound complications in 2.3%, and MACE in 1.0%. The overall median crude hospital cost was $11,783 (interquartile range, $8911-$15,767) per patient. The incremental increase in cost associated with a postoperative complication was significant, ranging from $6183 (95% confidence interval, $4604-$7762) for MALE to $10,485 (95% confidence interval, $6529-$14,441) for MACE after risk adjustment.ConclusionsPostoperative complications after elective LEB for claudication are not uncommon and increase the in-hospital costs by 46% to 78% depending on the complication. Surgical revascularization for claudication should be used sparingly in carefully selected patients.

Published
2021

11. Managing central venous access during a health care crisis

Author

Chun, Tristen T, Judelson, Dejah R, Rigberg, David, Lawrence, Peter F, Cuff, Robert, Shalhub, Sherene, Wohlauer, Max, Abularrage, Christopher J, Anastasios, Papapetrou, Arya, Shipra, Aulivola, Bernadette, Baldwin, Melissa, Baril, Donald, Bechara, Carlos F, Beckerman, William E, Behrendt, Christian-Alexander, Benedetto, Filippo, Bennett, Lisa F, Charlton-Ouw, Kristofer M, Chawla, Amit, Chia, Matthew C, Cho, Sungsin, Choong, Andrew MTL, Chou, Elizabeth L, Christiana, Anastasiadou, Coscas, Raphael, De Caridi, Giovanni, Ellozy, Sharif, Etkin, Yana, Faries, Peter, Fung, Adrian T, Gonzalez, Andrew, Griffin, Claire L, Guidry, London, Gunawansa, Nalaka, Gwertzman, Gary, Han, Daniel K, Hicks, Caitlin W, Hinojosa, Carlos A, Hsiang, York, Ilonzo, Nicole, Jayakumar, Lalithapriya, Joh, Jin Hyun, Johnson, Adam P, Kabbani, Loay S, Keller, Melissa R, Khashram, Manar, Koleilat, Issam, Krueger, Bernard, Kumar, Akshay, Lee, Cheong Jun, Lee, Alice, Levy, Mark M, Lewis, C Taylor, Lind, Benjamin, Lopez-Pena, Gabriel, Mohebali, Jahan, Molnar, Robert G, Morrissey, Nicholas J, Motaganahalli, Raghu L, Mouawad, Nicolas J, Newton, Daniel H, Ng, Jun Jie, O'Banion, Leigh Ann, Phair, John, Rancic, Zoran, Rao, Ajit, Ray, Hunter M, Rivera, Aksim G, Rodriguez, Limael, Sales, Clifford M, Salzman, Garrett, Sarfati, Mark, Savlania, Ajay, Schanzer, Andres, Sharafuddin, Mel J, Sheahan, Malachi, Siada, Sammy, Siracuse, Jeffrey J, Smith, Brigitte K, Smith, Matthew, Soh, Ina, Sorber, Rebecca, Sundaram, Varuna, Sundick, Scott, Tomita, Tadaki M, Trinidad, Bradley, Tsai, Shirling, Vouyouka, Ageliki G, Westin, Gregory G, Williams, Michael S, Wren, Sherry M, Yang, Jane K, Yi, Jeniann, Zhou, Wei, Zia, Saqib, and Woo, Karen

Subjects
Patient Safety, Clinical Research, Health Services, Health and social care services research, 8.1 Organisation and delivery of services, Generic health relevance, Good Health and Well Being, Betacoronavirus, COVID-19, Catheterization, Central Venous, Coronavirus Infections, Cross-Sectional Studies, Delivery of Health Care, Integrated, Health Care Surveys, Health Services Needs and Demand, Host-Pathogen Interactions, Humans, Iatrogenic Disease, Infection Control, Pandemics, Pneumonia, Viral, Risk Assessment, Risk Factors, SARS-CoV-2, Central venous access, Central line teams, Iatrogenic injuries, Medical and Health Sciences, Cardiovascular System & Hematology
Abstract

