Pub Date : 2023-01-01DOI: 10.9739/tjvs.2023.05.015
A. Kocaoğlu, Cengiz Ovalı
Aim: The aim of this study is to present our mid-term results obtained from patients with advanced saphenous vein insufficiency treated with N-butyl cyanoacrylate embolization (CAE). Material and Methods: In the present study, we included 1013 patients who were treated with CAE because of moderate and severe saphenous vein insufficiency in Eskişehir Osmangazi University Medical Faculty Hospital Cardiovascular Surgery Clinic between January 2015 and November 2019. The patients were rechecked at 1st, 6th, 12th, 24th and 36th months. Venous Clinical Severity Score (VCSS) and Aberdeen Varicose Vein Questionnaire (AVVQ) results recorded at preoperative and postoperativee period. Doppler ultrasonography (USG) was performed to all patients in all controls. The absence of re-canalized flow in Doppler USG was accepted as the success of the procedure. Results: The mean age of 1013 patients was 51.27±14.30 years (448 men (44.2%) and 565 women (55.8%)). The average procedure time was 12.4±2.1 minutes, the average amount of CA used in the procedure was 1.6 ml (min: 1 ml - max: 2ml). In outpatient controls, complication rates was low, thrombophlebitis occurred in 17 patients (1.7%) and ecchymosis occurred in 9 patients (0.9%). The occlusion rate was 97.6% according to the 1-year follow-up results and 93.3% according to the 3-year follow-up results. The decrease in VCSS and AVVQ scores was statistically significant when the preoperative and postoperative period results compared (p<.05). Conclusion: In the present study, we think that CAE is a safely and effective treatment method for saphenous vein insufficiency. It has low complication, high occlusion rates and provides better comfort to the patients.
目的:本研究的目的是报告我们对晚期隐静脉功能不全患者采用氰基丙烯酸酯正丁酯栓塞(CAE)治疗的中期结果。材料与方法:在本研究中，我们纳入了2015年1月至2019年11月在eskikiehir Osmangazi大学医学院附属医院心血管外科诊所因中重度隐静脉功能不全而接受CAE治疗的1013例患者。于第1、6、12、24、36个月复查。术前、术后分别记录静脉临床严重程度评分(VCSS)和阿伯丁静脉曲张问卷(AVVQ)。所有患者均行多普勒超声检查(USG)。在多普勒USG中没有再通流被认为是手术的成功。结果:1013例患者平均年龄51.27±14.30岁，其中男性448例(44.2%)，女性565例(55.8%)。平均手术时间为12.4±2.1分钟，平均CA用量为1.6 ml(最小为1 ml -最大为2ml)。在门诊对照组中，并发症发生率较低，17例(1.7%)患者发生血栓性静脉炎，9例(0.9%)患者发生瘀斑。1年随访时闭塞率为97.6%，3年随访时闭塞率为93.3%。术前、术后VCSS、AVVQ评分比较，差异有统计学意义(p< 0.05)。结论:CAE是一种安全有效的治疗隐静脉功能不全的方法。并发症少，闭塞率高，患者舒适度好。
{"title":"Evaluation of mid-term results in our patients treated with N-Butyl cyanoacrylate embolization in saphenous vein insufficiency","authors":"A. Kocaoğlu, Cengiz Ovalı","doi":"10.9739/tjvs.2023.05.015","DOIUrl":"https://doi.org/10.9739/tjvs.2023.05.015","url":null,"abstract":"Aim: The aim of this study is to present our mid-term results obtained from patients with advanced saphenous vein insufficiency treated with N-butyl cyanoacrylate embolization (CAE). Material and Methods: In the present study, we included 1013 patients who were treated with CAE because of moderate and severe saphenous vein insufficiency in Eskişehir Osmangazi University Medical Faculty Hospital Cardiovascular Surgery Clinic between January 2015 and November 2019. The patients were rechecked at 1st, 6th, 12th, 24th and 36th months. Venous Clinical Severity Score (VCSS) and Aberdeen Varicose Vein Questionnaire (AVVQ) results recorded at preoperative and postoperativee period. Doppler ultrasonography (USG) was performed to all patients in all controls. The absence of re-canalized flow in Doppler USG was accepted as the success of the procedure. Results: The mean age of 1013 patients was 51.27±14.30 years (448 men (44.2%) and 565 women (55.8%)). The average procedure time was 12.4±2.1 minutes, the average amount of CA used in the procedure was 1.6 ml (min: 1 ml - max: 2ml). In outpatient controls, complication rates was low, thrombophlebitis occurred in 17 patients (1.7%) and ecchymosis occurred in 9 patients (0.9%). The occlusion rate was 97.6% according to the 1-year follow-up results and 93.3% according to the 3-year follow-up results. The decrease in VCSS and AVVQ scores was statistically significant when the preoperative and postoperative period results compared (p<.05). Conclusion: In the present study, we think that CAE is a safely and effective treatment method for saphenous vein insufficiency. It has low complication, high occlusion rates and provides better comfort to the patients.","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81530423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hülya Sevi̇l, F. Sevil, M. Tort, U. Aksu, Cigdem Ozer Gokaslan, S. Ozdinc, N. Becit
