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NEAL RYAN BARSHES

TitleAssociate Professor
InstitutionBaylor College of Medicine
DepartmentDepartment of Surgery
DivisionSurgery-Vascular Surgery Div
Address2002 Holcombe Blvd., VA Medical Center
HOUSTON TX 77030
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    Dr. Barshes is an academic vascular surgeon with a focus on the prevention and management of the limb-threatening foot complications associated with diabetes mellitus and/or peripheral arterial disease. His research activities have spanned the spectrum of care for this problem, including: foot ulcer prevention efforts; the microbiology of isolates involved in foot infections; patient selection for revascularization; the timing of soft tissue reconstruction after revascularization; and the cost-effectiveness of prevention and management strategies for peripheral arterial disease and non-healing foot ulcers. The clinical research methodologies used to investigate the research questions for these clinical topics have included randomized controlled trials, large database research, retrospective cohort studies with multivariate analyses and/or propensity scoring, and Markov model simulation with formal cost-utility analyses. Current efforts and plans for future direction include further studies are also focused on further optimizing the value of limb preservation efforts, especially through the improved coordination of multidisciplinary care within the context of a vertically-integrated health care system.

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    Diabetic foot ulcers
    Diabetic limb salvage
    Infrainguinal bypass


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    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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    1. Kougias P, Tiwari V, Sharath SE, Garcia A, Pathak A, Chen M, Ramsey D, Barshes NR, Berger DH. A Statistical Model-driven Surgical Case Scheduling System Improves Multiple Measures of Operative Suite Efficiency: Findings From a Single-center, Randomized Controlled Trial. Ann Surg. 2018 Apr 24. PMID: 29697450.
      View in: PubMed
    2. Branco BC, Kougias P, Braun JD, Mills JL, Barshes NR. Distal vein patch use and limb events after infragenicular prosthetic bypasses. J Vasc Surg. 2018 Feb 10. PMID: 29439850.
      View in: PubMed
    3. Zamani N, Sharath SE, Vo E, Awad SS, Kougias P, Barshes NR. A Multi-Component Strategy to Decrease Wound Complications after Open Infra-Inguinal Re-Vascularization. Surg Infect (Larchmt). 2018 Jan; 19(1):87-94. PMID: 29303688.
      View in: PubMed
    4. Kougias P, Sharath S, Barshes NR, Chen M, Mills JL. Effect of postoperative anemia and baseline cardiac risk on serious adverse outcomes after major vascular interventions. J Vasc Surg. 2017 Dec; 66(6):1836-1843. PMID: 28947229.
      View in: PubMed
    5. Jiang BC, Cowart JB, Barshes NR. Acute kidney injury associated with foot osteomyelitis. Clin Med (Lond). 2017 Jul; 17(4):376. PMID: 28765424.
      View in: PubMed
    6. 2016 AHA/ACC Guideline on the Management of Patients with Lower Extremity Peripheral Artery Disease: Executive Summary. Vasc Med. 2017 Jun; 22(3):NP1-NP43. PMID: 28494710.
      View in: PubMed
    7. Sharath SE, Kougias P, Barshes NR. The influence of pain-related beliefs on physical activity and health attitudes in patients with claudication: A pilot study. Vasc Med. 2017 10; 22(5):378-384. PMID: 28545320.
      View in: PubMed
    8. Barshes NR, Saedi S, Wrobel J, Kougias P, Kundakcioglu OE, Armstrong DG. A model to estimate cost-savings in diabetic foot ulcer prevention efforts. J Diabetes Complications. 2017 Jan 21. PMID: 28153676.
      View in: PubMed
    9. Ashong CN, Raheem SA, Hunter AS, Mindru C, Barshes NR. Methicillin-Resistant Staphylococcus aureus in Foot Osteomyelitis. Surg Infect (Larchmt). 2016 Nov 29. PMID: 27898266.
      View in: PubMed
    10. Gerhard-Herman MD, Gornik HL, Barrett C, Barshes NR, Corriere MA, Drachman DE, Fleisher LA, Fowkes FG, Hamburg NM, Kinlay S, Lookstein R, Misra S, Mureebe L, Olin JW, Patel RA, Regensteiner JG, Schanzer A, Shishehbor MH, Stewart KJ, Treat-Jacobson D, Walsh ME. 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2016 Nov 13. PMID: 27840332.
      View in: PubMed
    11. Gerhard-Herman MD, Gornik HL, Barrett C, Barshes NR, Corriere MA, Drachman DE, Fleisher LA, Fowkes FG, Hamburg NM, Kinlay S, Lookstein R, Misra S, Mureebe L, Olin JW, Patel RA, Regensteiner JG, Schanzer A, Shishehbor MH, Stewart KJ, Treat-Jacobson D, Walsh ME. 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2016 Nov 13. PMID: 27840333.
