{"title":"Outcomes of open surgery in popliteal artery aneurysms: Five years of experience in a single center","authors":"M. Yeşiltaş","doi":"10.9739/tjvs.2022.1193","DOIUrl":"https://doi.org/10.9739/tjvs.2022.1193","url":null,"abstract":"","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72627478","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}
{"title":"YouTube as a source of patient information on deep vein thrombosis","authors":"Z. Duman","doi":"10.9739/tjvs.2022.1273","DOIUrl":"https://doi.org/10.9739/tjvs.2022.1273","url":null,"abstract":"","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81370696","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}
Objectives: This study aimed to demonstrate that the use of the vein mapping technique before coronary artery bypass surgeries can reduce postoperative complications. Patients and methods: A total of 245 patients (181 males, 64 females; mean age: 64.6±9.4 years; range, 43 to 85 years) who underwent coronary artery bypass grafting surgery in the Department of Cardiovascular Surgery of Başkent University Hospital between April 2019 and September 2020 were enrolled in this study. Patients with early postoperative mortality (first month), deep vein thrombosis, or a history of lymphedema, patients undergoing emergent surgery, and reoperation cases were excluded from the study. Patients were divided into two groups: 109 patients (mean age: 64.5±8.9 years) who were treated by the conventional method (CM group) and 136 patients (mean age: 64.7±9.5 years) who were treated with the venous mapping technique (VM group). Of the patients in the VM group, 46 (mean age: 65.0±9.2 years) were treated using LigaSure (VML group), and 93 (mean age: 64.6±9.7 years) were not treated with LigaSure (IVM group). The patients were followed up for three months for the development of ecchymosis, hematoma, and superficial and deep tissue infections. Results: There was no statistical difference between the groups in terms of sex (p=0.953). There was no statistical difference between the four groups in terms of risk factors for infection determined in the literature. Incision line complications developed in 42 (38.53%) patients in the CM group, 30 (22.05%) in the VM group, 22 (23.65%) in the IVM group, and eight (18.6%) patients in the VML group. While all groups were statistically superior to the CM group in terms of complications, no significant difference was found between the IVM and VML groups in terms of these complications. Conclusion: Vein mapping technique performed with Doppler ultrasonography in the operating room is a fast, reliable, easily accessible, and low-cost procedure, allowing a significant reduction in the complication rates associated with the saphenous vein incision line. Therefore, we think that the vein mapping method should be used routinely, particularly in the group of patients who have risk factors for incision line complications.
{"title":"What is the benefit of venous mapping in saphenous vein harvesting?","authors":"D. S. Beyazpinar","doi":"10.9739/tjvs.2022.1178","DOIUrl":"https://doi.org/10.9739/tjvs.2022.1178","url":null,"abstract":"Objectives: This study aimed to demonstrate that the use of the vein mapping technique before coronary artery bypass surgeries can reduce postoperative complications. Patients and methods: A total of 245 patients (181 males, 64 females; mean age: 64.6±9.4 years; range, 43 to 85 years) who underwent coronary artery bypass grafting surgery in the Department of Cardiovascular Surgery of Başkent University Hospital between April 2019 and September 2020 were enrolled in this study. Patients with early postoperative mortality (first month), deep vein thrombosis, or a history of lymphedema, patients undergoing emergent surgery, and reoperation cases were excluded from the study. Patients were divided into two groups: 109 patients (mean age: 64.5±8.9 years) who were treated by the conventional method (CM group) and 136 patients (mean age: 64.7±9.5 years) who were treated with the venous mapping technique (VM group). Of the patients in the VM group, 46 (mean age: 65.0±9.2 years) were treated using LigaSure (VML group), and 93 (mean age: 64.6±9.7 years) were not treated with LigaSure (IVM group). The patients were followed up for three months for the development of ecchymosis, hematoma, and superficial and deep tissue infections. Results: There was no statistical difference between the groups in terms of sex (p=0.953). There was no statistical difference between the four groups in terms of risk factors for infection determined in the literature. Incision line complications developed in 42 (38.53%) patients in the CM group, 30 (22.05%) in the VM group, 22 (23.65%) in the IVM group, and eight (18.6%) patients in the VML group. While all groups were statistically superior to the CM group in terms of complications, no significant difference was found between the IVM and VML groups in terms of these complications. Conclusion: Vein mapping technique performed with Doppler ultrasonography in the operating room is a fast, reliable, easily accessible, and low-cost procedure, allowing a significant reduction in the complication rates associated with the saphenous vein incision line. Therefore, we think that the vein mapping method should be used routinely, particularly in the group of patients who have risk factors for incision line complications.","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81209314","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}
{"title":"Vein-associated tumors: Our six-year surgical experiences in Başkent University Ankara Hospital","authors":"Deniz Şerefli","doi":"10.9739/tjvs.2022.1280","DOIUrl":"https://doi.org/10.9739/tjvs.2022.1280","url":null,"abstract":"","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91474686","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}
{"title":"Risk factors and management of phlebitis-like abnormal reaction after cyanoacrylate closure of the truncal varicose vein insufficiency","authors":"Görkem Yiğit","doi":"10.9739/tjvs.2022.1167","DOIUrl":"https://doi.org/10.9739/tjvs.2022.1167","url":null,"abstract":"","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79650804","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}
Objectives: This study aims to investigate the effect of ketamine on angiogenesis. Materials and methods: Between June 2021 and August 2021, chorioallantoic membrane (CAM) assay cell viability assay protocols and cell viability assay protocols were performed to investigate angiogenesis. While in vivo angiogenic property of ketamine was studied in the chick CAM model, its effect on in vitro cell proliferation was evaluated in 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay. Results: A significant anti-angiogenic effect of ketamine was observed in chick CAM in the in vivo setting, compared to the control group (p<0.001). It showed a strongly dose-dependent inhibitory and cytotoxic effect on endothelial cells. Conclusion: Our study results indicate that ketamine has an anti-angiogenic effect in vitro and in vivo . However, further research is needed to investigate its use in human vascular system as a new anti-angiogenic therapy.