Aim: This study aims to determine the prevalence of aortic aneurysms (AA) on computed tomography (CT) in the emergency department. Material and Methods: A total of 10219 CT images were retrospectively analyzed (7610 thoracic, 6148 abdominal CT). A thoracic aortic diameter greater than 50 mm, an abdominal aortic diameter greater than 30 mm, or an aortic diameter greater than 50% of normal were considered AA. The baseline demographic and clinical characteristics of patients with thoracic AA (TAA) and abdominal AA (AAA) were compared to those without AA. Results: TAA was found in 990 (13%) of 7610 patients who had thoracic CT, while AAA was found in 66 (1.07%) of 6148 patients who had abdominal CT. In aneurysm groups, advanced age (p<0.001), male gender (p<0.001), aortic calcification (p<0.001), hyperlipidemia (p<0.001), coronary artery disease (p<0.001), hypertension (p<0.001), and diabetes mellitus (p<0.001) were more common and significantly different. Smoking was observed more frequently in the group with aneurysms (p<0.001). Among the groups, hospital mortality was higher in the aneurysm group (p<0.001). Surgery was recommended in 30 (3%) of TAA patients whose aortic diameter was greater than 55 mm; however, surgery could be performed in 20 (2%) of these patients. Surgery was recommended for 16 (24%) of AAA patients, but surgery could be performed only in 12 of them (18%). Conclusion: Attention to aortic pathologies, particularly AA, in patients undergoing radiological imaging in the emergency department for various reasons allows for the early detection of asymptomatic but potentially fatal aneurysms.
{"title":"Detection of unexpected aortic aneurysms by using computed tomography in emergency department: A retrospective analysis of more than 10.000 patients","authors":"Hülya Sevi̇l, F. Sevil, M. Tort, U. Aksu, Cigdem Ozer Gokaslan, S. Ozdinc, N. Becit","doi":"10.9739/tjvs.2023.03.09","DOIUrl":"https://doi.org/10.9739/tjvs.2023.03.09","url":null,"abstract":"Aim: This study aims to determine the prevalence of aortic aneurysms (AA) on computed tomography (CT) in the emergency department. Material and Methods: A total of 10219 CT images were retrospectively analyzed (7610 thoracic, 6148 abdominal CT). A thoracic aortic diameter greater than 50 mm, an abdominal aortic diameter greater than 30 mm, or an aortic diameter greater than 50% of normal were considered AA. The baseline demographic and clinical characteristics of patients with thoracic AA (TAA) and abdominal AA (AAA) were compared to those without AA. Results: TAA was found in 990 (13%) of 7610 patients who had thoracic CT, while AAA was found in 66 (1.07%) of 6148 patients who had abdominal CT. In aneurysm groups, advanced age (p<0.001), male gender (p<0.001), aortic calcification (p<0.001), hyperlipidemia (p<0.001), coronary artery disease (p<0.001), hypertension (p<0.001), and diabetes mellitus (p<0.001) were more common and significantly different. Smoking was observed more frequently in the group with aneurysms (p<0.001). Among the groups, hospital mortality was higher in the aneurysm group (p<0.001). Surgery was recommended in 30 (3%) of TAA patients whose aortic diameter was greater than 55 mm; however, surgery could be performed in 20 (2%) of these patients. Surgery was recommended for 16 (24%) of AAA patients, but surgery could be performed only in 12 of them (18%). Conclusion: Attention to aortic pathologies, particularly AA, in patients undergoing radiological imaging in the emergency department for various reasons allows for the early detection of asymptomatic but potentially fatal aneurysms.","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76155426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.9739/tjvs.2023.06.016
G. Deniz, S. Mola, H. Iscan, Muhammet Selim Yasar, Alp Yildirim, Naim Boran Tumer, Anıl Özen
