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Article ; Online: Access Site for Visceral Arterial Interventions: Point-Transradial Is the Future.

Maron, Samuel Z / Fischman, Aaron M

2020 Volume 217, Issue 1, Page(s) 27–28

MeSH term(s)	Catheterization, Peripheral/methods ; Humans ; Radial Artery/diagnostic imaging ; Radiology, Interventional/methods
Language	English
Publishing date	2020-12-09
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	82076-3
ISSN	1546-3141 ; 0361-803X ; 0092-5381
ISSN (online)	1546-3141
ISSN	0361-803X ; 0092-5381
DOI	10.2214/AJR.20.25175
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Article ; Online: Prostate artery embolization: increasing self-referrals and awareness of treatment options.

Sharma, Himanshu / Maron, Samuel Z / Rastinehad, Ardeshir R / Fischman, Aaron M

CVIR endovascular

2021 Volume 4, Issue 1, Page(s) 64

Language	English
Publishing date	2021-08-23
Publishing country	Switzerland
Document type	Journal Article
ISSN	2520-8934
ISSN (online)	2520-8934
DOI	10.1186/s42155-021-00251-5
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Article: Palliating Symptoms in Patients With Hepatocellular Carcinoma Involving the Inferior Vena Cava With External Beam Radiation Therapy.

Cooke, Peter / Sindhu, Kunal K / Lehrer, Eric J / Maron, Samuel Z / Rosenzweig, Kenneth E / Buckstein, Michael

Cureus

2021 Volume 13, Issue 3, Page(s) e14107

Abstract: Introduction Patients with hepatocellular carcinoma (HCC) involving the inferior vena cava (IVC) and/or right atrium (RA) often experience debilitating symptoms, including lower extremity edema, dyspnea on exertion, shortness of breath at rest, chest ... ...

Abstract	Introduction Patients with hepatocellular carcinoma (HCC) involving the inferior vena cava (IVC) and/or right atrium (RA) often experience debilitating symptoms, including lower extremity edema, dyspnea on exertion, shortness of breath at rest, chest pain, and ascites, that impact quality of life. The efficacy of external beam radiation therapy (EBRT) in palliating these symptoms is unclear. Thus, we sought to assess the effectiveness of EBRT in the palliation of symptoms and treatment outcomes in this patient population. Materials and methods All patients with HCC that compressed or invaded the IVC, received EBRT, and had a two-month follow-up visit to assess clinical response at our institution between 2010 and 2018 were analyzed. Patient demographics and clinical features were retrieved from the electronic medical record. Local control, local progression-free survival, and overall survival (OS) were measured from the last day of EBRT and calculated using the Kaplan-Meier method. Results Twenty-six patients with invasion or compression of the IVC were identified, 11 of whom (42%) had involvement of the RA. The median follow-up was 3.6 months. Five patients (19%) were treated with stereotactic body radiation therapy (SBRT) (all with five fractions) and 21 patients (81%) were treated with fractionated radiation therapy (range 10-16 fractions), both to a median dose of 3,000 cGy (range 2500-4000 cGy for SBRT, 2500-3750 cGy for fractionated radiation therapy). Significant proportions of patients experienced symptomatic relief from peripheral edema (54%), dyspnea on exertion (57%), shortness of breath (83%), chest pain (67%), and ascites (25%) after receiving EBRT. Additionally, they experienced few toxicities, with zero experiencing grade three or higher toxicities. One-year and two-year local control rates were 11.5% and 7.7%, respectively, and the median local progression-free survival was 4.8 months. One-year and two-year OS rates were 38.4% and 38.4%, respectively. Conclusions Our results suggest that EBRT should be considered as a potential treatment option for patients with HCC invading or compressing the IVC with or without involvement of the RA. EBRT was very well-tolerated and effectively palliated a variety of symptoms in patients with advanced disease.
Language	English
Publishing date	2021-03-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.14107
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Article: The Burden of Postoperative Delirium After Shoulder Arthroplasty and Modifiable Pharmacological Perioperative Risk Factors: A Retrospective Nationwide Cohort Study.