      View in: PubMed
    12. Gerhard-Herman MD, Gornik HL, Barrett C, Barshes NR, Corriere MA, Drachman DE, Fleisher LA, Fowkes FG, Hamburg NM, Kinlay S, Lookstein R, Misra S, Mureebe L, Olin JW, Patel RA, Regensteiner JG, Schanzer A, Shishehbor MH, Stewart KJ, Treat-Jacobson D, Walsh ME. 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2016 Nov 08. PMID: 27851991.
      View in: PubMed
    13. Gerhard-Herman MD, Gornik HL, Barrett C, Barshes NR, Corriere MA, Drachman DE, Fleisher LA, Fowkes FG, Hamburg NM, Kinlay S, Lookstein R, Misra S, Mureebe L, Olin JW, Patel RA, Regensteiner JG, Schanzer A, Shishehbor MH, Stewart KJ, Treat-Jacobson D, Walsh ME. 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2016 Nov 08. PMID: 27851992.
      View in: PubMed
    14. Barshes NR, Mindru C, Ashong C, Rodriguez-Barradas M, Trautner BW. Treatment Failure and Leg Amputation Among Patients With Foot Osteomyelitis. Int J Low Extrem Wounds. 2016 Aug 31. PMID: 27581112.
      View in: PubMed
    15. Barshes NR, Flores E, Belkin M, Kougias P, Armstrong DG, Mills JL. The accuracy and cost-effectiveness of strategies used to identify peripheral artery disease among patients with diabetic foot ulcers. J Vasc Surg. 2016 Dec; 64(6):1682-1690.e3. PMID: 27575813.
      View in: PubMed
    16. McGillicuddy EA, Ozaki CK, Shah SK, Belkin M, Hamdan A, Barshes N, Wyers M, Nguyen L. The impact of vascular surgery wound complications on quality of life. J Vasc Surg. 2016 Dec; 64(6):1780-1788. PMID: 27473777.
      View in: PubMed
    17. Chung J, Valentine W, Sharath SE, Pathak A, Barshes NR, Pisimisis G, Kougias P, Mills JL. Percutaneous intervention for carotid in-stent restenosis does not improve outcomes compared with nonoperative management. J Vasc Surg. 2016 Nov; 64(5):1286-1294.e1. PMID: 27462003.
      View in: PubMed
    18. Allahabadi S, Haroun KB, Musher DM, Lipsky BA, Barshes NR. Consensus on surgical aspects of managing osteomyelitis in the diabetic foot. Diabet Foot Ankle. 2016; 7:30079. PMID: 27414481; PMCID: PMC4944594.
    19. Sharath SE, Kougias P, Pisimisis G, Barshes NR. The impact of clinical, psychological, behavioral, social, and environmental factors on self-perceived symptom severity in a male cohort with intermittent claudication. J Vasc Surg. 2016 May; 63(5):1296-1304.e4. PMID: 26821592.
      View in: PubMed
    20. Mohammed S, Kougias P, Mandviwala TM, Barshes NR, Pisimisis GT. Progression to stage 3 and 4 chronic kidney disease and risk factor stratification following endovascular aortic aneurysm repair. Vascular. 2016 Dec; 24(6):598-603. PMID: 26792797.
      View in: PubMed
    21. Kougias P, Collins R, Pastorek N, Sharath S, Barshes NR, McCulloch K, Pisimisis G, Berger DH. Comparison of domain-specific cognitive function after carotid endarterectomy and stenting. J Vasc Surg. 2015 Aug; 62(2):355-61. PMID: 26211378.
      View in: PubMed
    22. Pisimisis GT, Katsavelis D, Mandviwala T, Barshes NR, Kougias P. Common carotid artery peak systolic velocity ratio predicts high-grade common carotid stenosis. J Vasc Surg. 2015 Oct; 62(4):951-7. PMID: 26169013.
      View in: PubMed
    23. Barshes NR, Gravereaux EC, Semel M, Bolman RM, Belkin M. Endovascular longitudinal fenestration and stent graft placement for treatment of aneurysms developing after chronic type B aortic dissection. J Vasc Surg. 2015 May; 61(5):1366-9. PMID: 25817561.
      View in: PubMed
    24. Barshes NR, Pisimisis G, Kougias P. Compartment syndrome of the foot associated with a delayed presentation of acute limb ischemia. J Vasc Surg. 2016 Mar; 63(3):819-22. PMID: 25752690.
      View in: PubMed
    25. Barshes NR, Belkin M. The Homans family in American surgery. Ann Surg. 2015 Feb; 261(2):416-20. PMID: 24755832.
      View in: PubMed
    26. Sharath S, Henson H, Flynn S. Ambulation and independence among Veterans with nontraumatic bilateral lower-limb loss. J Rehabil Res Dev. 2015; 52(7):851-8. PMID: 26745753.