Aim: Patient awareness and disease-specific knowledge are essential for shared decision-making of patients with abdominal aortic aneurysms. With this pilot survey, we aimed to figure out the obstacles to patient's awareness about the aortic aneurysm before and after the procedure. Material and Methods: Patients who experienced elective endovascular aortic aneurysm repair (EVAR) in our Cardiovascular Surgery Clinic between 2019 to 2023 were the selected patient cohort. The first 50 patients who visited our outpatient clinic were given a questionnaire about their awareness of the aneurysm disease, disease-specific knowledge, and the comprehensibility of the patient information provided before and after the procedure. Results: The mean age of our patients was 66±6.9. Younger patients were more aware of the situation before the information (p=0.013). Patients anxious about the disease were also more conscious about the aortic aneurysm (p=0.02). Although all patients were given preoperative information and disease-specific information by the same team, 13 patients (26%) could not recall anything about the disease and did not recall what operation was performed and why. Thirty-seven patients (74%) gained awareness about the disease. The patients with at least an educational level above high school gained more awareness than others (p=0.04). Conclusion: The Classical informatory model seems insufficient for gaining awareness and consciousness for older patients and with patients with low level of education. Strengthened patient-practitioner interaction with supplemental technologies (leaflets, interactive media, audio tapes, etc.) may improve these patients' shared decision-making. More prospective research is required in this regard.
{"title":"Patient awareness, disease-specific knowledge, and patient adherence to endovascular treated elective infrarenal abdominal aortic aneurysm","authors":"G. Deniz, S. Mola, H. Iscan, Muhammet Selim Yasar, Alp Yildirim, Naim Boran Tumer, Anıl Özen","doi":"10.9739/tjvs.2023.06.016","DOIUrl":"https://doi.org/10.9739/tjvs.2023.06.016","url":null,"abstract":"Aim: Patient awareness and disease-specific knowledge are essential for shared decision-making of patients with abdominal aortic aneurysms. With this pilot survey, we aimed to figure out the obstacles to patient's awareness about the aortic aneurysm before and after the procedure. Material and Methods: Patients who experienced elective endovascular aortic aneurysm repair (EVAR) in our Cardiovascular Surgery Clinic between 2019 to 2023 were the selected patient cohort. The first 50 patients who visited our outpatient clinic were given a questionnaire about their awareness of the aneurysm disease, disease-specific knowledge, and the comprehensibility of the patient information provided before and after the procedure. Results: The mean age of our patients was 66±6.9. Younger patients were more aware of the situation before the information (p=0.013). Patients anxious about the disease were also more conscious about the aortic aneurysm (p=0.02). Although all patients were given preoperative information and disease-specific information by the same team, 13 patients (26%) could not recall anything about the disease and did not recall what operation was performed and why. Thirty-seven patients (74%) gained awareness about the disease. The patients with at least an educational level above high school gained more awareness than others (p=0.04). Conclusion: The Classical informatory model seems insufficient for gaining awareness and consciousness for older patients and with patients with low level of education. Strengthened patient-practitioner interaction with supplemental technologies (leaflets, interactive media, audio tapes, etc.) may improve these patients' shared decision-making. More prospective research is required in this regard.","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89924858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Delayed iatrogenic pseudoaneurysm (IPA) is very rare. We aimed to present a case of delayed femoral IPA using apixaban, which developed four months after coronary intervention (PCI). A 75-year-old female patient who had PCI four months ago presented with right femoral artery IPA that started one month ago, with no recent history of trauma, infection, or new procedures, except for diabetes and apixaban use. The occurrence of IPA at the insertion site four months after the initial procedure is an infrequent complication. Delayed IPA risk factors are trauma, infection, anticoagulant use, and inflammatory disease. Since no other risk factor was found in our case, the cause of IPA seems to be apixaban. Our case highlights the importance of considering delayed IPA as a potential complication, which may manifest up to four months after the initial procedure, especially in diabetic patients who are on anticoagulant therapy.
