Scholars@Duke
Samantha Minc

Samantha Minc

Associate Professor of Surgery
Surgery, Vascular and Endovascular Surgery
samantha.minc@duke.edu
407 Crutchfield Street, Durham, NC 27707
DUMC Box 3538, Durham, NC 27712

Scholarly Works - Journal articles

Physician Implicit Racial Bias and Guideline-Concordant Vascular Care.

Journal article JAMA Netw Open · August 3, 2026 IMPORTANCE: Physician implicit racial bias is associated with the performance of low-value procedures for Black patients in clinical contexts lacking clear practice guidelines. Less is known about the association between implicit bias and adherence to well ... Full text Link to item Cite

Implicit Bias and Recognition of Biases Among Vascular Surgeons.

Journal article J Surg Res · April 2026 INTRODUCTION: Implicit bias can influence behavior and decision-making, such as treatment decisions in clinical settings. Given documented Black-White disparities in vascular care, the purpose of this study was to describe the prevalence and degree of impl ... Full text Link to item Cite

Benefits of Multi-Disciplinary Limb Preservation Teams.

Journal article Clin Podiatr Med Surg · April 2026 Diabetes-related foot complications pose a growing global health challenge, often leading to limb loss. Multidisciplinary limb-preservation teams-comprising podiatrists, vascular surgeons, infectious disease specialists, hospitalists, and endocrinologists- ... Full text Link to item Cite

Peripheral Artery Disease: New Concepts, Treatments, and Disparities.

Journal article Annu Rev Med · January 2026 Peripheral artery disease (PAD) is a prevalent and underdiagnosed atherosclerotic condition affecting more than 10 million adults in the United States. PAD is a marker of systemic vascular disease and a strong predictor of myocardial infarction, stroke, an ... Full text Link to item Cite

A population health analysis of trends in lower extremity amputation secondary to diabetes and peripheral artery disease, 2016-2023.

Journal article Diabetes Res Clin Pract · December 2025 AIMS: This observational cohort study analyzes changes in amputation rates and inpatient outcomes for Illinois residents with diabetes and peripheral artery disease (PAD) admitted to non-federal hospitals. METHODS: Hospital admissions for lower extremity a ... Full text Link to item Cite

Identifying the challenges of amputation prevention in a rural state with mixed methods research engaging patients and providers.

Journal article J Vasc Surg · November 2025 OBJECTIVE: To identify barriers and facilitators to amputation prevention in a rural state using a mixed methods approach integrating spatial epidemiology, regression analysis, and qualitative methods. METHODS: We conducted a sequential explanatory mixed m ... Full text Link to item Cite

Disaggregating Health Differences and Disparities With Machine Learning and Observed-to-expected Ratios: Application to Major Lower Limb Amputation.

Journal article Epidemiology · November 1, 2025 BACKGROUND: Major lower limb amputation is a devastating but preventable complication of peripheral artery disease. It is unclear whether racial and ethnic and rural differences in amputation rates are due to clinical, hospital, or structural factors. METH ... Full text Link to item Cite

Femoropopliteal Interventions for Peripheral Artery Disease: A Review of Current Evidence and Future Directions.

Journal article Interv Cardiol Clin · April 2025 The femoropopliteal segment is a common anatomic location for peripheral artery disease. The clinical presentation of occlusive disease of the femoropopliteal segment can range from symptomatic or severe claudication if in isolation, or acute or chornic li ... Full text Link to item Cite

In the know with toe and flow.

Journal article Semin Vasc Surg · March 2025 Full text Link to item Cite

Implicit Racial Bias and Unintentional Harm in Vascular Care.

Journal article JAMA Surg · February 26, 2025 IMPORTANCE: Implicit bias may influence physician treatment decisions and contribute to Black-White health disparities. There are limited data linking implicit bias with actual care delivery and outcomes. OBJECTIVE: To determine whether implicit racial bia ... Full text Link to item Cite

Engaging patients and their caregivers in research to improve evidence-based, patient-centered and equitable care for chronic limb-threatening ischemia and advanced peripheral artery disease.

Journal article JVS Vasc Insights · 2025 Chronic limb-threatening ischemia (CLTI) is the end stage of advanced peripheral artery disease (PAD), a condition that is estimated to affect more than 200 million individuals globally. CLTI poses significant risks to many patients, particularly those fro ... Full text Link to item Cite

Building your research team: Insights on hiring, assembling, and leading research teams.

Journal article JVS Vasc Insights · 2025 BACKGROUND/OBJECTIVE: Teams are extremely important for productive vascular surgery research. Surgeons are uniquely poised to be at the forefront of meaningful research teams. METHODS AND CONCLUSIONS: We discuss team science and leadership in leading scien ... Full text Link to item Cite

Trans-peritoneal Repair of a Juxta-Renal Abdominal Aortic Aneurysm with Horseshoe Kidney Complicated by Urine Leak Successfully Managed with Urinary Diversion and Selective Renal Artery Embolization.

Journal article Ann Vasc Surg Brief Rep Innov · December 2024 There are a limited number of case reports describing the division of a horseshoe kidney (HSK) during trans- peritoneal repair of an abdominal aortic aneurysm (AAA). We present case of a juxta-renal AAA overlaid by an L shaped HSK, repaired trans- peritone ... Full text Link to item Cite

Comparison of direct oral anticoagulants and warfarin in chronic limb-threatening ischemia.

