Shahab Toursavadkohi

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Transcervical Carotid Artery Stenting Using a Prosthetic Arterial Conduit: Case Series of a Novel Surgical Technique

Nandakumar Menon, Ali Khalifeh, Charles B. Drucker, Sunny Sahajwani, more

Annals of Vascular Surgery > 2018 > 47 > C > 279.e7-279.e12

We present a series of 4 patients with carotid restenosis following carotid endarterectomy (CEA) who underwent transcervical carotid artery stenting (CAS) using a novel prosthetic conduit technique. The patients were high risk for repeat CEA (short and obese necks) and had contraindications to transfemoral CAS (bovine arch, prior dissection). CAS was thus performed via a transcervical approach with...

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Flow Reduction–Aided Thrombin Injection for Complex Femoral Pseudoaneurysms: Case Series and Review of the Literature

Nandakumar Menon, Charles B. Drucker, Abhishek Bhardwaj, Richa Kalsi, more

Annals of Vascular Surgery > 2018 > 46 > C > 367.e1-367.e6

Peripheral pseudoaneurysms are a known complication of vascular access procedures. Complex lesions—those with short, wide necks or other complex arrangements—would conventionally require open repair, but we believe that even these lesions could be managed with an endovascular approach.Four patients with complex pseudoaneurysms were offered an open repair or thrombin injection with the use of flow-reducing...

article

Defining the burden, scope, and future of vascular acute care surgery

Donald G. Harris, Anthony Herrera, Charles B. Drucker, Richa Kalsi, more

Journal of Vascular Surgery > 2017 > 66 > 5 > 1511-1517

The paradigm of acute care surgery has revolutionized nonelective general surgery. Similarly, nonelective vascular surgery may benefit from specific management and resource capabilities. To establish the burden and scope of vascular acute care surgery, we analyzed the characteristics and outcomes of patients hospitalized for vascular surgical procedures in Maryland.A retrospective analysis of a statewide...

article

Infrainguinal wound infections in vascular surgery: An antiquated challenge without a modern solution

Brittany Aicher, Patrick Curry, Luqman Croal-Abrahams, Scarlett Hao, more

Journal of Vascular Nursing > 2017 > 35 > 3 > 146-156

Surgical site infections (SSIs) have always complicated recovery after surgery, being associated with increased cost of hospitalization, length of stay, and mortality. The most significant measure to reduce the incidence of SSI was the standardization of prophylactic antibiotic administration in patients undergoing surgical procedures. Since then, countless measures have been proposed to improve rates...

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Management and outcomes of carotid artery extension of aortic dissections

Adriana Laser, Charles B. Drucker, Donald G. Harris, Tanya Flohr, more

Journal of Vascular Surgery > 2017 > 66 > 2 > 445-453

Aortic dissection (AD) is the most common aortic catastrophe. Carotid artery dissection due to extension of AD (CAEAD) is one severe complication of this condition. Despite years of refinement in the techniques for repair of AD, the optimal management strategy for CAEAD remains yet to be described. We hypothesized that CAEAD eventually resolves on antiplatelet therapy with a low but not insignificant...

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Direct Admission to a Vascular Referral Center Improves Outcomes for Patients With Acute Vascular Disease

Donald Harris, Sarah Olson, Richa Kalsi, Charles Drucker, more

Journal of Vascular Surgery > 2017 > 66 > 2 > e27-e28

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Open and Endovascular Management of Inferior Mesenteric Artery Aneurysms: A Report of Two Cases

Natasha Hansraj, Abdulrahman Hamdi, Eric S. Wise, Laura DiChiacchio, more

Annals of Vascular Surgery > 2017 > 43 > C > 316.e9-316.e14

Inferior mesenteric artery (IMA) aneurysms are a rare entity, attributing to 1% of Splanchnic aneurysms (Edogawa S, Shibuya T, Kurose K et al. Inferior mesenteric artery aneurysm: case report and literature review. Ann Vasc Dis 2013;6:98–101), often found incidentally on evaluation for other intra-abdominal pathologies. Similar to other visceral arterial aneurysms, there is an estimated 20–50% risk...

article

Implications of concomitant hypogastric artery embolization with endovascular repair of infrarenal abdominal aortic aneurysms