{"title":"Could direct-acting oral anticoagulant be a possible cause of delayed pseudoaneurysm? A case report","authors":"N. Katrancioglu, F. Serhatlioglu","doi":"10.9739/tjvs.2023.03.07","DOIUrl":"https://doi.org/10.9739/tjvs.2023.03.07","url":null,"abstract":"Delayed iatrogenic pseudoaneurysm (IPA) is very rare. We aimed to present a case of delayed femoral IPA using apixaban, which developed four months after coronary intervention (PCI). A 75-year-old female patient who had PCI four months ago presented with right femoral artery IPA that started one month ago, with no recent history of trauma, infection, or new procedures, except for diabetes and apixaban use. The occurrence of IPA at the insertion site four months after the initial procedure is an infrequent complication. Delayed IPA risk factors are trauma, infection, anticoagulant use, and inflammatory disease. Since no other risk factor was found in our case, the cause of IPA seems to be apixaban. Our case highlights the importance of considering delayed IPA as a potential complication, which may manifest up to four months after the initial procedure, especially in diabetic patients who are on anticoagulant therapy.","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78744321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.9739/tjvs.2023.04.010
M. Donbaloğlu, S. Gürkan, O. Gur
Aim: In this study, the aim was to investigate whether antegrade or retrograde approaches are superior in the endovascular treatment of femoropopliteal chronic total occlusions (CTO). Material and Methods: A total of 437 patients who were diagnosed with CTO in the femoropopliteal region and who subsequently underwent endovascular procedures between February 2019 and April 2022 were evaluated retrospectively. The patients were grouped as antegrade access and retrograde access. All patients were classified according to the Rutherford and TASC (Transatlantic Intersociety Consensus II) classification. The patients were followed for 2 years. Above-ankle amputation and >50% stenosis in the target vessel were considered a failure. ABI, improvement in clinical symptoms, and limb salvage were evaluated in controls. Results: Antegrade approach was performed in 218 of the endovascular procedures. Antegrade recanalization was successful in 201 patients (92.2%), and failed antegrade attempt was seen in 17 because the lesion could not be crossed. Retrograde approach was used in 197 of endovascular interventions. Successful retrograde recanalization was unsuccessful in 185 patients (93.9%), and retrograde intervention was unsuccessful in 12 patients because the lesion could not be crossed. When the two-year restenosis numbers were examined, it was 61 (30.3%) in the antegrade group, while it was 49 (25.5%) in the retrograde group, and there was a significant difference between the groups. When the one-year stent occlusions between the groups were examined, it was 14 (6.9%) in the antegrade group and 8 (4.1%) in the retrograde group, and there was a statistically significant difference between the groups. Conclusion: The retrograde approach is as effective and safe as the antegrade approach in the treatment of femoropopliteal CTO. It should be noted that it can be used as an alternative method without the need for any support device, especially in cases where the antegrade approach is unsuccessful.