      View in: PubMed
    27. Nguyen NT, Barshes NR, Bechara CF, Pisimisis GT. Natural history of an intra-aortic permanent inferior vena cava filter. J Vasc Surg. 2014 Sep; 60(3):784. PMID: 25154964.
      View in: PubMed
    28. Ozaki CK, Hamdan AD, Barshes NR, Wyers M, Hevelone ND, Belkin M, Nguyen LL. Prospective, randomized, multi-institutional clinical trial of a silver alginate dressing to reduce lower extremity vascular surgery wound complications. J Vasc Surg. 2015 Feb; 61(2):419-427.e1. PMID: 25175629.
      View in: PubMed
    29. Barshes NR, Gold B, Garcia A, Bechara CF, Pisimisis G, Kougias P. Minor amputation and palliative wound care as a strategy to avoid major amputation in patients with foot infections and severe peripheral arterial disease. Int J Low Extrem Wounds. 2014 Sep; 13(3):211-9. PMID: 25049375.
      View in: PubMed
    30. Barshes NR, Rodriguez-Barradas MC, Bechara CF, Pisimisis G, Young EJ, Kougias P. Microbial isolates and their antimicrobial susceptibilities in inframalleolar foot infections. Surg Infect (Larchmt). 2014 Oct; 15(5):585-91. PMID: 24827989.
      View in: PubMed
    31. Pisimisis GT, Kougias P, Barshes NR, Bechara CF. Surgeon-modified fenestrated endograft to treat ruptured juxtarenal aneurysm. JAMA Surg. 2014 May; 149(5):447-9. PMID: 24671448.
      View in: PubMed
    32. Albini P, Barshes NR, Russell L, Wu D, Coselli JS, Shen YH, Allison PM, LeMaire SA. D-dimer levels remain elevated in acute aortic dissection after 24 h. J Surg Res. 2014 Sep; 191(1):58-63. PMID: 24791646.
      View in: PubMed
    33. Barshes NR, Kougias P, Ozaki CK, Goodney PP, Belkin M. Cost-effectiveness of revascularization for limb preservation in patients with end-stage renal disease. J Vasc Surg. 2014 Aug; 60(2):369-374.e1. PMID: 24657067; PMCID: PMC4833474.
    34. Kougias P, Sharath S, Barshes NR, Lowery B, Garcia A, Pak T, Bechara CF, Pisimisis G. Impact of cumulative intravascular contrast exposure on renal function in patients with occlusive and aneurysmal vascular disease. J Vasc Surg. 2014 Jun; 59(6):1644-50. PMID: 24560864.
      View in: PubMed
    35. Barshes NR, Kougias P, Ozaki CK, Pisimisis G, Bechara CF, Henson HK, Belkin M. Cost-effectiveness of revascularization for limb preservation in patients with marginal functional status. Ann Vasc Surg. 2014 Jan; 28(1):10-7. PMID: 24332257.
      View in: PubMed
    36. Barshes NR, Bechara CF, Pisimisis G, Kougias P. Preliminary experiences with early primary closure of foot wounds after lower extremity revascularization. Ann Vasc Surg. 2014 Jan; 28(1):48-52. PMID: 24189006.
      View in: PubMed
    37. Bechara CF, Barshes NR, Pisimisis G, Kougias P, Lin PH. Management of inadvertent carotid artery sheath insertion during central venous catheter placement. JAMA Surg. 2013 Nov; 148(11):1063-6. PMID: 24068206.
      View in: PubMed
    38. Bechara CF, Barshes NR, Pisimisis G, Bates JT, Lin PH, Kougias P. Short- and midterm results of iliac artery stenting for flush occlusion with the assistance of an occlusive contralateral iliac artery balloon. Ann Vasc Surg. 2014 Jan; 28(1):59-64. PMID: 24189002.
      View in: PubMed
    39. Barshes NR, Sigireddi M, Wrobel JS, Mahankali A, Robbins JM, Kougias P, Armstrong DG. The system of care for the diabetic foot: objectives, outcomes, and opportunities. Diabet Foot Ankle. 2013; 4. PMID: 24130936; PMCID: PMC3796020.
    40. Matos JM, Barshes NR, Mccoy S, Pisimisis G, Felkai D, Kougias P, Lin PH, Bechara CF. Validating common carotid stenosis by duplex ultrasound with carotid angiogram or computed tomography scan. J Vasc Surg. 2014 Feb; 59(2):435-9. PMID: 24080127.
      View in: PubMed
    41. Barshes NR, Ozaki CK, Kougias P, Belkin M. A cost-effectiveness analysis of infrainguinal bypass in the absence of great saphenous vein conduit. J Vasc Surg. 2013 Jun; 57(6):1466-70. PMID: 23395205.