Behzad S. Farivar, Richa Kalsi, Charles B. Drucker, Carly B. Goldstein, more

Journal of Vascular Surgery > 2017 > 66 > 1 > 95-101

Hypogastric artery embolization (HAE) is associated with significant risk of ischemic complications. We assessed the impact of HAE on 30-day outcomes of endovascular aneurysm repair (EVAR) of infrarenal abdominal aortic aneurysms.We queried the American College of Surgeons National Surgical Quality Improvement Program database from 2011 to 2014 to identify and to compare clinical features, operative...

article

Thoracic Endovascular Repair of Blunt Thoracic Aortic Injury in the Setting of an Aberrant Right Subclavian Artery

Donald G. Harris, Michael E. Huffner, Luqman Croal-Abrahams, Laura DiChiacchio, more

Annals of Vascular Surgery > 2017 > 42 > C > 302.e15-302.e20

Blunt thoracic aortic injury (BTAI) in a patient with an aberrant right subclavian artery (ARSA) presents unique challenges for patient management and aortic repair. Specific considerations include the need to treat coincidental ARSA, subclavian revascularization, and ARSA exclusion. Despite the rise of endovascular repair as the primary modality for aortic repair for BTAI, reports of this technique...

article

IP211. Management of Chronic Massive Traumatic Popliteal Artery Aneurysm: A Case Series With Evolution of Treatment

Ali Khalifeh, Rami Kantar, Bryan Buckingham, Samantha Cox, more

Journal of Vascular Surgery > 2017 > 65 > 6(S) > 112S-113S

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Chronic Type B Aortic Dissection: Endovascular and Hybrid Aortic Management

Ali Khalifeh, Nandakumar Menon, Richa Kalsi, Scarlett Hao, more

Current Surgery Reports > 2017 > 5 > 1 > 1-11

Purpose of Review Chronic and subacute type B aortic dissection (TBAD) management has advanced drastically over the past decade. We review the major progress reported in the scientific literature. Recent Findings Since early twenty first century, endovascular aortic repair has been on the rise for management of chronic and subacute TBAD. The technique has shown a mortality benefit in comparison...

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Percutaneous Treatment of Multiple Recurrent Thromboembolization from a Descending Thoracic Aortic Intimal Sarcoma

Angelina S. June, Donald G. Harris, Christine Yoo, Danon Garrido, more

Annals of Vascular Surgery > 2017 > 38 > C > 321.e5-321.e8

Aortic intimal sarcomas are rare tumors that may result in distal embolic ischemia. Here, we present a patient who presented with crescendo lower extremity and mesenteric ischemic events from malignant macroembolism. Management with percutaneous pharmacomechanical thromboembolectomy enabled restoration of distal perfusion and minimally invasive collection of tumor sample to confirm the suspected diagnosis...

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Repair of ruptured abdominal aortic aneurysm after cardiac arrest

Donald G. Harris, Danon Garrido, Connor P. Oates, Richa Kalsi, more

Journal of Vascular Surgery > 2016 > 64 > 5 > 1497-1502

Cardiac arrest in patients with ruptured abdominal aortic aneurysm (rAAA) is not uncommon and associated with significantly increased mortality. Although it has been suggested as a contraindication to aortic repair, the prognostic implications of preoperative cardiac arrest in the face of rAAA are controversial. The purpose of this structured review is to analyze the reported outcomes of patients...

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Acute Care Vascular Surgery: Defining the Need for a Paradigm of Urgent and Emergent Vascular Surgery

Donald G. Harris, Anthony V. Herrera, Samantha R. Cox, Michael E. Huffner, more

Journal of the American College of Surgeons > 2016 > 223 > 4(S1) > S163

article

Common Carotid Artery Thrombosis With Recurrent Cerebral Emboli Treated With Ligation

Jacquelenn Stuhldreher, Roberto Calderon, Shahab Toursavadkohi, Thomas Monahan

Journal of Vascular Surgery > 2016 > 64 > 3 > 849-850

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Nonoperative Management of Traumatic Aortic Pseudoaneurysms

Donald G. Harris, Joseph Rabin, Abhishek Bhardwaj, Angelina S. June, more

Annals of Vascular Surgery > 2016 > 35 > C > 75-81

Current blunt thoracic aortic injury (BTAI) guidelines recommend early repair of traumatic pseudoaneurysms (PSAs) due to risk for subsequent aortic rupture. Recent analyses indicate that early repair is required only in the setting of high-risk features, while delayed repair is safe and associated with lower morbidity and mortality in appropriately selected patients. To evaluate the appropriate indications...