{"title":"Antegrade and retrograde access in the endovascular treatment of femoropopliteal chronic total occlusions","authors":"M. Donbaloğlu, S. Gürkan, O. Gur","doi":"10.9739/tjvs.2023.04.010","DOIUrl":"https://doi.org/10.9739/tjvs.2023.04.010","url":null,"abstract":"Aim: In this study, the aim was to investigate whether antegrade or retrograde approaches are superior in the endovascular treatment of femoropopliteal chronic total occlusions (CTO). Material and Methods: A total of 437 patients who were diagnosed with CTO in the femoropopliteal region and who subsequently underwent endovascular procedures between February 2019 and April 2022 were evaluated retrospectively. The patients were grouped as antegrade access and retrograde access. All patients were classified according to the Rutherford and TASC (Transatlantic Intersociety Consensus II) classification. The patients were followed for 2 years. Above-ankle amputation and >50% stenosis in the target vessel were considered a failure. ABI, improvement in clinical symptoms, and limb salvage were evaluated in controls. Results: Antegrade approach was performed in 218 of the endovascular procedures. Antegrade recanalization was successful in 201 patients (92.2%), and failed antegrade attempt was seen in 17 because the lesion could not be crossed. Retrograde approach was used in 197 of endovascular interventions. Successful retrograde recanalization was unsuccessful in 185 patients (93.9%), and retrograde intervention was unsuccessful in 12 patients because the lesion could not be crossed. When the two-year restenosis numbers were examined, it was 61 (30.3%) in the antegrade group, while it was 49 (25.5%) in the retrograde group, and there was a significant difference between the groups. When the one-year stent occlusions between the groups were examined, it was 14 (6.9%) in the antegrade group and 8 (4.1%) in the retrograde group, and there was a statistically significant difference between the groups. Conclusion: The retrograde approach is as effective and safe as the antegrade approach in the treatment of femoropopliteal CTO. It should be noted that it can be used as an alternative method without the need for any support device, especially in cases where the antegrade approach is unsuccessful.","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80022862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Sevil, Hülya Sevi̇l, N. Becit, M. Tort, U. Aksu, Z. Saritas, H. Demirel, A. Bulbul
Aim: Kidney damage caused by ischemia-reperfusion (IR) is a serious clinical problem. Many studies have emphasized the antioxidant and anti-inflammatory properties of Curcumin. Material and Methods: Wistar-Albino male rats were divided into three groups. The sham group was the group in which only laparotomy was performed, the IR group was the group in which the infrarenal aorta was clamped after laparotomy and ischemia-reperfusion was created, and the IR+ curcumin group was the group in which intraperitoneal curcumin was given 1 hour before the procedure and the same procedures were repeated with the IR group. After creating the IR, blood and kidney tissue were taken from the rats and biochemical and histopathological examinations were performed. Results: Potassium (p=0.005), urea (p=0.050), and blood urea nitrogen (p=0.050) levels were higher in the IR+curcumin group. While total antioxidant status was found to be high in the IR+curcumin group (p=0.021), there was no difference in total oxidant status across the groups (p=0.069). Interleukin (IL)-1β and IL-6 were found to be higher in the IR group (p=0.014, p=0.022, respectively). Tumour necrosis factor-α was higher in the IR group than in other groups (p=0.020). Interferon-γ did not differ across groups (p=0.140). In the histopathological examination, the IR group had more damage to the glomerulus and tubular epithelial cells than the other groups (p<0.001). Conclusion: Curcumin, despite its anti-inflammatory and antioxidant characteristics, had no protective effect on renal functions in IR-induced kidney injury. It was found that it suppresses the inflammatory response and is effective in preserving renal tissue structure.