      View in: PubMed
    42. Kougias P, Orcutt S, Pak T, Pisimisis G, Barshes NR, Lin PH, Bechara CF. Impact of postoperative nadir hemoglobin and blood transfusion on outcomes after operations for atherosclerotic vascular disease. J Vasc Surg. 2013 May; 57(5):1331-7; discussion. PMID: 23384496.
      View in: PubMed
    43. McPhee JT, Barshes NR, Ho KJ, Madenci A, Ozaki CK, Nguyen LL, Belkin M. Predictive factors of 30-day unplanned readmission after lower extremity bypass. J Vasc Surg. 2013 Apr; 57(4):955-62. PMID: 23332242.
      View in: PubMed
    44. Mohammed S, Pisimisis GT, Daram SP, Bechara CF, Barshes NR, Lin PH, Kougias P. Impact of intraoperative administration of local vancomycin on inguinal wound complications. J Vasc Surg. 2013 Apr; 57(4):1079-83. PMID: 23313181.
      View in: PubMed
    45. Poi MJ, Pisimisis G, Barshes NR, Darouiche RO, Lin PH, Kougias P, Bechara CF. Evaluating effectiveness of antibiotic polymethylmethacrylate beads in achieving wound sterilization and graft preservation in patients with early and late vascular graft infections. Surgery. 2013 May; 153(5):673-82. PMID: 23270968.
      View in: PubMed
    46. Bechara CF, Barshes NR, Pisimisis G, Chen H, Pak T, Lin PH, Kougias P. Predicting the learning curve and failures of total percutaneous endovascular aortic aneurysm repair. J Vasc Surg. 2013 Jan; 57(1):72-6. PMID: 23127982.
      View in: PubMed
    47. Kougias P, Tiwari V, Orcutt S, Chen A, Pisimisis G, Barshes NR, Bechara CF, Berger DH. Derivation and out-of-sample validation of a modeling system to predict length of surgery. Am J Surg. 2012 Nov; 204(5):563-8. PMID: 23140826.
      View in: PubMed
    48. Kougias P, Tiwari V, Barshes NR, Bechara CF, Lowery B, Pisimisis G, Berger DH. Modeling anesthetic times. Predictors and implications for short-term outcomes. J Surg Res. 2013 Mar; 180(1):1-7. PMID: 23158406.
      View in: PubMed
    49. Pisimisis GT, Bechara CF, Barshes NR, Lin PH, Lai WS, Kougias P. Risk factors and impact of proximal fixation on acute and chronic renal dysfunction after endovascular aortic aneurysm repair using glomerular filtration rate criteria. Ann Vasc Surg. 2013 Jan; 27(1):16-22. PMID: 23088805.
      View in: PubMed
    50. Orcutt ST, Bechara CF, Pisimisis G, Barshes NR, Kougias P. Impact of perioperative events on mortality after major vascular surgery in a veteran patient population. Am J Surg. 2012 Nov; 204(5):586-90. PMID: 22906245.
      View in: PubMed
    51. Poi MJ, Pisimisis G, Barshes NR, Lin PH, Kougias P, Bechara CF. Percutaneous profunda femoris artery revascularization to prevent hip disarticulation: case series and review of the literature. Am J Surg. 2012 Nov; 204(5):649-54. PMID: 22884250.
      View in: PubMed
    52. Gonzalez L, Chen A, Lin PH, Pisimisis G, Barshes NR, Bechara CF, Kougias P. Latest recanalization techniques for complex superficial femoral artery occlusions. J Cardiovasc Surg (Torino). 2012 Aug; 53(4):487-94. PMID: 22854529.
      View in: PubMed
    53. Barshes NR, Chambers JD, Cohen J, Belkin M. Cost-effectiveness in the contemporary management of critical limb ischemia with tissue loss. J Vasc Surg. 2012 Oct; 56(4):1015-24.e1. PMID: 22854267.
      View in: PubMed
    54. Barshes NR, Chambers JD, Cantor SB, Cohen J, Belkin M. A primer on cost-effectiveness analyses for vascular surgeons. J Vasc Surg. 2012 Jun; 55(6):1794-800. PMID: 22608043.
      View in: PubMed
    55. McPhee JT, Barshes NR, Ozaki CK, Nguyen LL, Belkin M. Optimal conduit choice in the absence of single-segment great saphenous vein for below-knee popliteal bypass. J Vasc Surg. 2012 Apr; 55(4):1008-14. PMID: 22365176.
      View in: PubMed
    56. Barshes NR, McPhee J, Ozaki CK, Nguyen LL, Menard MT, Gravereaux E, Belkin M. Increasing complexity in the open surgical repair of abdominal aortic aneurysms. Ann Vasc Surg. 2012 Jan; 26(1):10-7. PMID: 22176874.
