top of page
SBVS Research Articles


PATIENTS AT RISK FOR CAROTID ARTERY DISEASE
Dr. Kevin Casey featured in the Santa Barbara Independent about COVID-19 TCAR is a patient-friendly, endovascular procedure that incorporates the neuroprotection principles of CEA. It utilizes the ENROUTE® Transcarotid Neuroprotection System to temporarily reverse blood flow away from the brain, collecting any potential debris in the device filter, before returning the blood to a vessel in the leg. With reverse flow neuroprotection established, the ENROUTE® Transcarotid Stent


CENTRAL COAST PHYSICIANS STAND WITH PUBLIC HEALTH
Dr. Kevin Casey featured in the Santa Barbara Independent about COVID-19 The Central Coast Medical Association stands firmly in support of our public health servants and their recommendations throughout the coronavirus pandemic. Based solely on science, these policies are in place to protect the health and safety of our communities as we hasten a return to “normal life.” As health professionals, they are driven by the science of protecting human life through good, sound publi


CENTRAL COAST PHYSICIANS MAGAZINE
Dr. Kevin Casey Featured in the January 2020 Issue The happiest place on earth. You may think I'm talking about the Central Coast, but I recently attended the California Medical Association's House of Delegates (HOD) in Anaheim at the Disneyland Hotel. I, along with over 400 other physicians from around the state, discussed and debated many of the most salient issues affeting our state, our patients, and the medical community. Read More>


NOOZHAWK: THE FRESHEST NEWS IN SANTA BARBARA
Dr. Kevin Casey to Lead Central Coast Medical Association The Central Coast Medical Association has named Dr. Kevin Casey as president of its 2020 Board of Directors. Dr. Casey has been a member of the Central Coast Medical Association since 2016. He has been active with CCMA's state affiliate, the California Medical Association, where he has worked on policies and legislation that affects physicians and patients. Read More>


Collaborative Approach to the Creation of an Arteriovenous Fistula on a US Navy Hospital Ship
Kimberly A. Thompson, MD, Amrish Krishnan, MD, Charles Stehman, MD, Steven Hanling, MD, and Kevin Casey, MD ABSTRACT Early creation of arteriovenous fistulas (AVFs) decreases morbidity and mortality in patients with end-stage renal disease and is the standard of care in the United States. However, this procedure is frequently not accessible in low- and middle-income countries (LMICs). We present the first reported case of successful AVF creation as part of a humanitarian assi


Limb Salvage After Vascular Reconstruction Followed by Tissue Transfer During the Global War on Terror
LCDR Kevin Casey, MD, FACS,a,c CPT Jennifer Sabino, MD,b CAPT Jeffrey S. Weiss, MD, FACS,a,c Anand Kumar, MD, FACS, FAAP,d and CDR Ian Valerio, MD, FACS,b,c,d San Diego, Calif; Bethesda and Baltimore, Md; and Kandahar, Afghanistan Background: Combat extremity wounds are complex and frequently require an immediate vascular reconstruction in the operational environment followed by delayed tissue coverage at a stateside medical treatment facility. The purpose of this study was t


Giant Anterior Tibial Artery Pseudoaneurysm Successfully Treated on the USNS Mercy
LCDR Victoria S. McDonald, MC USN; LT Kimberly A. Thompson, MC USN; CDR Kevin M. Casey, MC USN ABSTRACT The need for an experienced vascular surgeon in the combat setting is not questioned; however, there is a paucity of literature exploring the utility of vascular surgery during an elective humanitarian mission. We herein present a case of a post-traumatic pseudoaneurysm of the anterior tibial artery treated in the context of a humanitarian mission during Pacific Partnership


Isolated Mycotic Hypogastric Artery Aneurysm
Michael Paisley, MD, Nick Faunce, MD, Stephen Hosea, MD, and Kevin Casey, MD, FACS, Santa Barbara, Calif ABSTRACT Isolated iliac artery aneurysms are rare and commonly associated with aortic aneurysms. Hypogastric artery aneurysms (HAAs) are exceptionally rare. The general approach to HAAs has been exclusion and bypass, although when this is complicated by mycotic disease, endovascular techniques can provide unique approaches to management. We present the case of a patient wi


Flap Coverage Outcomes following VascularInjury and Repair: Chronicling a Decade ofSevere War-Related Extremity Trauma
Background: Combat-related extremity injuries frequently require vascular repair within the combat theater before undergoing definitive reconstruction. This study examines the outcomes of early vascular repair with secondary soft-tissue extremity reconstruction over the past decade of war trauma. Methods: War-related extremity injuries necessitating a downrange vascular procedure followed by a definitive limb reconstruction were reviewed. Patient demographics, type and locati


