Manish Mehta
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Featured researches published by Manish Mehta.
Journal of Vascular Surgery | 2013
Adam A. Quinn; Manish Mehta; Mehdi J. Teymouri; Megan Keenan; Philip S.K. Paty; Yi Zhou; Benjamin B. Chang; Paul Feustel
Background: The number of ruptured abdominal aortic aneurysm (r‐AAA) patients who are treated by endovascular means is increasing as ruptured endovascular aneurysm repair (r‐EVAR) enters the mainstream. However, even today, data on the incidence and behavior of endoleaks after r‐EVAR are scarce. This study analyzed whether endoleaks behave differently after EVAR for rupture vs elective AAA repair. Methods: From 2002 to 2013, there were 2052 patients who underwent EVAR for treatment of rupture (n = 166 [8.1%]) and elective repair (n = 1886 [91.9%]) of infrarenal AAA. Follow‐up included computed tomography angiography at 1 month, at 6 months, and yearly thereafter. All type I and type III endoleaks were treated at the time of or shortly after the diagnosis. Persistent type II endoleaks at >6 months after EVAR without a decrease in AAA sac underwent translumbar or transfemoral embolization procedures. Data were prospectively collected in a vascular database. Results: During a mean follow‐up of 30 months, patients had a significantly lower incidence of type II endoleaks after r‐EVAR compared with elective endovascular aneurysm repair (e‐EVAR; n = 15 [9.0%] vs n = 380 [20.2%]; P < .01). Although the incidence of type I endoleaks is similar after r‐EVAR (n = 9 [5.4%] and e‐EVAR (n = 83 [4.4%]; P = .68), the r‐EVAR patients required stent graft explantation more frequently (n = 9 [5.4%] vs n = 20 [1.1%]; P < .01). Whereas the need for secondary intervention was comparable in both r‐EVAR (n = 33 [19.9%]) and e‐EVAR (n = 439 [23.3%]; P = .37) groups, patients undergoing percutaneous embolization procedures trended toward significance between the two groups (n = 11 [6.6%] vs n = 216 [11.5%]; P = .06) with endoleaks. Conclusions: Compared with e‐EVAR, patients who undergo r‐EVAR experience a similar incidence of type I endoleaks and a significantly lower incidence of type II endoleaks. The endoleaks in both e‐EVAR and r‐EVAR patients can frequently be managed by endovascular means. However, r‐EVAR patients with type I and type II endoleaks are at a significantly higher risk for stent graft explantation.
Catheterization and Cardiovascular Interventions | 2018
William A. Gray; Manish Mehta; Firas Alani; Karthikeshwar Kasirajan; Richard J. Begg; J. Michael Bacharach; Peter Soukas; Embolden Clinical Study Investigators
The EMBOLDEN study was conducted to test the safety and efficacy of a novel emboli protection filter design for use in carotid artery stenting (CAS) in patients with severe carotid stenosis who were at high risk of operative complications from carotid endarterectomy (CEA).
Journal of Vascular Surgery | 2016
Manish Mehta; Yi Zhou; Philip S.K. Paty; Medhi Teymouri; Kamran Jafree; Humayun Bakhtawar; Jeffrey Hnath; Paul J. Feustel
Journal of Vascular Surgery | 2015
Manish Mehta; Philip S.K. Paty; Christopher J. Kwolek; Richard P. Cambria; Megan Keenan; Paul J. Feustel
Journal of Vascular Surgery | 2018
Manish Mehta; Philip S.K. Paty; Zachary Kostun
Journal of Vascular Surgery | 2017
Manish Mehta
Journal of Vascular Surgery | 2017
Manish Mehta; Philip S.K. Paty
Journal of Vascular Surgery | 2017
Manish Mehta; William Jordan; Philip S.K. Paty; Kenneth Ouriel
Journal of Vascular Surgery | 2016
Manish Mehta; Vikran Kashyap; Mahmoud B. Malas; Philip S.K. Paty; Richard P. Cambria; Christopher J. Kwolek; Rasesh Shah; Enrique Criado; Robert Molnar
Journal of Vascular Surgery | 2016
Philip S.K. Paty; Manish Mehta