A5082395439- Peripheral Artery Disease Management
- Vascular Procedures and Complications
- Aortic aneurysm repair treatments
- Diagnosis and Treatment of Venous Diseases
- Central Venous Catheters and Hemodialysis
- Photoacoustic and Ultrasonic Imaging
- Health Systems, Economic Evaluations, Quality of Life
- Vascular anomalies and interventions
- Hospital Admissions and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Diversity and Career in Medicine
- Coronary Interventions and Diagnostics
- Intracranial Aneurysms: Treatment and Complications
- Surgical Simulation and Training
- Optical Coherence Tomography Applications
- Health Literacy and Information Accessibility
- Nonmelanoma Skin Cancer Studies
- Medication Adherence and Compliance
- Cardiac Imaging and Diagnostics
- Organ Transplantation Techniques and Outcomes
- Infectious Aortic and Vascular Conditions
- Musculoskeletal pain and rehabilitation
- Dental Education, Practice, Research
- Chemotherapy-related skin toxicity
- Cardiac Health and Mental Health
Saint Louis University
2020-2022
UCLouvain Saint-Louis Brussels
2019-2021
Saint Louis University Hospital
2020
Stanford University
2018
University of California, Irvine
2015
Beckman Laser Institute and Medical Clinic
2014
Objectives: Determining the rupture risk of large abdominal aortic aneurysms (AAA) through clinical studies remains elusive. We sought to employ computational methods on existing literature data and briefly report stratified AAAs. Methods: reviewed published English-language reporting Analysis was performed Microsoft Excel Visual Basic scripting. Outcome interest annual probabilities by aneurysm size (range 5.0/5.5 - 10.0 cm in women/men) patient sex. Uncertainty considered probability...
Screening for asymptomatic peripheral artery disease (aPAD) with the ankle–brachial index (ABI) test is hypothesized to reduce progression and cardiovascular (CV) events by identifying individuals who may benefit from early initiation of medical therapy. Using a Markov model, we evaluated cost effectiveness initiating therapy (e.g. statin ACE-inhibitor) after positive screen in 65-year-old patients. We modeled symptomatic PAD (sPAD) CV without ABI screening, evaluating differences costs...
An increasing number of integrated optical and acoustic intravascular imaging systems have been developed hold great promise for accurately diagnosing vulnerable plaques guiding atherosclerosis treatment. However, in any environment, the vascular lumen is filled with blood, a high-scattering source high-frequency ultrasound signals. Blood must be flushed away to provide clearer images. To our knowledge, no research has performed find ideal flushing agent combined techniques. We selected...
Digital subtraction angiography (DSA) remains the gold standard for angiographic evaluation of cerebrovascular pathology, however, multiple acquisitions requiring additional time and radiation are often needed. In contrast, 3D-DSA provides volumetric information from a single injection but neglects temporal information. Four-dimensional-DSA (4D-DSA) combines 2D-DSA with to provide time-resolved tomographic 3D reconstructions, potentially reducing procedure radiation. This work evaluates...
Major depression is associated with increased morbidity and mortality in vascular surgery patients. The US Preventive Services Task Force American Heart Association recommend routine screening for adults, especially those cardiovascular disease. Since has not been implemented most clinics across the nation, we sought to determine feasibility of understand prevalence predictors patients presenting a single institution's clinic over 4 month period.From June September 2020, were administered...
Intravascular ultrasound (IVUS) imaging and optical coherence tomography (OCT), two commonly used intracoronary modalities, play important roles in plaque evaluation. The combined use of IVUS (to visualize the entire volume) OCT quantify thickness cap, if any) is hypothesized to increase diagnostic accuracy. Our group has developed a fully-integrated dual-modality IVUS-OCT system 3.6F catheter for simultaneous with high resolution deep penetration depth. However, accuracy an integrated not...
Patients with vascular disease have higher mortality rates than age-matched peers and medical management of coexisting diseases may alter these outcomes. We sought to understand factors associated medication nonadherence in surgery patients at a single University clinic over 3-month period.Consecutive were surveyed from June August 2019. The survey included demographic questions, the validated Morisky Medication Adherence Scale, 4-item Patient Health Questionnaire for Anxiety Depression...
TPS233 Background: Hand-foot skin reaction (HFSR) is the most clinically significant dermatologic toxicity in patients (pts) with metastatic renal cell carcinoma (mRCC) who receive sorafenib. HFSR was found to occur 72 of 131 Japanese pts (Akaza et al, JJCO, 2007). Since reported be associated tenderness affecting function and quality life (especially difficulty walking), prevention management would mandatory. Although treatment topical urea cream frequently performed, control pain not...
Endovascular repair of mycotic aneurysms is a viable option in patients deemed high risk for open repair, with complex using parallel stent grafting described cases both thoracic as well para-visceral abdominal aneurysms. We present the case suprarenal aneurysm endovascular including combined proximal and distal 4-vessel grafting. The patient 76-year-old male who presented malaise, back pain, fever, chills. Work-up was pertinent leukocytosis blood cultures positive Group B streptococcus....
An increased number of integrated optical acoustic intravascular imaging systems have been researched and hold great hope for accurate diagnosing vulnerable plaques guiding atherosclerosis treatment. However, in any environment, vascular lumen is filled with blood, which a high-scattering source high frequency ultrasound signals. Blood must be flushed away to make images clear. To our knowledge, no research has performed find the ideal flushing agent that works both techniques. We selected...
Introduction: Screening for asymptomatic PAD (aPAD) with the ankle-brachial index (ABI) test may reduce mortality and disease progression by identifying individuals who benefit from early initiation of cardiovascular (CV) risk reduction therapies. Methods: Using a Markov model, we evaluated cost-effectiveness initiating medical therapy (e.g. statin & ACE-inhibitor) after positive ABI screen in adults 65-years old. We modeled to symptomatic (sPAD) CV without screening evaluating quality...
Extrahepatic collateral (EHC) supply to hepatocellular carcinomas (HCC) by the omental artery can be difficult detect during transarterial chemoembolization. Herein we evaluate accuracy of automatic vessel detection software for identifying EHC in patients undergoing cone-beam CT (CBCT)-assisted chemoembolization HCC. Twelve with confirmed HCC and 18 without (n = 33 HCCs) were subject an software. Contrast-enhanced CBCTs digital subtraction angiograms, acquired from common hepatic artery,...