      View in: PubMed
    57. Bechara CF, Barshes NR, Lin PH, Kougias P. Recanalization of flush iliac occlusions with the assistance of a contralateral iliac occlusive balloon. J Vasc Surg. 2012 Mar; 55(3):872-4. PMID: 22169670.
      View in: PubMed
    58. Barshes NR, Belkin M. A framework for the evaluation of "value" and cost-effectiveness in the management of critical limb ischemia. J Am Coll Surg. 2011 Oct; 213(4):552-66.e5. PMID: 21943802.
      View in: PubMed
    59. Barshes NR, Menard MT, Nguyen LL, Bafford R, Ozaki CK, Belkin M. Infrainguinal bypass is associated with lower perioperative mortality than major amputation in high-risk surgical candidates. J Vasc Surg. 2011 May; 53(5):1251-1259.e1. PMID: 21292432.
      View in: PubMed
    60. Horwitz SK, Horwitz IB, Barshes NR. Addressing dysfunctional relations among healthcare teams: improving team cooperation through applied organizational theories. Adv Health Care Manag. 2011; 10:173-97. PMID: 21887945.
      View in: PubMed
    61. Nguyen LL, Barshes NR. Analysis of large databases in vascular surgery. J Vasc Surg. 2010 Sep; 52(3):768-74. PMID: 20598475.
      View in: PubMed
    62. Wyllie S, Barshes NR, Gao FQ, Karpen SJ, Goss JA. Failure of P-selectin blockade alone to protect the liver from ischemia-reperfusion injury in the isolated blood-perfused rat liver. World J Gastroenterol. 2008 Nov 28; 14(44):6808-16. PMID: 19058306; PMCID: PMC2773875.
    63. Becker NS, Barshes NR, Aloia TA, Nguyen T, Rojo J, Rodriguez JA, O'Mahony CA, Karpen SJ, Goss JA. Analysis of recent pediatric orthotopic liver transplantation outcomes indicates that allograft type is no longer a predictor of survivals. Liver Transpl. 2008 Aug; 14(8):1125-32. PMID: 18668684.
      View in: PubMed
    64. Momoh AO, Barshes NR, Kougias P, Huynh TT, Lin PH. Endovascular treatment of postlaminectomy aortic pseudoaneurysm. J Vasc Surg. 2008 May; 47(5):1083-5. PMID: 18455649.
      View in: PubMed
    65. Barshes NR, Annambhotla S, Bechara C, Kougias P, Huynh TT, Dardik A, Silva MB, Lin PH. Endovascular repair of hemodialysis graft-related pseudoaneurysm: an alternative treatment strategy in salvaging failing dialysis access. Vasc Endovascular Surg. 2008 Jun-Jul; 42(3):228-34. PMID: 18375603.
      View in: PubMed
    66. Lin PH, Barshes NR, Annambhotla S, Kougias P, Huynh TT. Advances in endovascular interventions for deep vein thrombosis. Expert Rev Med Devices. 2008 Mar; 5(2):153-66. PMID: 18331178.
      View in: PubMed
    67. Dominguez EP, Barshes NR, Sherman V, Albo D, Kougias P, Chen C, Sweeney JF, Lin PH. Effect of catheter-directed arterial embolization and laparoscopic endovascular stapling on stapled vessel integrity in a porcine model. Vascular. 2008 Mar-Apr; 16(2):80-4. PMID: 18377836.
      View in: PubMed
    68. Lin PH, Barshes NR, Albo D, Kougias P, Berger DH, Huynh TT, LeMaire SA, Dardik A, Lee WA, Coselli JS. Concomitant colorectal cancer and abdominal aortic aneurysm: evolution of treatment paradigm in the endovascular era. J Am Coll Surg. 2008 May; 206(5):1065-73; discussion 1074-5. PMID: 18471757.
      View in: PubMed
    69. Lin PH, Barshes NR, Annambhotla S, Huynh TT. Prospective randomized trials of carotid artery stenting versus carotid endarterectomy: an appraisal of the current literature. Vasc Endovascular Surg. 2008 Feb-Mar; 42(1):5-11. PMID: 18238861.
      View in: PubMed
    70. Goss JA, Barshes NR, Washburn WK. Reply: geographic disparities and deceased donor liver transplantation within a single UNOS region. Liver Transpl. 2007 Dec; 13(12):1760; author reply 1761. PMID: 18044781.
      View in: PubMed
    71. Goss JA, Barshes NR, Karpen SJ, Gao FQ, Wyllie S. Liver ischemia and ischemia-reperfusion induces and trafficks the multi-specific metal transporter Atp7b to bile duct canaliculi: possible preferential transport of iron into bile. Biol Trace Elem Res. 2008 Apr; 122(1):26-41. PMID: 17987273.