Kiani, Sara N / Maron, Samuel Z / Rao, Manasa G / Zubizarreta, Nicole / Mazumdar, Madhu / Galatz, Leesa M / Poeran, Jashvant / Cagle, Paul J

HSS journal : the musculoskeletal journal of Hospital for Special Surgery

2022 Volume 19, Issue 1, Page(s) 13–21

Abstract: Background: ...

Abstract	Background:
Language	English
Publishing date	2022-12-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	2250601-9
ISSN	1556-3324 ; 1556-3316
ISSN (online)	1556-3324
ISSN	1556-3316
DOI	10.1177/15563316221134244
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Article ; Online: Effect of Median Lobe Enlargement on Early Prostatic Artery Embolization Outcomes.

Maron, Samuel Z / Sher, Alex / Kim, Jeremy / Lookstein, Robert A / Rastinehad, Ardeshir R / Fischman, Aaron

Journal of vascular and interventional radiology : JVIR

2020 Volume 31, Issue 3, Page(s) 370–377

Abstract: Purpose: To evaluate outcomes after prostatic artery embolization (PAE) in patients with severe intravesical prostatic protrusion (IPP).: Materials and methods: This was a retrospective, single health system, 2-hospital study from April 2015 to ... ...

Abstract	Purpose: To evaluate outcomes after prostatic artery embolization (PAE) in patients with severe intravesical prostatic protrusion (IPP). Materials and methods: This was a retrospective, single health system, 2-hospital study from April 2015 to December 2018 of 54 patients who underwent elective PAE procedures (age mean 67.5 years; standard deviation [SD] 8.5). The cohort had a mean ellipsoid prostate volume of 100.1 cm Results: No significant differences in patient characteristics were found between nonsevere (n = 17) and severe (n = 37) IPP patients. Both cohorts showed IPSS reduction (nonsevere 6.0, P = .0397; severe 8.2, P < .0001) and QOL score reduction (nonsevere 1.0, P = .102; severe 2.0, P < .0001). No significant differences in IPSS or QOL score reduction were found between the cohorts (P = .431 and P = .127). Linear regression found that baseline IPP was not a significant contributor to the outcomes (IPSS: R Conclusions: There were no significant differences in early outcomes in PAE between patients with severe and nonsevere IPP.
MeSH term(s)	Aged ; Embolization, Therapeutic/adverse effects ; Humans ; Lower Urinary Tract Symptoms/diagnostic imaging ; Lower Urinary Tract Symptoms/physiopathology ; Lower Urinary Tract Symptoms/therapy ; Male ; Middle Aged ; Organ Size ; Prostate/blood supply ; Prostate/diagnostic imaging ; Prostatic Hyperplasia/diagnostic imaging ; Prostatic Hyperplasia/physiopathology ; Prostatic Hyperplasia/therapy ; Quality of Life ; Retrospective Studies ; Severity of Illness Index ; Time Factors ; Treatment Outcome
Language	English
Publishing date	2020-01-16
Publishing country	United States
Document type	Comparative Study ; Journal Article
ZDB-ID	1137756-2
ISSN	1535-7732 ; 1051-0443
ISSN (online)	1535-7732
ISSN	1051-0443
DOI	10.1016/j.jvir.2019.11.013
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Article ; Online: Use of 70- to 150-μm Radiopaque Spherical Embolics for Prostatic Artery Embolization.

Maron, Samuel Z / Cedillo, Mario A / Sher, Alex / Kim, Jeremy / Fischman, Aaron M

Journal of vascular and interventional radiology : JVIR

2020 Volume 31, Issue 7, Page(s) 1084–1089

Abstract: This retrospective report describes treatment of 21 patients who underwent prostatic artery embolization using 70- to 150-μm radiopaque microspheres for lower urinary tract symptoms secondary to benign prostatic hyperplasia. Seventeen patients (81%) ... ...