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Evolution of lesion-specific management of blunt thoracic aortic injury

Donald G. Harris, Joseph Rabin, Benjamin W. Starnes, Ali Khoynezhad, more

Journal of Vascular Surgery > 2016 > 64 > 2 > 500-505

Developments in diagnosis and treatment have transformed the management of blunt thoracic aortic injuries (BTAIs). For patients in stable condition, treatment practice has shifted from early open repair to nonoperative management for low-grade lesions and routine delayed endovascular repair for more significant injuries. However, effective therapy depends on accurate staging of injury grade and stability...

article

PC054. Functional Status Predicts Major Complications and Death After Endovascular Repair of Abdominal Aortic Aneurysms

Donald Harris, Connor P. Oates, Ilynn Bulatao, Charles B. Drucker, more

Journal of Vascular Surgery > 2016 > 63 > 6(S) > 169S-170S

article

PC066. Increased Risk of Colonic Ischemia Associated With Hypogastric Artery Embolization During Endovascular Repair of Infrarenal Abdominal Aortic Aneurysms Is an Independent Predictor of Mortality

Behzad S. Farivar, Rajabrata Sarkar, Robert S. Crawford, Carly B. Goldstein, more

Journal of Vascular Surgery > 2016 > 63 > 6(S) > 173S

article

Endovascular Repair of an Asymptomatic Aortic Pseudoaneurysm after Penetrating Injury

Donald G. Harris, Megan L. Brenner, Michelle Ho, Shahab Toursavadkohi, more

Annals of Vascular Surgery > 2014 > 28 > 8 > 1933.e15-1933.e18

Penetrating injuries to the aorta usually result in immediate life-threatening hemorrhage. Because these lesions are typically either fatal or identified and controlled surgically, chronic pseudoaneurysms after penetrating aortic trauma are rare. Most of these patients present with rupture or local complications, and management before the endovascular era has historically been open repair. As such,...

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Search results for: Shahab Toursavadkohi

Transcervical Carotid Artery Stenting Using a Prosthetic Arterial Conduit: Case Series of a Novel Surgical Technique

Flow Reduction–Aided Thrombin Injection for Complex Femoral Pseudoaneurysms: Case Series and Review of the Literature

Defining the burden, scope, and future of vascular acute care surgery

Infrainguinal wound infections in vascular surgery: An antiquated challenge without a modern solution

Management and outcomes of carotid artery extension of aortic dissections

Direct Admission to a Vascular Referral Center Improves Outcomes for Patients With Acute Vascular Disease

Open and Endovascular Management of Inferior Mesenteric Artery Aneurysms: A Report of Two Cases

Implications of concomitant hypogastric artery embolization with endovascular repair of infrarenal abdominal aortic aneurysms

Thoracic Endovascular Repair of Blunt Thoracic Aortic Injury in the Setting of an Aberrant Right Subclavian Artery

IP211. Management of Chronic Massive Traumatic Popliteal Artery Aneurysm: A Case Series With Evolution of Treatment

Chronic Type B Aortic Dissection: Endovascular and Hybrid Aortic Management

Percutaneous Treatment of Multiple Recurrent Thromboembolization from a Descending Thoracic Aortic Intimal Sarcoma

Repair of ruptured abdominal aortic aneurysm after cardiac arrest

Acute Care Vascular Surgery: Defining the Need for a Paradigm of Urgent and Emergent Vascular Surgery

Common Carotid Artery Thrombosis With Recurrent Cerebral Emboli Treated With Ligation

Nonoperative Management of Traumatic Aortic Pseudoaneurysms

Evolution of lesion-specific management of blunt thoracic aortic injury

PC054. Functional Status Predicts Major Complications and Death After Endovascular Repair of Abdominal Aortic Aneurysms

PC066. Increased Risk of Colonic Ischemia Associated With Hypogastric Artery Embolization During Endovascular Repair of Infrarenal Abdominal Aortic Aneurysms Is an Independent Predictor of Mortality

Endovascular Repair of an Asymptomatic Aortic Pseudoaneurysm after Penetrating Injury

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