A Pulseless Limb Poorly Predicts an Arterial Injury in Combat Trauma
Jacob F. Quail, Victoria S. McDonald, Kristina K. Carter, Jeffrey S. Weiss, and Kevin M. Casey, San Diego, California; and Kandahar, Afghanistan Background: A pulseless limb is considered a hard sign of an arterial injury after penetrating trauma in the civilian population. However, the reliability of this finding has never been examined in combat trauma. The purpose of this study was to examine the reliability of the pulseless limb in the combat trauma population. Reasons fo


Trends in Surgical Case Volume During Pacific PartnershipMissions Onboard USNS Mercy
LT Alicia G. Sykes, MC, USN; LCDR Jason B. Brill, MC, USN; LCDR James D. Wallace, MC, USN; LT Clara Lee, MC, USN; LCDR Paul R. Lewis, MC, USN; CDR Marion C. Henry, MD, MPH (Ret.); CDR Matthew S. Christman, MC, USN; CDR Kevin M. Casey, MC, USN (Ret.); Stephen W. Bickler, MD; CAPT Romeo C. Ignacio, MC, USN (Ret.) ABSTRACT Introduction: Since 2006, the U.S. Navy has conducted six Pacific Partnership (PP) missions throughout Southeast Asia on board the U.S. Naval Ship Mercy (T-AH


Paget-Schroetter Syndrome in Nonathletic31-Year-Old Female Without Hypercoagulopathy
Thomas B. Rehder III, DO ; and Kevin Casey, MD Abstract Paget-Schroetter syndrome is an infrequent event in which an upper-extremity thrombosis forms typically after strenuous overhead activities, such as weight-lifting, swimming, pitching, and wrestling. This occurs most frequently in athletic men in their second or third decade of life and may be associated with thoracic outlet anatomical abnormalities that result in venous compression and increased risk for repetitivemicro


Left Renal Vein Transposition for Posterior Nutcrackersyndrome
Cameron St. Hilaire, MD, Michael Paisley, MD, Justin Greene, MD, and Kevin M. Casey, MD, Santa Barbara, Calif ABSTRACT Nutcracker syndrome (NCS) is a rare cause of pelvic venous congestion syndrome and is secondary to either compression of the left renal vein in its normal anatomic position by the superior mesenteric artery and aorta or less commonly when the left renal vein is in a retroaortic position, compressed between the aorta and the spine. We herein present a unique c


The Impact of Vascular Surgery Procedures on Climate Change
Mingxue Wang, MD, Fares Al-Khouja, MD, Arianne Johnson, PhD, Jasmine Lin, BS, and Kevin M. Casey, MD, Santa Barbara, CA ABSTRACT Background: If the health care sector were an independent nation, it would be the 5th largest greenhouse gas (GHG) emitter in the world, with operating room waste (ORW) being a significant contributor. However, the specific impact of ORW from vascular surgery procedures remains under-examined. The objective of this study was to examine and compare t


Frailty is Not Associated with WorseOutcomes following Lower ExtremityAngiograms for Limb Ischemia inNonagenarians
Jaclyn DeRieux, Dina Obed, Arianne Johnson, Michael J. Paisley, Michelle Wang, and Kevin M. Casey, Santa Barbara, California, and Portland, Oregon Background: Endovascular interventions are performed routinely with minimal risk in younger populations. The safety and efficacy of endovascular interventions in nonagenarians is under examined. We sought to examine the following (1) mortality and limb salvage rates in the nonagenarian population and (2) whether frailty was associa


Fibromuscular Dysplasia Incidentally Identified with Computed Tomography Angiography
Henry Lee, BS, Bethany Lueck, MD, and Kevin M. Casey, MD, Santa Barbara, CA A 78-year-old woman had presented to the emergency room with altered mental status after the inadvertent consumption of a cannabis product. A stroke workup was initiated, including computed tomography angiography, which demonstrated severe tortuosity and a beaded appearance of her bilateral internal carotid arteries (A/Cover and B). The radiographic imaging findings, including alternating areas of bul


Successful Return to Active Duty after FirstRib Resection for Thoracic Outlet Syndrome
Kimberly A. Thompson, Michael J. Paisley, Meghann E. Nelles, and Kevin M. Casey, San Diego and Santa Barbara, California Background: The optimal surgical approach and treatment algorithm for thoracic outlet syndrome (TOS) remain controversial. We sought to examine the outcomes of patients treated at a military medical treatment facility (MTF) for TOS. Methods: A retrospective review was performed on all patients who had a first rib resection (FRR) for TOS over a 9-year period


Flap Coverage Outcomes Following VascularInjury and Repair: Chronicling a Decade of Severe War-Related Extremity Trauma
LCDR Kevin Casey, M.D.; CPT Jennifer Sabino, M.D.; LCDR Elliot Jessie, M.D., M.B.A.; COL Barry D. Martin, M.D.; LCDR Ian Valerio, M.D., M.B.A. Background: Combat-related extremity injuries frequently require vascular repair within the combat theater before undergoing definitive reconstruction. This study examines the outcomes of early vascular repair with secondary softtissue extremity reconstruction over the past decade of war trauma. Methods: War-related extremity injuries
bottom of page