{"title":"Anti-angiogenic response of ketamine in the in vitro and in vivo settings","authors":"A. K. Yıldırım","doi":"10.9739/tjvs.2022.1168","DOIUrl":"https://doi.org/10.9739/tjvs.2022.1168","url":null,"abstract":"Objectives: This study aims to investigate the effect of ketamine on angiogenesis. Materials and methods: Between June 2021 and August 2021, chorioallantoic membrane (CAM) assay cell viability assay protocols and cell viability assay protocols were performed to investigate angiogenesis. While in vivo angiogenic property of ketamine was studied in the chick CAM model, its effect on in vitro cell proliferation was evaluated in 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay. Results: A significant anti-angiogenic effect of ketamine was observed in chick CAM in the in vivo setting, compared to the control group (p<0.001). It showed a strongly dose-dependent inhibitory and cytotoxic effect on endothelial cells. Conclusion: Our study results indicate that ketamine has an anti-angiogenic effect in vitro and in vivo . However, further research is needed to investigate its use in human vascular system as a new anti-angiogenic therapy.","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89957923","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}
Objectives: In this study, we present our early and mid-term results of percutaneous treatment for proximal venous outflow obstruction (PVOO). Patients and methods: Between January 2017 and July 2019, a total of 40 patients (19 males, 21 females; mean age: 61.9±12.1 years; range, 49 to 74 years) who underwent hemodialysis from the arteriovenous fistula (AVF) were included. All patients had advanced edema due to PVOO in the extremity with AVF. All patients received endovascular treatment for PVOO. Results: Percutaneous transluminal angioplasty (PTA) was performed to all patients. Stent implantation was performed in 20 patients who could not achieve full patency after PTA. A patient whose edema did not regress despite stent implantation underwent surgical AVF recreation. A total of six patients underwent minor/major surgical procedures. In 14 patients, edema completely regressed and the functionality of the fistula increased in the one-month follow-up after the PTA procedure. The patients who underwent percutaneous intervention were evaluated at 3, 6, 12, and 24-months of follow-up, and primary patency rates were found to be 92%, 82%, 67%, and 45%, respectively. Conclusion: Our study results suggest that PVOO should not be overlooked in patients with AVF, edema in the extremity, and no loss of fistula functionality. Percutaneous interventions should be considered primarily in the treatment of PVOO.
{"title":"Endovascular treatment of proximal venous outflow obstructions in patients with arteriovenous fistula: Our single-center experience","authors":"S. Ömür","doi":"10.9739/tjvs.2022.1169","DOIUrl":"https://doi.org/10.9739/tjvs.2022.1169","url":null,"abstract":"Objectives: In this study, we present our early and mid-term results of percutaneous treatment for proximal venous outflow obstruction (PVOO). Patients and methods: Between January 2017 and July 2019, a total of 40 patients (19 males, 21 females; mean age: 61.9±12.1 years; range, 49 to 74 years) who underwent hemodialysis from the arteriovenous fistula (AVF) were included. All patients had advanced edema due to PVOO in the extremity with AVF. All patients received endovascular treatment for PVOO. Results: Percutaneous transluminal angioplasty (PTA) was performed to all patients. Stent implantation was performed in 20 patients who could not achieve full patency after PTA. A patient whose edema did not regress despite stent implantation underwent surgical AVF recreation. A total of six patients underwent minor/major surgical procedures. In 14 patients, edema completely regressed and the functionality of the fistula increased in the one-month follow-up after the PTA procedure. The patients who underwent percutaneous intervention were evaluated at 3, 6, 12, and 24-months of follow-up, and primary patency rates were found to be 92%, 82%, 67%, and 45%, respectively. Conclusion: Our study results suggest that PVOO should not be overlooked in patients with AVF, edema in the extremity, and no loss of fistula functionality. Percutaneous interventions should be considered primarily in the treatment of PVOO.","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80232890","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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