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  1. Article ; Online: Reply: Long-Term Patient Outcomes After Femoropopliteal Peripheral Vascular Intervention in Patients With Intermittent Claudication.

    Altin, S Elissa / Curtis, Jeptha P

    JACC. Cardiovascular interventions

    2023  Volume 16, Issue 18, Page(s) 2336

    MeSH term(s) Humans ; Intermittent Claudication/diagnostic imaging ; Intermittent Claudication/therapy ; Treatment Outcome ; Femoral Artery/diagnostic imaging ; Peripheral Arterial Disease/diagnostic imaging ; Peripheral Arterial Disease/therapy ; Popliteal Artery/diagnostic imaging ; Retrospective Studies ; Vascular Patency
    Language English
    Publishing date 2023-09-27
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2452157-7
    ISSN 1876-7605 ; 1936-8798
    ISSN (online) 1876-7605
    ISSN 1936-8798
    DOI 10.1016/j.jcin.2023.08.027
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Balancing Bleeding and Ischemia After Percutaneous Coronary Intervention: Differential Antiplatelet Outcomes in an East Asian Population.

    Altin, S Elissa / Sohal, Sumit

    The American journal of cardiology

    2023  Volume 208, Page(s) 210–211

    Language English
    Publishing date 2023-10-19
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 80014-4
    ISSN 1879-1913 ; 0002-9149
    ISSN (online) 1879-1913
    ISSN 0002-9149
    DOI 10.1016/j.amjcard.2023.09.051
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  3. Article ; Online: Persistent Sex Differences After Percutaneous Coronary Intervention: What Are We Missing?

    Altin, S Elissa / Sohal, Sumit

    The American journal of cardiology

    2023  Volume 208, Page(s) 205–207

    Language English
    Publishing date 2023-10-19
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 80014-4
    ISSN 1879-1913 ; 0002-9149
    ISSN (online) 1879-1913
    ISSN 0002-9149
    DOI 10.1016/j.amjcard.2023.09.034
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  4. Article ; Online: Calling time on the use of war metaphors in covid-19.

    Clark, Katherine A A / Altin, S Elissa

    BMJ (Clinical research ed.)

    2022  Volume 377, Page(s) o1214

    MeSH term(s) COVID-19 ; Humans ; Metaphor ; SARS-CoV-2
    Language English
    Publishing date 2022-05-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.o1214
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  5. Article ; Online: Hypertension Management in Peripheral Artery Disease: A Mini Review.

    Kharawala, Amrin / Nagraj, Sanjana / Pargaonkar, Sumant / Seo, Jiyoung / Kokkinidis, Damianos G / Altin, S Elissa

    Current hypertension reviews

    2023  

    Abstract: Lower extremity peripheral artery disease (PAD) affects over 230 million adults globally, with hypertension being one of the major risk factors for the development of PAD. Despite the high prevalence, patients with hypertension who have concomitant PAD ... ...

    Abstract Lower extremity peripheral artery disease (PAD) affects over 230 million adults globally, with hypertension being one of the major risk factors for the development of PAD. Despite the high prevalence, patients with hypertension who have concomitant PAD are less likely to receive adequate therapy. Through this review, we present the current evidence underlying hypertension management in PAD, guideline-directed therapies, and areas pending further investigation. Multiple studies have shown that both high and relatively lower blood pressure levels are associated with worse health outcomes, including increased morbidity and mortality. Hence, guideline-directed recommendation involves cautious management of hypertensive patients with PAD while ensuring hypotension does not occur. Although any antihypertensive medication can be used to treat these patients, the 2017 American Heart Association/American College of Cardiology (AHA/ACC), 2017 European Society of Cardiology (ESC), and 2022 Canadian guidelines favor the use of angiotensin-converting enzyme inhibitors (ACEI) or angiotensin receptor blockers (ARB) as the initial choice. Importantly, data on blood pressure targets and treatment of hypertension in PAD are limited and largely stem from sub-group studies and post-hoc analysis. Large randomized trials in patients with PAD are required in the future to delineate hypertension management in this complex patient population.
    Language English
    Publishing date 2023-12-11
    Publishing country United Arab Emirates
    Document type Journal Article
    ISSN 1875-6506
    ISSN (online) 1875-6506
    DOI 10.2174/0115734021267004231122061712
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  6. Article ; Online: Representation of Women in Cardiology Academic Faculty Ranks.

