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Atasoy M.M.,Maltepe University | Oguzkurt L.,Bahcelievler Medical Park Hospital
Diagnostic and Interventional Radiology | Year: 2016

PURPOSE: We aimed to investigate the feasibility and safety of the endovenous ambulatory selective varicose vein ablation under local anesthesia (eASVAL) method in a selected group of patients with varicose disease and present the short-term results of one-year ultrasonographic follow-up. METHODS: Three hundred and ninety-five consecutive patients with varicose veins who had been treated with endovenous laser ablation (EVLA) were retrospectively reviewed over a period of two years. From this group, 41 patients who were treated using the eASVAL technique and had the great saphenous vein (GSV) preserved were included in the study. These patients had only limited segmental GSV reflux accompanied by a competent terminal valve. The eASVAL technique can be defined as EVLA of the proximal straight segments of the major tributaries connecting the symptomatic varicose veins with the GSV, followed by ultrasound-guided foam sclerotherapy of the superficial varicose veins themselves. The patients were assessed before and after the treatment by duplex scan findings and clinical assessment scores. RESULTS: The GSVs were successfully preserved in all 41 cases, and all patients showed significant clinical improvement using the eASVAL approach (P < 0.001). Segmental reflux was no longer present in 75.3% of patients. The mean diameters of the GSVs were significantly reduced at one-year follow-up (8.5 mm vs. 7.5 mm, P < 0.001). CONCLUSION: eASVAL is a feasible and safe procedure in selected patients, with promising results at one-year ultrasonographic follow-up. However, prospective studies are required, comparing this approach with the standard techniques. © Turkish Society of Radiology 2016. Source

Karabay K.O.,Istanbul Science University | Yildiz A.,Bahcelievler Medical Park Hospital | Behramoglu F.,Sisli Etfal Training and Research Hospital | Aytekin V.,Nightingale
International Journal of Angiology | Year: 2015

Acute multicoronary occlusion is an extremely rare clinical and angiographic finding. Prompt diagnosis and treatment are extremely important. Herein, we present a 38-year-old man suffering from concomitant anterior and inferior myocardial infarctions due to simultaneous total occlusion of both the left anterior descending and right coronary arteries. Copyright © 2015 by Thieme Medical Publishers, Inc. Source

Kilickesmez O.,Istanbul Education and Research Hospital | Oguzkurt L.,Bahcelievler Medical Park Hospital
Journal of Clinical Imaging Science | Year: 2015

We report the case of a patient with 2-month history of chronic thromboembolism of the distal superficial femoral and popliteal arteries with diagnostic features of thromboangiitis obliterans disease. The occlusion could not be crossed by antegrade approach and was achieved retrogradely via dorsalis pedis artery puncture followed by mechanical removal of the thrombus with Rotarex system (Straub Medical AG, Wangs, Switzerland). Subsequent ballooon angioplasties achieved exclusion of the thrombus, and straight-line flow established to the foot through the anterior tibial Artery. The present case report demonstrates the success of mechanical thrombectomy in a patient with Buerger's vasculitis. Copyright: © 2015 Kilickesmez O. Source

Hokenek A.F.,Acibadem University | Kinoglu B.,Bahcelievler Medical Park Hospital | Gursoy M.,Bakirkoy Dr Sadi Konuk Training And Research Hospital | Sirin G.,Bahcelievler Medical Park Hospital | Gulcan F.,Acibadem University
Journal of Cardiac Surgery | Year: 2013

Introduction The selection of the ideal cannulation site is still one of the major concerns in ascending aortic surgery. In the last decade, many surgeons have chosen to utilize antegrade cerebral perfusion in hypothermic circulatory arrest. In this study, we aimed to evaluate arterial cannulation techniques in patients who underwent root replacement for annuloaortic ectasia. Materials and Methods Between 2005 and 2012, a total of 69 patients with a diagnosis of annuloaortic ectasia underwent aortic root replacement with femoral artery, axillary artery, and direct innominate artery cannulation (IAC). Patients demographic, operative, and postoperative data were collected prospectively and analyzed. Results A total of 69 patients were investigated. Their ages varied from 13 to 78 (mean age was 54.25 ± 15.69) and 48 patients were male (69.5%). Mean aortic diameter was 5.65 ± 1.58 cm (min: 4.5 cm to max: 7.8 cm) by computerized tomography. The procedures included modified Bentall operation in 61 patients, and Cabrol operation in eight patients. In hospital, the mortality rate was 1.85%, and a 30-day mortality rate was 3.7% in the IAC group and 6.6% in patients who underwent femoral and axillary artery cannulation. Temporary cognitive dysfunction and stroke rate were similar between groups. Conclusion Innominate cannulation is associated with low morbidity and mortality in patients who underwent ascending aorta surgery. doi: 10.1111/jocs.12182 (J Card Surg 2013;28:550-553) © 2013 Wiley Periodicals, Inc. Source

Afsar C.U.,Bahcelievler Medical Park Hospital | Gunaldi M.,Bahcelievler Medical Park Hospital | Kum P.,Bahcelievler Medical Park Hospital | Sahin B.,Bahcelievler Medical Park Hospital | And 8 more authors.
Asian Pacific Journal of Cancer Prevention | Year: 2014

Background: The aim of this study was to investigate the general characteristics of patients with deep vein thrombosis (DVT) and pancreatic cancer as well as evaluate the relationship between mean platelet volume (MPV), DVT and survival. Materials and Methods: Seventy-seven patients with pancreatic cancer, who were admitted to Cukurova University Medical Faculty, Department of Medical Oncology, were enrolled in the study Results: The mean age was 59±20. Forty-nine (63.6%) were men and 28 women (36.4%) . Sixty-eight (88.3%) patients had adenocarcinoma and 9 (11.7%) had a malignant epithelial tumor. Thirty-six (46.7%) had liver metastasis at diagnosis. Twenty-six (33.8%) patients were alive, 20 (26%) were dead and in 31 (40.2%) the status was unknown. Only 14 (18.1%) patients had DVT. In 42 (54.5%) patients MPV values were normal, in 28 (36.4%) patients they were above normal, and in 7 (9.1%) patients they were below normal. There was no statistically significant difference between gender, tumour localization, chemotherapy and survival rates (p:0.56, p:0.11, p:0.21). There was no significant difference between DVT, gender, localisation, histological subtype, the presence of metastasis, stage and if the patient had been treated with chemotherapy (p:0.5, p:0.6, p:0.2, p:0.32, p:0.1, p:0.84). There was also no significant difference between MPV and DVT (p:0.57) but there was a significant difference between liver metastasis and DVT (p:0.02). Age, stage, the presence of metastasis and DVT were prognostic in pancreatic cancer patients. Conclusions: Cases of pancreatic cancer with liver metastasis should be studied more carefully as thrombosis is more common in these patients. Source

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