      View in: PubMed
    72. Lin PH, Zhou W, Kougias P, El Sayed HF, Barshes NR, Huynh TT. Factors associated with hypotension and bradycardia after carotid angioplasty and stenting. J Vasc Surg. 2007 Nov; 46(5):846-53; discussion 853-4. PMID: 17980268.
      View in: PubMed
    73. Becker NS, Rodriguez JA, Barshes NR, O'Mahony CA, Goss JA, Aloia TA. Outcomes analysis for 280 patients with cholangiocarcinoma treated with liver transplantation over an 18-year period. J Gastrointest Surg. 2008 Jan; 12(1):117-22. PMID: 17963015.
      View in: PubMed
    74. Barshes NR, Annambhotla S, El Sayed HF, Huynh TT, Kougias P, Dardik A, Lin PH. Percutaneous stenting of superior vena cava syndrome: treatment outcome in patients with benign and malignant etiology. Vascular. 2007 Sep-Oct; 15(5):314-21. PMID: 17976332.
      View in: PubMed
    75. Barshes NR, Becker NS, Washburn WK, Halff GA, Aloia TA, Goss JA. Geographic disparities in deceased donor liver transplantation within a single UNOS region. Liver Transpl. 2007 May; 13(5):747-51. PMID: 17457866.
      View in: PubMed
    76. Barshes NR, Horwitz IB, Franzini L, Vierling JM, Goss JA. Waitlist mortality decreases with increased use of extended criteria donor liver grafts at adult liver transplant centers. Am J Transplant. 2007 May; 7(5):1265-70. PMID: 17359503.
      View in: PubMed
    77. Barshes NR, Udell IW, Joyce DL, Southard RE, O'Mahony CA, Goss JA. A pooled analysis of posttransplant survival following combined heart-liver transplantation. Transplantation. 2007 Jan 15; 83(1):95-8. PMID: 17220801.
      View in: PubMed
    78. Barshes NR, Hacker CS, Freeman RB, Vierling JM, Goss JA. Justice, administrative law, and the transplant clinician: the ethical and legislative basis of a national policy on donor liver allocation. J Contemp Health Law Policy. 2007; 23(2):200-30. PMID: 17642381.
      View in: PubMed
    79. Taylor OA, Popek EJ, Albright JT, Barshes NR, Goss JA, Carter BA. Oropharyngeal plasmacytic hyperplasia in a post-liver transplant recipient: morphologic and histologic signs. Liver Transpl. 2007 Jan; 13(1):170-2. PMID: 17192861.
      View in: PubMed
    80. Mejia A, Barshes N, Halff G, Goss J, Washburn WK. Use of split-liver allografts does not impair pediatric recipient growth. Liver Transpl. 2007 Jan; 13(1):145-8. PMID: 17029283.
      View in: PubMed
    81. Barshes NR, Agee EE, Zgabay T, Brunicardi FC, Goss JA, DeBakey ME. West Nile Virus encephalopathy following pancreatic islet transplantation. Am J Transplant. 2006 Dec; 6(12):3037. PMID: 17294529.
      View in: PubMed
    82. Barshes NR, Carter BA, Karpen SJ, O'Mahony CA, Goss JA. Isolated orthotopic liver transplantation for parenteral nutrition-associated liver injury. JPEN J Parenter Enteral Nutr. 2006 Nov-Dec; 30(6):526-9. PMID: 17047179.
      View in: PubMed
    83. Barshes NR, Vanatta JM, Patel AJ, Carter BA, O'Mahony CA, Karpen SJ, Goss JA. Evaluation and management of patients with propionic acidemia undergoing liver transplantation: a comprehensive review. Pediatr Transplant. 2006 Nov; 10(7):773-81. PMID: 17032422.
      View in: PubMed
    84. Lee TC, Goss JA, Rooney CM, Heslop HE, Barshes NR, Caldwell YM, Gee AP, Scott JD, Savoldo B. Quantification of a low cellular immune response to aid in identification of pediatric liver transplant recipients at high-risk for EBV infection. Clin Transplant. 2006 Nov-Dec; 20(6):689-94. PMID: 17100717.
      View in: PubMed
    85. Lee TC, Barshes NR, Agee EE, O'Mahony CA, Karpen SJ, Carter BA, Bristow JD, Goss JA. Resolution of medically resistant hypothyroidism after liver transplantation for hepatic hemangioendothelioma. J Pediatr Surg. 2006 Oct; 41(10):1783-5. PMID: 17011291.
      View in: PubMed
    86. Udell IW, Barshes NR, Finegold MJ, Lee TC, Scott JD, Carter B, Karpen S, Goss JA. Hepatitis C viral recurrence in a pediatric patient following liver transplantation. Pediatr Transplant. 2006 Aug; 10(5):617-22. PMID: 16857000.