    Altin, S Elissa / Parikh, Puja B / Squeri, Erika / Douglas, Pamela S / Wang, Dee Dee / Mehran, Roxana

    The American journal of cardiology

    2023  Volume 190, Page(s) 96–97

    MeSH term(s) Humans ; Female ; United States/epidemiology ; Faculty ; Academic Medical Centers ; Cardiology ; Cardiovascular System
    Language English
    Publishing date 2023-01-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80014-4
    ISSN 1879-1913 ; 0002-9149
    ISSN (online) 1879-1913
    ISSN 0002-9149
    DOI 10.1016/j.amjcard.2022.12.007
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  7. Article ; Online: Anatomic patterns in claudicants who fail supervised exercise therapy.

    Breen, Thomas J / McGinigle, Katharine / Strosberg, David / Dardik, Alan / Altin, S Elissa

    Journal of vascular surgery

    2023  Volume 79, Issue 3, Page(s) 679–684.e1

    Abstract: Objective: Patients with intermittent claudication (IC) from peripheral arterial disease (PAD) have significant improvement with supervised exercise therapy (SET). However, many patients have progressive disease that will ultimately require ... ...

    Abstract Objective: Patients with intermittent claudication (IC) from peripheral arterial disease (PAD) have significant improvement with supervised exercise therapy (SET). However, many patients have progressive disease that will ultimately require revascularization. We sought to determine whether the anatomic patterns of PAD were associated with response to SET.
    Methods: We prospectively enrolled patients with IC at the West Haven, Connecticut Veterans Health Administration between June 2019 and June 2022. Patients were classified based on the level of their arterial disease with >50% obstruction. SET failure was defined as progressive symptoms or development of critical limb-threatening ischemia (CLTI) requiring revascularization.
    Results: Thirty-eight patients with PAD were included. Thirteen patients (34.2%) had significant common femoral artery (CFA) disease, and 25 (65.8%) had non-CFA disease. Over a median follow-up of 1407 days, 11 patients (84.6%) with CFA disease failed SET as compared with three patients (12.0%) with non-CFA disease (P < .001). Patients with CFA disease were more likely to develop CLTI (46.2% vs 4.0%; P = .001) and have persistent symptoms (38.5% vs 8.0%; P = .02). Patients with CFA disease had significantly lower post-SET ankle-brachial index (0.58 ± 0.14 vs 0.77 ± 0.19; P = .03). In multivariate analysis, the only variable associated with SET failure was CFA disease location (odds ratio, 68.75; 95% confidence interval, 5.05-936.44; P = .001).
    Conclusions: Patients with IC from high-grade CFA atherosclerosis are overwhelmingly likely to fail SET, potentially identifying a subset of patients who benefit from upfront revascularization.
    MeSH term(s) Humans ; Peripheral Arterial Disease/diagnosis ; Peripheral Arterial Disease/therapy ; Intermittent Claudication/diagnosis ; Intermittent Claudication/therapy ; Atherosclerosis ; Vascular Surgical Procedures ; Exercise Therapy/adverse effects ; Treatment Outcome ; Ischemia ; Risk Factors
    Language English
    Publishing date 2023-11-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605700-7
    ISSN 1097-6809 ; 0741-5214
    ISSN (online) 1097-6809
    ISSN 0741-5214
    DOI 10.1016/j.jvs.2023.11.020
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  8. Article ; Online: Addressing Barriers to Entry and Retention of Women in Interventional Vascular Specialties With Proposed Solutions: A Scientific Statement From the American Heart Association.

    Altin, S Elissa / Kwong, Mimmie / Hamburg, Naomi M / Creager, Mark A / Banerjee, Subhash / Oladini, Lola / Schneider, Marabel D / Ruddy, Jean Marie

    Circulation

    2024  Volume 149, Issue 12, Page(s) e986–e995

    Abstract: Representation of women in interventional vascular fields (interventional cardiology, interventional radiology, and vascular surgery) lags behind that in other specialties. With women representing half of all medical school graduates, encouraging parity ... ...