{"title":"Protective effects of curcumin on kidney tissue in ischemia-reperfusion injury in rats","authors":"F. Sevil, Hülya Sevi̇l, N. Becit, M. Tort, U. Aksu, Z. Saritas, H. Demirel, A. Bulbul","doi":"10.9739/tjvs.2023.03.08","DOIUrl":"https://doi.org/10.9739/tjvs.2023.03.08","url":null,"abstract":"Aim: Kidney damage caused by ischemia-reperfusion (IR) is a serious clinical problem. Many studies have emphasized the antioxidant and anti-inflammatory properties of Curcumin. Material and Methods: Wistar-Albino male rats were divided into three groups. The sham group was the group in which only laparotomy was performed, the IR group was the group in which the infrarenal aorta was clamped after laparotomy and ischemia-reperfusion was created, and the IR+ curcumin group was the group in which intraperitoneal curcumin was given 1 hour before the procedure and the same procedures were repeated with the IR group. After creating the IR, blood and kidney tissue were taken from the rats and biochemical and histopathological examinations were performed. Results: Potassium (p=0.005), urea (p=0.050), and blood urea nitrogen (p=0.050) levels were higher in the IR+curcumin group. While total antioxidant status was found to be high in the IR+curcumin group (p=0.021), there was no difference in total oxidant status across the groups (p=0.069). Interleukin (IL)-1β and IL-6 were found to be higher in the IR group (p=0.014, p=0.022, respectively). Tumour necrosis factor-α was higher in the IR group than in other groups (p=0.020). Interferon-γ did not differ across groups (p=0.140). In the histopathological examination, the IR group had more damage to the glomerulus and tubular epithelial cells than the other groups (p<0.001). Conclusion: Curcumin, despite its anti-inflammatory and antioxidant characteristics, had no protective effect on renal functions in IR-induced kidney injury. It was found that it suppresses the inflammatory response and is effective in preserving renal tissue structure.","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88519642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.9739/tjvs.2023.04.014
Umit Kahraman, O. Balcioglu, S. Ertugay, E. Oguz, H. Posacioglu
Aim: This study aimed to compare voice changes after Carotid endarterectomy (CEA) and Glomus body tumor resection with objective instrumental and acoustic assessments. Material and Methods: A total of 14 patients underwent CEA or glomus carotid tumor resection at our institution between 2009 and 2013. Among the 14 patients, two patients were excluded due to vocal cord paralysis. This study was applied to 12 patients. Patients were called retrospectively, and objective and subjective voice parameters were measured and compared. Voice handicap index was used to measure subjective voice parameters. Objective voice analysis was performed for patients by using Multi-dimensional voice programming (MDVP), a computer-aided program. Results: A total of 12 patients were included in the study. Five patients underwent carotid endarterectomy. Glomus tumor resection was performed on seven patients. Of the patients who underwent carotid endarterectomy, four were male and one was female. Three of the patients who underwent glomus tumor resection were male and four were female. Voice handicap index (VHI) showed that two patients who underwent glomus tumor resection experienced moderate problems and the patients who underwent CEA had no obvious problems. Patients who underwent glomus carotid tumor resection obtained higher values in all MDVP parameters than those who underwent CEA. Conclusion: Despite the small number of patients, it can be said that glomus tumor resection in neck surgery, that is, tumor surgery, causes more voice changes than carotid endarterectomy operations. The elevated objective sound parameters found in this study necessitate that patients should be informed regarding the potential of developing postoperative dysphonia, especially those who rely on their voice as their profession (e.g. sound artists, teachers, politicians).
{"title":"Postoperative objective and subjective voice analysis in patients who underwent carotid endarterectomy and carotid body tumor resection","authors":"Umit Kahraman, O. Balcioglu, S. Ertugay, E. Oguz, H. Posacioglu","doi":"10.9739/tjvs.2023.04.014","DOIUrl":"https://doi.org/10.9739/tjvs.2023.04.014","url":null,"abstract":"Aim: This study aimed to compare voice changes after Carotid endarterectomy (CEA) and Glomus body tumor resection with objective instrumental and acoustic assessments. Material and Methods: A total of 14 patients underwent CEA or glomus carotid tumor resection at our institution between 2009 and 2013. Among the 14 patients, two patients were excluded due to vocal cord paralysis. This study was applied to 12 patients. Patients were called retrospectively, and objective and subjective voice parameters were measured and compared. Voice handicap index was used to measure subjective voice parameters. Objective voice analysis was performed for patients by using Multi-dimensional voice programming (MDVP), a computer-aided program. Results: A total of 12 patients were included in the study. Five patients underwent carotid endarterectomy. Glomus tumor resection was performed on seven patients. Of the patients who underwent carotid endarterectomy, four were male and one was female. Three of the patients who underwent glomus tumor resection were male and four were female. Voice handicap index (VHI) showed that two patients who underwent glomus tumor resection experienced moderate problems and the patients who underwent CEA had no obvious problems. Patients who underwent glomus carotid tumor resection obtained higher values in all MDVP parameters than those who underwent CEA. Conclusion: Despite the small number of patients, it can be said that glomus tumor resection in neck surgery, that is, tumor surgery, causes more voice changes than carotid endarterectomy operations. The elevated objective sound parameters found in this study necessitate that patients should be informed regarding the potential of developing postoperative dysphonia, especially those who rely on their voice as their profession (e.g. sound artists, teachers, politicians).","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91481523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. S. Beyazpinar, Deniz Şerefli, A. Harman, H. T. Akay
Venous aneurysm is very rare espacially inferior vena cava (IVC) aneurysm is extremely rare. Etiology is not clear and risk factors can be inflammatory disease, thrombosis, trauma and long term complication of long term right heart failure. Angiography with computer tomography (CTA), magnetic resonance angiography (MRA) and convantionel venography can use for diagnose. 30 years old male patient admistered to clinic for lower abdominal pain for a month. Largest diameter in subhepatic region and left renal vein were 67mm and 26mm respectively. Literature there were limited numbers of case described. Because of this reason there was no quide or no adopted treatment aprroach was defined. Hardest and challenging part is giving the decision of treatment.