      View in: PubMed
    87. Lee TC, Barshes NR, Agee EE, O'Mahoney CA, Brunicardi FC, Goss JA. The effect of whole organ pancreas transplantation and PIT on diabetic complications. Curr Diab Rep. 2006 Aug; 6(4):323-7. PMID: 16879786.
      View in: PubMed
    88. Barshes NR, Udell IW, Lee TC, O'Mahony CA, Karpen SJ, Carter BA, Goss JA. The natural history of hepatitis C virus in pediatric liver transplant recipients. Liver Transpl. 2006 Jul; 12(7):1119-23. PMID: 16799942.
      View in: PubMed
    89. Barshes NR, Chang IF, Karpen SJ, Carter BA, Goss JA. Impact of pretransplant growth retardation in pediatric liver transplantation. J Pediatr Gastroenterol Nutr. 2006 Jul; 43(1):89-94. PMID: 16819383.
      View in: PubMed
    90. Sussman N, Kaza V, Barshes N, Stribling R, Goss J, O'Mahony C, Zhang E, Vierling J, Frost A. Successful liver transplantation following medical management of portopulmonary hypertension: a single-center series. Am J Transplant. 2006 Sep; 6(9):2177-82. PMID: 16796721.
      View in: PubMed
    91. Barshes NR, Lee TR, Goss JA, Goodpastor SE, Huls MH, Rooney CM, Karpen SJ, Wyllie S. Slc11a1 (formerly Nramp1) polymorphisms and susceptibility to post-transplant lymphoproliferative disease following pediatric liver transplantation. Transpl Infect Dis. 2006 Jun; 8(2):108-12. PMID: 16734634.
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    92. Lee TC, Savoldo B, Barshes NR, Rooney CM, Heslop HE, Gee AP, Caldwell Y, Scott JD, Goss JA. Use of cytokine polymorphisms and Epstein-Barr virus viral load to predict development of post-transplant lymphoproliferative disorder in paediatric liver transplant recipients. Clin Transplant. 2006 May-Jun; 20(3):389-93. PMID: 16824159.
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    93. Barshes NR, Lee TC, Udell IW, O'mahoney CA, Karpen SJ, Carter BA, Goss JA. The pediatric end-stage liver disease (PELD) model as a predictor of survival benefit and posttransplant survival in pediatric liver transplant recipients. Liver Transpl. 2006 Mar; 12(3):475-80. PMID: 16498644.
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    94. Barshes NR, Lee TC, Balkrishnan R, Karpen SJ, Carter BA, Goss JA. Risk stratification of adult patients undergoing orthotopic liver transplantation for fulminant hepatic failure. Transplantation. 2006 Jan 27; 81(2):195-201. PMID: 16436962.
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    95. Lee TC, Barshes NR, Nguyen L, Karpen SJ, Quiros-Tejeira RE, Carter BA, Goss JA. Gastroschisis and biliary atresia in a neonate: uncommon presentation or common precipitant. Eur J Pediatr Surg. 2005 Dec; 15(6):434-6. PMID: 16418964.
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    96. Barshes NR, DiBardino DJ, McKenzie ED, Lee TC, Stayer SA, Mallory GB, Karpen SJ, Quiros-Tejeira RE, Carter BA, Fraser CD, Goss JA. Combined lung and liver transplantation: the United States experience. Transplantation. 2005 Nov 15; 80(9):1161-7. PMID: 16314780.
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    97. Barshes NR, Lee TC, Balkrishnan R, Karpen SJ, Carter BA, Goss JA. Orthotopic liver transplantation for biliary atresia: the U.S. experience. Liver Transpl. 2005 Oct; 11(10):1193-200. PMID: 16184564.
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    98. Barshes NR, Gay AN, Williams B, Patel AJ, Awad SS. Support for the acutely failing liver: a comprehensive review of historic and contemporary strategies. J Am Coll Surg. 2005 Sep; 201(3):458-76. PMID: 16125082.
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    99. Lee TC, Savoldo B, Rooney CM, Heslop HE, Gee AP, Caldwell Y, Barshes NR, Scott JD, Bristow LJ, O'Mahony CA, Goss JA. Quantitative EBV viral loads and immunosuppression alterations can decrease PTLD incidence in pediatric liver transplant recipients. Am J Transplant. 2005 Sep; 5(9):2222-8. PMID: 16095501.
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    100. Barshes NR, Lee TC, Udell IW, O'Mahoney CA, Carter BA, Karpen SJ, Goss JA. Adult liver transplant candidate attitudes toward graft sharing are not obstacles to split liver transplantation. Am J Transplant. 2005 Aug; 5(8):2047-51. PMID: 15996258.