    Abstract Representation of women in interventional vascular fields (interventional cardiology, interventional radiology, and vascular surgery) lags behind that in other specialties. With women representing half of all medical school graduates, encouraging parity of women in these fields needs to start in medical school. Barriers to pursuing careers in vascular intervention include insufficient exposure during core clerkships, early mentorship, visibility of women in the field, length of training, lifestyle considerations, work culture and environment, and concerns about radiation exposure. This scientific statement highlights potential solutions for both the real and perceived barriers that women may face in pursuing careers in vascular intervention, including streamlining of training (as both interventional radiology and vascular surgery have done with a resultant increase in percentage of women trainees), standardization of institutional promotion of women in leadership, and professional and industry partnerships for the retention and advancement of women.
    MeSH term(s) United States ; Humans ; Female ; American Heart Association ; Vascular Surgical Procedures
    Language English
    Publishing date 2024-02-20
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80099-5
    ISSN 1524-4539 ; 0009-7322 ; 0069-4193 ; 0065-8499
    ISSN (online) 1524-4539
    ISSN 0009-7322 ; 0069-4193 ; 0065-8499
    DOI 10.1161/CIR.0000000000001210
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  9. Article ; Online: Making sense of endovascular therapies for femoropopliteal disease.

    Altin, S Elissa / Abbott, J Dawn

    Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

    2018  Volume 91, Issue 7, Page(s) 1329–1330

    Abstract: The femoropoliteal segment is a common target for endovascular intervention and the unique biomechanical forces on the arteries increase the risk of restenosis This large meta-analysis supports drug coated balloons as the initial endovascular strategy ... ...

    Abstract The femoropoliteal segment is a common target for endovascular intervention and the unique biomechanical forces on the arteries increase the risk of restenosis This large meta-analysis supports drug coated balloons as the initial endovascular strategy due to lower risk of target lesion revascularization compared to other modalities Whether there are subgroups of patients or lesion types that benefit from an alternative revascularization approach is unclear and warrants investigation.
    MeSH term(s) Angioplasty, Balloon ; Femoral Artery ; Humans ; Network Meta-Analysis ; Peripheral Arterial Disease ; Popliteal Artery ; Treatment Outcome ; Vascular Patency
    Language English
    Publishing date 2018-06-25
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1459995-8
    ISSN 1522-726X ; 1522-1946
    ISSN (online) 1522-726X
    ISSN 1522-1946
    DOI 10.1002/ccd.27651
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    Zs.A 1226: Show issues Location:
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  10. Article ; Online: Sex-Based Differences in Periprocedural Complications Following Lower Extremity Peripheral Vascular Intervention.

    Altin, S Elissa / Gitto, Mauro / Secemsky, Eric A / Rao, Sunil V / Hess, Connie N

    Circulation. Cardiovascular interventions

    2022  Volume 15, Issue 8, Page(s) e011768

    Abstract: Background: Women with coronary artery disease are shown to have worse outcomes after percutaneous coronary intervention compared with men; however, less is known about sex-based outcomes following lower extremity peripheral vascular intervention (PVI) ... ...

    Abstract Background: Women with coronary artery disease are shown to have worse outcomes after percutaneous coronary intervention compared with men; however, less is known about sex-based outcomes following lower extremity peripheral vascular intervention (PVI) for symptomatic peripheral artery disease. The study aims to assess whether female sex is independently associated with periprocedural complications in patients undergoing PVI.
    Methods: Analysis includes patients undergoing lower extremity PVI from September 2016 to March 2020 from the Vascular Quality Initiative registry. Multivariate logistic regression was used to assess the independent association of female sex with post-PVI complications.
    Results: Of the 119 620 patients included, 47 316 (39.6%) were women. Analysis reflected that women were at higher risk of developing access site complications, including any hematoma (odds ratio [OR], 1.45 [1.35-1.57]), hematoma requiring transfusion (OR, 2.24 [1.82-2.76];
    Conclusions: In a contemporary cohort, women undergoing lower extremity PVI for symptomatic peripheral artery disease were at higher risk than men of developing periprocedural complications, including moderate or severe access site bleeding, above-knee amputation, and in-hospital mortality. This increased risk persisted despite adjustment for differences in baseline patient or procedural characteristics and warrants further investigation.
    MeSH term(s) Female ; Hematoma/etiology ; Humans ; Lower Extremity/blood supply ; Male ; Odds Ratio ; Peripheral Arterial Disease/diagnosis ; Peripheral Arterial Disease/therapy ; Retrospective Studies ; Risk Factors ; Treatment Outcome
    Language English
    Publishing date 2022-08-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2450797-0
    ISSN 1941-7632 ; 1941-7640
    ISSN (online) 1941-7632
    ISSN 1941-7640
    DOI 10.1161/CIRCINTERVENTIONS.121.011768
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