Abstract	This retrospective report describes treatment of 21 patients who underwent prostatic artery embolization using 70- to 150-μm radiopaque microspheres for lower urinary tract symptoms secondary to benign prostatic hyperplasia. Seventeen patients (81%) received successful bilateral prostatic artery embolization. At a mean follow-up of 42 days (range, 25-59 days), patients showed improvement in International Prostate Symptom Score (n = 11; mean = 10.6; P = .001), quality of life score (n = 17; mean = 2.0; P = .02), and International Index of Erectile Function (n = 17; mean = 9.3; P = .01). The mean prostate volume reduction was 28 mL (16.2%; P = .003). Nontarget embolization occurred twice, resulting in 1 minor adverse event of hematospermia.
MeSH term(s)	Aged ; Aged, 80 and over ; Arteries/diagnostic imaging ; Embolization, Therapeutic ; Humans ; Lower Urinary Tract Symptoms/diagnostic imaging ; Lower Urinary Tract Symptoms/physiopathology ; Lower Urinary Tract Symptoms/therapy ; Male ; Microspheres ; Middle Aged ; Prostate/blood supply ; Prostatic Hyperplasia/diagnostic imaging ; Prostatic Hyperplasia/physiopathology ; Prostatic Hyperplasia/therapy ; Quality of Life ; Recovery of Function ; Retrospective Studies ; Time Factors ; Treatment Outcome
Language	English
Publishing date	2020-05-23
Publishing country	United States
Document type	Journal Article ; Observational Study
ZDB-ID	1137756-2
ISSN	1535-7732 ; 1051-0443
ISSN (online)	1535-7732
ISSN	1051-0443
DOI	10.1016/j.jvir.2020.02.029
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Zs.A 3720: Show issues

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Article ; Online: Safety and Efficacy of Prostatic Artery Embolization in Patients with Refractory Lower Urinary Tract Symptoms after Transurethral Resection of the Prostate.

Radell, Jake E / Maron, Samuel Z / Sher, Alex / Bishay, Vivian / Nowakowski, Francis S / Lookstein, Robert A / Rastinehad, Ardeshir R / Fischman, Aaron M

Journal of vascular and interventional radiology : JVIR

2021 Volume 32, Issue 10, Page(s) 1494–1496

MeSH term(s)	Arteries/diagnostic imaging ; Arteries/surgery ; Embolization, Therapeutic/adverse effects ; Humans ; Lower Urinary Tract Symptoms/etiology ; Lower Urinary Tract Symptoms/therapy ; Male ; Prostate ; Prostatic Hyperplasia/complications ; Prostatic Hyperplasia/therapy ; Transurethral Resection of Prostate/adverse effects ; Treatment Outcome
Language	English
Publishing date	2021-07-13
Publishing country	United States
Document type	Letter
ZDB-ID	1137756-2
ISSN	1535-7732 ; 1051-0443
ISSN (online)	1535-7732
ISSN	1051-0443
DOI	10.1016/j.jvir.2021.07.003
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Zs.A 3720: Show issues

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Article ; Online: Anti-TIF-1α/γ Antibody-Positive Dermatomyositis Associated With Metastatic Prostatic Adenocarcinoma.

Psomadakis, Corinna E / Maron, Samuel Z / Ng, Melissa J / Kessler, Alaina J / Bryce, Clare H / Shanker, Vicki L / Scelsa, Stephen N

Journal of clinical neuromuscular disease

2021 Volume 23, Issue 2, Page(s) 100–104

Abstract: Abstract: Dermatomyositis (DM) is an autoimmune myopathy characterized by proximal muscle weakness and distinct skin findings. DM is associated with an increased risk of malignancy in adults. We describe a case of dermatomyositis with unusually severe ... ...

Abstract	Abstract: Dermatomyositis (DM) is an autoimmune myopathy characterized by proximal muscle weakness and distinct skin findings. DM is associated with an increased risk of malignancy in adults. We describe a case of dermatomyositis with unusually severe oropharyngeal dysphagia and respiratory muscle weakness on presentation, who was found to have underlying metastatic prostate cancer. Prostate cancer is uncommonly associated with DM. The patient tested positive for antitranscription intermediate family-1 (anti-TIF-1, also known as anti-p155/410) antibodies, which are linked to malignancy-associated DM in adults and are associated with dysphagia and more severe cutaneous findings.
MeSH term(s)	Adenocarcinoma/complications ; Adult ; Autoantibodies ; Dermatomyositis/complications ; Humans ; Male ; Muscle Weakness ; Prostatic Neoplasms/complications
Chemical Substances	Autoantibodies
Language	English
Publishing date	2021-11-19
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	1454947-5
ISSN	1537-1611 ; 1522-0443
ISSN (online)	1537-1611
ISSN	1522-0443
DOI	10.1097/CND.0000000000000378
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Article ; Online: Leveraging IR's Adaptability During COVID-19: A Multicenter Single Urban Health System Experience.