Journal article J Vasc Surg · June 2024 OBJECTIVE: The role of direct oral anticoagulants (DOACs) in chronic limb-threatening ischemia after revascularization is unknown. Current evidence-based guidelines do not provide clear guidance on the role of anticoagulation or the selection of anticoagul ... Full text Link to item Cite

Current Status and Principles for the Treatment and Prevention of Diabetic Foot Ulcers in the Cardiovascular Patient Population: A Scientific Statement From the American Heart Association.

Journal article Circulation · January 23, 2024 Despite the known higher risk of cardiovascular disease in individuals with type 2 diabetes, the pathophysiology and optimal management of diabetic foot ulcers (DFUs), a leading complication associated with diabetes, is complex and continues to evolve. Com ... Full text Link to item Cite

Submitting a successful National Institutes of Health career development award for the vascular surgeon scientist.

Journal article JVS Vasc Insights · 2024 Obtaining a career development award from the National Institutes of Health (K award) is often an important step in establishing a career as a vascular surgeon scientist. The application and review process is competitive, involves many steps, and may be co ... Full text Link to item Cite

Open retrieval management of inferior vena cava filter erosion resulting in symptomatic hydroureteronephrosis.

Journal article J Vasc Surg Cases Innov Tech · September 2023 Inferior vena cava filters are effective for the management of thromboembolic disease but can erode into adjacent organ systems in rare instances. Endovascular retrieval of eroded filters has been the preferred management for this complication. We present ... Full text Link to item Cite

Anesthetic choice for arteriovenous access creation: A National Anesthesia Clinical Outcomes Registry analysis.

Journal article J Vasc Access · July 2023 BACKGROUND: We sought to evaluate differences in primary anesthetic type used in arteriovenous access creation with the hypothesis that administration of regional anesthesia and monitored anesthesia care (MAC) with local anesthesia as the primary anestheti ... Full text Link to item Cite

Resection of a hormonally active carotid body tumor.

Journal article Ann Vasc Surg Brief Rep Innov · June 2023 Treatment of carotid body tumors (CBTs) can be complicated by the presence of hormonal activity. This case describes the treatment of a 65-year-old woman that presented with an abnormally high blood pressure and was found to have a neck mass. Diagnostic im ... Full text Link to item Cite

Community-engaged research in vascular surgery: An approach to decrease amputation disparities and effect population-level change.

Journal article Semin Vasc Surg · March 2023 Community-engaged research (CEnR) is a powerful tool to create sustainable and effective change in health outcomes. CEnR engages community members as equal partners, amplifying their voices and priorities by including them throughout the research process. ... Full text Link to item Cite

A review of disparities in peripheral artery disease and diabetes-related amputations during the COVID-19 pandemic.

Journal article Semin Vasc Surg · March 2023 The COVID-19 pandemic has profoundly affected health care delivery. In addition to the significant morbidity and mortality associated with acute illness from COVID-19, the indirect impact has been far-reaching, including substantial disruptions in chronic ... Full text Link to item Cite

Mixed methods research: A primer for the vascular surgeon.

Journal article Semin Vasc Surg · December 2022 Mixed methods research is an approach that intentionally integrates both quantitative and qualitative research methods to answer a research question. The hallmark of mixed methods research is a focus on designing studies that integrate both quantitative an ... Full text Link to item Cite

Opportunities for diabetes and peripheral artery disease-related lower limb amputation prevention in an Appalachian state: A longitudinal analysis.

Journal article Prev Med Rep · September 2021 Lower extremity amputation due to peripheral artery disease (PAD) and diabetes (DM) is a life-altering event that identifies disparities in access to healthcare and management of disease. West Virginia (WV), a highly rural state, is an ideal location to st ... Full text Link to item Cite

Healthcare disparities in vascular surgery: A critical review.

Journal article J Vasc Surg · August 2021 Health disparities in vascular surgical care have existed for decades. Persons categorized as Black undergo a nearly twofold greater risk-adjusted rate of leg amputations. Persons categorized as Black, Latinx, and women have hemodialysis initiated via auto ... Full text Link to item Cite

Disparities in amputation in patients with peripheral arterial disease.

Journal article Surgery · June 2021 To describe peripheral arterial disease-related amputation as a marker for health disparities. ... Full text Link to item Cite

Impact of rural versus urban geographic location on length of stay after carotid endarterectomy.

Journal article Vascular · August 2019 BACKGROUND: Reducing the incidence of extended length of stay (ELOS) after carotid endarterectomy (CEA), defined as LOS > I day, is an important quality improvement focus of the Vascular Quality Initiative (VQI). Rural patients with geographic barriers pos ... Full text Link to item Cite

Peripheral artery aneurysm.

Journal article Surg Clin North Am · August 2013 Peripheral aneurysms typically present as asymptomatic incidental findings or may present with symptoms when there is local compression of other structures, such as nerves or veins, with ischemia, or rarely with rupture. Larger and symptomatic aneurysms sh ... Full text Link to item Cite

Vascular Complications Increase Hospital Charges and Mortality in Adult Patients on Extracorporeal Membrane Oxygenation in the United States.

Journal article Semin Thorac Cardiovasc Surg Patients on extracorporeal membrane oxygenation (ECMO) who suffer vascular complications frequently accrue additional procedures and costs. We sought to evaluate the effect of ECMO-related vascular complications on hospital charges and in-hospital mortalit ... Full text Link to item Cite