{"title":"Extremely rare case; Venous aneurysm","authors":"D. S. Beyazpinar, Deniz Şerefli, A. Harman, H. T. Akay","doi":"10.9739/tjvs.2022.09.06","DOIUrl":"https://doi.org/10.9739/tjvs.2022.09.06","url":null,"abstract":"Venous aneurysm is very rare espacially inferior vena cava (IVC) aneurysm is extremely rare. Etiology is not clear and risk factors can be inflammatory disease, thrombosis, trauma and long term complication of long term right heart failure. Angiography with computer tomography (CTA), magnetic resonance angiography (MRA) and convantionel venography can use for diagnose. 30 years old male patient admistered to clinic for lower abdominal pain for a month. Largest diameter in subhepatic region and left renal vein were 67mm and 26mm respectively. Literature there were limited numbers of case described. Because of this reason there was no quide or no adopted treatment aprroach was defined. Hardest and challenging part is giving the decision of treatment.","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74477988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mustafa Barış Kemahlı, T. Gençpınar, H. Dursun, Ç. Bilen, P. Akokay, S. Bayrak, A. Erdal
Aim: Intimal hyperplasia causes vascular occlusion and its optimal treatment is unknown. In this study, we evaluated the effectiveness of Apixaban and Rivaroxaban treatment for preventing intimal hyperplasia in rabbits. Material and Methods: The rabbits (n = 15) were randomly divided into three groups. Reanastomoses are applied to the carotid artery. All groups received 100 U/kg heparin sodium during the operation period. Group A (n = 5) as a control group had no medication. Group B (n = 5) was given Rivaroxaban 3 mg/kg/day. In-group C (n = 5) Apixaban was administered per orally 10 mg/kg. At the end of the treatment on the 28th day, carotid artery specimens were excised and evaluated histologically. Results: Increased intima thickness was observed in the control group than the drug groups (P=0.019, P=0.007). It was found that there was no difference between groups in terms of lumen diameter, lumen area, tunica media area and tunica media thickness. There was difference between groups in terms of caspase 3 or TUNEL (terminal deoxynucleotidyl transferase dUTP nick end labeling) staining (p<0.05). Conclusion: Apixaban and Rivaroxaban may have protective efficacy against intimal hyperplasia after vascular surgical intervention.