Manna, Sayan / Voutsinas, Nicholas / Maron, Samuel Z / Cedillo, Mario A / Toussie, Danielle / Nowakowski, F Scott / Lookstein, Robert A / Fischman, Aaron

Journal of vascular and interventional radiology : JVIR

2020 Volume 31, Issue 7, Page(s) 1192–1194

MeSH term(s)	Betacoronavirus ; COVID-19 ; Coronavirus Infections/therapy ; Critical Care/methods ; Humans ; Intensive Care Units ; Internship and Residency ; Medical Staff, Hospital ; New York ; Pandemics ; Pneumonia, Viral/therapy ; Radiology, Interventional ; SARS-CoV-2 ; Urban Health ; Workflow
Keywords	covid19
Language	English
Publishing date	2020-05-03
Publishing country	United States
Document type	Letter ; Multicenter Study
ZDB-ID	1137756-2
ISSN	1535-7732 ; 1051-0443
ISSN (online)	1535-7732
ISSN	1051-0443
DOI	10.1016/j.jvir.2020.04.030
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Article ; Online: Hospital-Specific Total Joint Arthroplasty Casemix and Patient Flows in the Era of Payment Reform: Impact on Resource Utilization Among New York State Hospitals.

Kiani, Sara N / Maron, Samuel Z / Zubizarreta, Nicole / Keswani, Aakash / Galatz, Leesa M / Mazumdar, Madhu / Poeran, Jashvant / Moucha, Calin S

The Journal of arthroplasty

2020 Volume 35, Issue 6S, Page(s) S73–S78

Abstract: Background: Bundled payment models may lead to selection of healthier total joint arthroplasty (TJA) candidates resulting in comorbid patients being taken care of in fewer hospitals. We aimed to (1) evaluate hospital-specific TJA comorbidity burden (" ... ...

Abstract	Background: Bundled payment models may lead to selection of healthier total joint arthroplasty (TJA) candidates resulting in comorbid patients being taken care of in fewer hospitals. We aimed to (1) evaluate hospital-specific TJA comorbidity burden ("casemix") over time and (2) associations with resource utilization. Methods: This retrospective cohort study used 2011 and 2016 New York State data (n = 36,078 hip/knee arthroplasties). Comorbidity burden was estimated by the Charlson-Deyo Index; main outcomes were hospitalization cost and nonhome discharge. Hospitals were categorized into those with a decreased, stable (with a 5% buffer), or increased percentage of comorbidity-free patients (Charlson-Deyo = 0) between 2011 and 2016. Mixed-effects models measured the association between Charlson-Deyo Index category and outcomes, by hospital casemix categorization. Odds ratios and 95% confidence intervals (CIs) are reported. Results: Overall, 29 (n = 8810), 37 (n = 16,297), and 46 (n = 10,971) hospitals were categorized into the decreased, stable, and increased Charlson-Deyo = 0 categories, respectively, with median annual TJA volumes of 499, 814, and 393 (P < .0001). Multivariable models demonstrated that-in hospitals with a stable patient casemix-increased patient comorbidity was associated with increased hospitalization costs (maximum 21.8%, CI 18.9-24.9, P < .0001). However, this effect was moderated (maximum 11.1%, CI 8.0-14.2) in hospitals that took on a more comorbid patient casemix. Similar patterns were observed for nonhome discharge. Conclusion: Most studied hospitals show an increase in comorbidity-free TJA patients, suggestive of patient selection. This redistribution of comorbid patients to select hospitals may not necessarily be a negative development as our results suggest more efficient resource utilization for comorbid patients in such hospitals.
MeSH term(s)	Arthroplasty, Replacement, Hip ; Hospitals ; Hospitals, State ; Humans ; New York/epidemiology ; Retrospective Studies
Language	English
Publishing date	2020-02-28
Publishing country	United States
Document type	Journal Article
ZDB-ID	632770-9
ISSN	1532-8406 ; 0883-5403
ISSN (online)	1532-8406
ISSN	0883-5403
DOI	10.1016/j.arth.2020.02.056
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