A5044910619- Peripheral Artery Disease Management
- Cerebrovascular and Carotid Artery Diseases
- Aortic aneurysm repair treatments
- Frailty in Older Adults
- Health Systems, Economic Evaluations, Quality of Life
- Acute Ischemic Stroke Management
- Vascular Procedures and Complications
- Renal and Vascular Pathologies
- Oropharyngeal Anatomy and Pathologies
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiovascular Health and Disease Prevention
- Abdominal vascular conditions and treatments
- Diabetic Foot Ulcer Assessment and Management
- Aortic Disease and Treatment Approaches
- Atherosclerosis and Cardiovascular Diseases
- Chemokine receptors and signaling
- Body Composition Measurement Techniques
- Cardiovascular Effects of Exercise
- Peripheral Nerve Disorders
- Cardiac Arrest and Resuscitation
- Abdominal Trauma and Injuries
- Vector-borne infectious diseases
- Rabies epidemiology and control
- Blood Pressure and Hypertension Studies
- Mechanical Circulatory Support Devices
University of Kansas Medical Center
2017-2025
University of Kansas
2003-2024
Washington University in St. Louis
2002-2003
Over the last decade, there has been a significant increase in use of percutaneous left ventricular assist devices(p-LVADs). p-LVADs are being increasingly used during complex coronary interventions and for acute cardiogenic shock. These large bore devices have higher risk vascular complications. We examined complication rates from p-LVAD national database.We conducted secondary analysis National In-patient Sample (NIS) dataset 2005 till 2015. ICD-9-CM procedure codes 37.68 37.62 placement...
Background: Peripheral artery disease (PAD) and end-stage kidney (ESKD) are independent risk factors affecting outcomes like in-hospital mortality. The role of a frailty index in prognosticating patients with ESKD PAD is unknown. We aim to assess the prognostic value Hospital Frailty Risk Score (HFRS) its association these patients. Methods: identified using data from United States Renal Data System (USRDS) for years 2015–2018. These were stratified into three categories based on their HFRS,...
Background The impact of medical record-based frailty assessment on clinical outcomes in patients undergoing revascularization for critical limb-threatening ischemia (CLTI) is unknown. Methods and Results This study included with CLTI aged ≥18 years from the nationwide readmissions database 2016 to 2018 who underwent endovascular (ER) or surgical (SR). hospital risk score, a previously validated International Classification Diseases, Tenth Edition, Clinical Modification (ICD-10-CM)...
Background End‐stage kidney disease (ESKD) is commonly associated with critical limb‐threatening ischemia (CLTI) and frailty. Yet there are no specific tools to predict outcomes of CLTI in ESKD, particularly those that incorporate We aimed assess the utility medical record–based Hospital Frailty Risk (HFR) score predicting ESKD. Methods Results identified patients ESKD diagnosed from US Renal Data System 2015 2018. These were categorized into 3 frailty risk groups on basis their HFR scores:...
Trauma-related celiac artery injuries are a rare and life-threatening pathology that often requires urgent multidisciplinary care. Rarer still cases of avulsion in the setting blunt trauma. There is little literature describing such injury patterns. The farthest-reaching case series by Kronich et al. 2017, which compiles eleven cases. majority these were incomplete intimal only appreciated on admission imaging. A further review reveals five full avulsions Management varied dramatically among...
Objectives There is paucity of information regarding critical limb ischemia-related readmission rates in patients admitted with ischemia. We studied 30-day rate, its predictors, and clinical outcomes using a nationwide real-world dataset. Methods did secondary analysis the 2013 Nationwide Readmissions Database. included all primary diagnosis extremity rest pain, ulceration, gangrene to peripheral arterial disease. From this group, readmitted similar within 30 days were recorded. Results Of...
Infections from Coxiella burnetii, resulting in what is known as Q fever, are relatively rare and difficult to diagnose. Very few reports of spinal infection C. burnetii have been reported rarely these cases required surgical intervention.We report a patient with the previous vascular surgery fever osteomyelitis. Previously involvement described initial grafts proximity spine. Literature on only one case that intervention We L5-S1 diskitis who subsequent percutaneous drainage.Spinal...
Objectives To evaluate safety, feasibility, and benefit of cardiac rehabilitation (CR) in patients with peripheral arterial disease (PAD) who undergo revascularization. Methods We conducted a prospective, non-randomized, pilot study to assess the CR PAD after revascularization compared standard care (controls). feasibility was assessed by ability complete 36 sessions. Safety defined as absence adverse cardiovascular events during CR. Quality life (QoL) assessment performed using SF-36 form...
BackgroundPatients with peripheral artery disease (PAD) and end stage kidney (ESKD) are a high-risk population, concomitant atherosclerosis in coronary arteries (CAD) or cerebral (CVD) is common.ObjectivesThe aim of the study was to assess long-term outcomes PAD impact coexistent CAD CVD on outcomes.MethodsThe United States Renal Data System used identify patients within 6 months incident dialysis. Four groups were formed: alone, CAD, CVD, CVD. PAD-specific (chronic limb-threatening...
There is a paucity of data regarding six-month readmissions in critical limb ischemia patients and the influence management strategy during index-admission [endovascular, surgical, hybrid procedure, medical therapy, amputation]. We aimed to investigate incidence, predictors, impact strategies on readmission with ischemia.A secondary analysis Nationwide Readmissions Database (2016-2017) was conducted. Propensity score matching performed for subgroup analysis.We identified 50,058 primary...