{"title":"Effects Of Rivaroxaban And Apixaban On Intimal Hyperplasia In Rabbits","authors":"Mustafa Barış Kemahlı, T. Gençpınar, H. Dursun, Ç. Bilen, P. Akokay, S. Bayrak, A. Erdal","doi":"10.9739/tjvs.2022.09.03","DOIUrl":"https://doi.org/10.9739/tjvs.2022.09.03","url":null,"abstract":"Aim: Intimal hyperplasia causes vascular occlusion and its optimal treatment is unknown. In this study, we evaluated the effectiveness of Apixaban and Rivaroxaban treatment for preventing intimal hyperplasia in rabbits. Material and Methods: The rabbits (n = 15) were randomly divided into three groups. Reanastomoses are applied to the carotid artery. All groups received 100 U/kg heparin sodium during the operation period. Group A (n = 5) as a control group had no medication. Group B (n = 5) was given Rivaroxaban 3 mg/kg/day. In-group C (n = 5) Apixaban was administered per orally 10 mg/kg. At the end of the treatment on the 28th day, carotid artery specimens were excised and evaluated histologically. Results: Increased intima thickness was observed in the control group than the drug groups (P=0.019, P=0.007). It was found that there was no difference between groups in terms of lumen diameter, lumen area, tunica media area and tunica media thickness. There was difference between groups in terms of caspase 3 or TUNEL (terminal deoxynucleotidyl transferase dUTP nick end labeling) staining (p<0.05). Conclusion: Apixaban and Rivaroxaban may have protective efficacy against intimal hyperplasia after vascular surgical intervention.","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88150552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
U. Aydin, Z. Duman, Emre Yasar, Muhammed Bayram, Sefa Eltutan, Ersin Kadiroğulları, Onur Şen
Aim: The gold standard repair of thoracoabdominal aortic aneurysm (TAAA) is still open surgery. However, few cardiovascular centers are experienced in TAAA repair. The aim of this study was to examine the methods and four-year outcomes of the open TAAA repair program initiated by a single surgical team. Material and Methods: In this retrospective cohort, patients who were operated for TAAA between August 2018 and March 2022 were collected. Patients treated with the endovascular approach were excluded. After exclusion, 19 patients were included in our analysis. As postoperative outcomes, in-hospital mortality, spinal cord deficit, major neurologic complications, need for dialysis, and visceral ischemia were collected. Results: Crawford extent II TAAA repair was performed in 10 (52.6%) patients, Crawford extent III in 5 (26.3%) patients, and Crawford extent IV in 4 (21.1%) patients. In hospital mortality occurred in 6 (31.6%) patients. The causes of mortality were perioperative myocardial infarction in 2 (10.5%) patients, visceral ischemia in 1 (5.3%) patient, multisystem organ failure in 3 (15.8%) patients. The highest mortality rate (50.0%) occurred in Crawford extent II repair. Spinal cord deficit developed in 2 (10.5%) patients. Conclusion: Thoracoabdominal aortic aneurysm surgery is associated with high mortality rates. Open thoracoabdominal aortic aneurysm repair programs in tertiary vascular centers should be supported, to improve the surgical results of thoracoabdominal aortic aneurysm repair.
{"title":"Thoracoabdominal aortic aneurysm repair: A Single center experience","authors":"U. Aydin, Z. Duman, Emre Yasar, Muhammed Bayram, Sefa Eltutan, Ersin Kadiroğulları, Onur Şen","doi":"10.9739/tjvs.2022.09.08","DOIUrl":"https://doi.org/10.9739/tjvs.2022.09.08","url":null,"abstract":"Aim: The gold standard repair of thoracoabdominal aortic aneurysm (TAAA) is still open surgery. However, few cardiovascular centers are experienced in TAAA repair. The aim of this study was to examine the methods and four-year outcomes of the open TAAA repair program initiated by a single surgical team. Material and Methods: In this retrospective cohort, patients who were operated for TAAA between August 2018 and March 2022 were collected. Patients treated with the endovascular approach were excluded. After exclusion, 19 patients were included in our analysis. As postoperative outcomes, in-hospital mortality, spinal cord deficit, major neurologic complications, need for dialysis, and visceral ischemia were collected. Results: Crawford extent II TAAA repair was performed in 10 (52.6%) patients, Crawford extent III in 5 (26.3%) patients, and Crawford extent IV in 4 (21.1%) patients. In hospital mortality occurred in 6 (31.6%) patients. The causes of mortality were perioperative myocardial infarction in 2 (10.5%) patients, visceral ischemia in 1 (5.3%) patient, multisystem organ failure in 3 (15.8%) patients. The highest mortality rate (50.0%) occurred in Crawford extent II repair. Spinal cord deficit developed in 2 (10.5%) patients. Conclusion: Thoracoabdominal aortic aneurysm surgery is associated with high mortality rates. Open thoracoabdominal aortic aneurysm repair programs in tertiary vascular centers should be supported, to improve the surgical results of thoracoabdominal aortic aneurysm repair.","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77202125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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