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    101. Udell IW, Barshes NR, Voloyiannis T, Lee TC, Karpen SJ, Carter BA, Finegold M, Goss JA. Neonatal hemochromatosis: radiographical and histological signs. Liver Transpl. 2005 Aug; 11(8):998-1000. PMID: 16035090.
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    102. Lee TC, Barshes NR, Washburn WK, Halff GA, Carter BA, Karpen SJ, Bristow LJ, Scott JD, Goss JA. Split-liver transplantation using the left lateral segment: a collaborative sharing experience between two distant centers. Am J Transplant. 2005 Jul; 5(7):1646-51. PMID: 15943622.
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    103. Barshes NR, Vanatta JM, Mote A, Lee TC, Schock AP, Balkrishnan R, Brunicardi FC, Goss JA. Health-related quality of life after pancreatic islet transplantation: a longitudinal study. Transplantation. 2005 Jun 27; 79(12):1727-30. PMID: 15973176.
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    104. Lee TC, Barshes NR, O'Mahony CA, Nguyen L, Brunicardi FC, Ricordi C, Alejandro R, Schock AP, Mote A, Goss JA. The effect of pancreatic islet transplantation on progression of diabetic retinopathy and neuropathy. Transplant Proc. 2005 Jun; 37(5):2263-5. PMID: 15964394.
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    105. Lee TC, Barshes NR, Brunicardi FC, Nguyen L, Goss JA, DeBakey ME. Transplantation of the pancreas and pancreatic islets: has it lived up to its promise? Curr Surg. 2005 May-Jun; 62(3):305-10. PMID: 15890213.
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    106. Barshes NR, Myers GD, Lee D, Karpen SJ, Lee TC, Patel AJ, Finegold M, Goss JA. Liver transplantation for severe hepatic graft-versus-host disease: an analysis of aggregate survival data. Liver Transpl. 2005 May; 11(5):525-31. PMID: 15838886.
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    107. Barshes NR, Lee TC, Goodpastor SE, Balkrishnan R, Schock AP, Mote A, Brunicardi FC, Alejandro R, Ricordi C, Goss JA. Transaminitis after pancreatic islet transplantation. J Am Coll Surg. 2005 Mar; 200(3):353-61. PMID: 15737845.
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    108. Barshes NR, Wyllie S, Goss JA. Inflammation-mediated dysfunction and apoptosis in pancreatic islet transplantation: implications for intrahepatic grafts. J Leukoc Biol. 2005 May; 77(5):587-97. PMID: 15728243.
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    109. Barshes N, Demopoulos A, Engelhard HH. Anatomy and physiology of the leptomeninges and CSF space. Cancer Treat Res. 2005; 125:1-16. PMID: 16211880.
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    110. Barshes NR, Vavra AK, Miller A, Brunicardi FC, Goss JA, Sweeney JF. General surgery as a career: a contemporary review of factors central to medical student specialty choice. J Am Coll Surg. 2004 Nov; 199(5):792-9. PMID: 15501122.
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    111. Lee TC, Barshes NR, Brunicardi FC, Alejandro R, Ricordi C, Nguyen L, Goss JA. Procurement of the human pancreas for pancreatic islet transplantation. Transplantation. 2004 Aug 15; 78(3):481-3. PMID: 15316380.
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    112. Barshes NR, Lee T, Kiliç M, Goss JA. Reconstruction of the hepatic venous outflow in piggyback liver transplantation. Exp Clin Transplant. 2004 Jun; 2(1):189-95. PMID: 15859927.
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    113. Barshes NR, Lee T, Goodpasture S, Brunicardi FC, Alejandro R, Ricordi C, Soltes G, Barth M, Hamilton D, Goss JA. Achievement of insulin independence via pancreatic islet transplantation using a remote isolation center: a first-year review. Transplant Proc. 2004 May; 36(4):1127-9. PMID: 15194393.
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    114. Barshes NR, Lee TC, Karpen SJ, Bristow LJ, Quiros-Tejeira RE, Goss JA. Asymptomatic small bowel intussusception associated with post-transplant lymphoproliferative disease. Pediatr Transplant. 2004 Apr; 8(2):196-7. PMID: 15049803.
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    115. Barshes NR, Lee TC, Brunicardi FC, Mote A, Schock AP, Alejandro R, Ricordi C, Goss JA. Lack of cytomegalovirus transmission after pancreatic islet transplantation. Cell Transplant. 2004; 13(7-8):833-8. PMID: 15690986.
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    116. Barshes NR, Goodpastor SE, Goss JA. Pharmacologic immunosuppression. Front Biosci. 2004 Jan 1; 9:411-20. PMID: 14766378.
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    117. Barshes NR, Goodpastor SE, Goss JA. Sirolimus-atorvastatin drug interaction in the pancreatic islet transplant recipient. Transplantation. 2003 Dec 15; 76(11):1649-50. PMID: 14702546.
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