ObjectiveDuring the COVID-19 pandemic, central venous access line teams were implemented at many hospitals throughout the world to provide access for critically ill patients. The objective of this study was to describe the structure, practice patterns, and outcomes of these vascular access teams during the COVID-19 pandemic.MethodsWe conducted a cross-sectional, self-reported study of central venous access line teams in hospitals afflicted with the COVID-19 pandemic. To participate in the study, hospitals were required to meet one of the following criteria: development of a formal plan for a central venous access line team during the pandemic; implementation of a central venous access line team during the pandemic; placement of central venous access by a designated practice group during the pandemic as part of routine clinical practice; or management of an iatrogenic complication related to central venous access in a patient with COVID-19.ResultsParticipants from 60 hospitals in 13 countries contributed data to the study. Central venous line teams were most commonly composed of vascular surgery and general surgery attending physicians and trainees. Twenty sites had 2657 lines placed by their central venous access line team or designated practice group. During that time, there were 11 (0.4%) iatrogenic complications associated with central venous access procedures performed by the line team or group at those 20 sites. Triple lumen catheters, Cordis (Santa Clara, Calif) catheters, and nontunneled hemodialysis catheters were the most common types of central venous lines placed by the teams. Eight (14%) sites reported experience in placing central venous lines in prone, ventilated patients with COVID-19. A dedicated line cart was used by 35 (59%) of the hospitals. Less than 50% (24 [41%]) of the participating sites reported managing thrombosed central lines in COVID-19 patients. Twenty-three of the sites managed 48 iatrogenic complications in patients with COVID-19 (including complications caused by providers outside of the line team or designated practice group).ConclusionsImplementation of a dedicated central venous access line team during a pandemic or other health care crisis is a way by which physicians trained in central venous access can contribute their expertise to a stressed health care system. A line team composed of physicians with vascular skill sets provides relief to resource-constrained intensive care unit, ward, and emergency medicine teams with a low rate of iatrogenic complications relative to historical reports. We recommend that a plan for central venous access line team implementation be in place for future health care crises.

Published
2020

43. Automatic 1-year follow-up appointment creation and reminders can improve long-term follow-up after carotid revascularization

Author

Stonko, David P., primary, Mohammed, Shira, additional, Skojec, Diane, additional, Rutkowski, Joanna, additional, Call, Diana, additional, Verdi, Katherine G., additional, Tsai, Lillian L., additional, Black, James H., additional, Perler, Bruce A., additional, Abularrage, Christopher J., additional, Lum, Ying Wei, additional, Salameh, Maya J., additional, and Hicks, Caitlin W., additional

Published
2023
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45. Corrigendum: Implementation of a patient-centered remote wound monitoring system for management of diabetic foot ulcers

Author

Keegan, Alana C., primary, Bose, Sanuja, additional, McDermott, Katherine M., additional, Starks White, Midori P., additional, Stonko, David P., additional, Jeddah, Danielle, additional, Lev-Ari, Eilat, additional, Rutkowski, Joanna, additional, Sherman, Ronald, additional, Abularrage, Christopher J., additional, Selvin, Elizabeth, additional, and Hicks, Caitlin W., additional

Published
2023
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48. Implementation of a patient-centered remote wound monitoring system for management of diabetic foot ulcers

Author

Keegan, Alana C., primary, Bose, Sanuja, additional, McDermott, Katherine M., additional, Starks White, Midori P., additional, Stonko, David P., additional, Jeddah, Danielle, additional, Lev-Ari, Eilat, additional, Rutkowski, Joanna, additional, Sherman, Ronald, additional, Abularrage, Christopher J., additional, Selvin, Elizabeth, additional, and Hicks, Caitlin W., additional

Published
2023
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50. Development and validation of a prediction model for outcomes after transaxillary first rib resection for neurogenic thoracic outlet syndrome following strict Society for Vascular Surgery diagnostic criteria

Author

Ochuba, Arinze J., primary, Mallela, Deepthi P., additional, Feghali, James, additional, Lubelski, Daniel, additional, Belzberg, Allan J., additional, Hicks, Caitlin W., additional, Abularrage, Christopher J., additional, and Lum, Ying Wei, additional

Published
2023
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