{"title":"Retroperitoneal approach for suprarenal abdominal aortic aneurysm in Marfan syndrome","authors":"A. Apaydin","doi":"10.5606/e-cvsi.2022.1195","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1195","url":null,"abstract":"","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"180 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133036809","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":"Comparison of Doppler ultrasonography and computed tomography angiography for endoleak diagnosis after endovascular treatment of abdominal aortic aneurysm","authors":"U. Demir","doi":"10.5606/e-cvsi.2022.1170","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1170","url":null,"abstract":"Corresponding author: Uğur Demir, MD. Başakşehir Cam ve Sakura Şehir Hastanesi Radyoloji Kliniği, 34480 Başakşehir, İstanbul, Turkey. Tel: +90 553 725 49 10 e-mail: ugur.demir81@hotmail.com ABSTRACT Objectives: This study aims to compare the utility of Doppler ultrasound (DUS) versus computed tomography angiography (CTA) in the diagnosis of endoleaks. Patients and methods: Between October 2008 and December 2010, a total of 30 patients (27 males, 3 females; mean age: 70.1±12 years, range: 52 to 85 years) with abdominal aortic aneurysms (AAAs) who underwent endovascular aneurysm repair (EVAR) were retrospectively analyzed. All patients were followed at 1, 6, and 12 months after EVAR with both DUS and CTA. Results: Stents grafts were patent in all patients. Endoleak was detected with CTA in six patients. Four patients had type I endoleak and two had type 2 endoleak. On CTA, two patients with type 2 endoleaks were unable to be detected with DUS. Considering CTA as the gold standard, DUS had a sensitivity and specificity of 75% and 100%, respectively. For detecting type 1 endoleak, DUS demonstrated a sensitivity and specificity of 100% and 100%, respectively. For detecting type 2 endoleak, DUS had a sensitivity of 50% and specificity of 100%. Conclusion: Our study results suggest that DUS is reliable method for detecting endoleak and measuring diameter of aneurysm during follow-up after EVAR. It may be possible to use DUS as an alternative to CTA in routine follow-up of the patients.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116510476","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":"Intravenous cannula fracture in external jugular vein access: A case report","authors":"A. Kocaoğlu","doi":"10.5606/e-cvsi.2022.1211","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1211","url":null,"abstract":"External jugular vein (EJV) is commonly used for intravenous access, particularly in pediatric patients. A 2.5-year-old boy in whom an intravenous cannula fracture occurred was admitted. Since an intravenous access was difficult to establish due to previous attempts, intravenous access was established in the left EJV. The fracture of the cannula was noticed immediately after removal. After confirmation of the broken segment in subcutaneous tissue, it was surgically removed. In conclusion, training of the staff, good technique of insertion, proper care, attentive removal, early recognition and emergent removal of the fractured segment of the cannula are of utmost importance.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115260949","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":"Surgical retrieval of an embolized AmplatzerTM ductal occluder device with review of comparable cases","authors":"Nurdan Dikmen","doi":"10.5606/e-cvsi.2022.1242","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1242","url":null,"abstract":"Well-known complications of transcatheter shunt closure interventions are embolizations of devices. The initial procedure after embolization of a device is transcatheter interventions such as repositioning or retrieval with a sheath, bioptome or a snare. In some cases, surgical procedures may require and be privileged to reduce the harm to the patient. In this article, we report an eight-year-old boy who underwent surgical retrieval of AmplatzerTM Duct Occluder I device from the left pulmonary artery without cardiopulmonary bypass and discuss the safe retrieval techniques of commonly used devices.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117242867","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":"The effect of hemodialysis on left ventricular global longitudinal strain in chronic hemodialysis patients with preserved left ventricular ejection fraction","authors":"Oktay Şenöz","doi":"10.5606/e-cvsi.2022.1258","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1258","url":null,"abstract":"Objectives: In the present study, we aimed to evaluate the acute effects of hemodialysis (HD) on left ventricular functions with left ventricular (LV) global longitudinal strain (GLS). Patients and methods: This prospective study included a total of 38 patients (24 males, 14 females; mean age: 60.8±13.8 years; range, 31 to 82 years) who were on chronic HD for at least six months and had a LV ejection fraction of ≥50% between December 2021 and January 2022. The clinical and echocardiographic features of the patients were recorded before and after HD. The GLS was calculated using two-dimensional speckle-tracking method. Results: The mean dialysis time of the patients was 6.3±3.9 years. The left atrial volume index was significantly lower after HD than before (30.1±10.0 vs. 27.5±8.2 mL/m2, p=0.005). Pulsed Doppler echocardiography showed significantly decreased E and A wave peak velocity after HD (99.3±38.2 vs. 80.4±27.8 cm/s, p=0.001 and 99.4±23.2 vs. 90.4±25.5 cm/s, p=0.022), but no significant change in the E/A ratio (1.1±0.5 vs. 1±0.6, p=0.660). There was no significant change on the LV GLS between before and after HD (-17.3±2.6 vs. -16.9±2.6%, p=0.088). Conclusion: Hemodialysis has no significant effect on LV GLS in the acute phase in patients with end-stage chronic renal disease.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128645870","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":"Evaluation of arrhythmia frequency with Holter electrocardiography in pregnants with palpitation complaints","authors":"M. Kış","doi":"10.5606/e-cvsi.2021.1182","DOIUrl":"https://doi.org/10.5606/e-cvsi.2021.1182","url":null,"abstract":"Corresponding author: Mehmet Kış, MD. Silopi Devlet Hastanesi Kardiyoloji Kliniği, 73400 Silopi, Şırnak, Turkey. Tel: +90 553 534 00 16 e-mail: drmehmet.kis@hotmail.com ABSTRACT Objectives: The aim of this study was to investigate the underlying etiology and the frequency of arrhythmia by Holter electrocardiography (ECG) in pregnant women with palpitations. Patients and methods: Between January 2019 and March 2021, a total of 64 pregnant women (mean age: 29.1±5.3 years; range, 20 to 46 years) who were admitted to the cardiology outpatient clinic with the complaint of palpitations and had a Holter ECG were retrospectively analyzed. Data including demographic and clinical characteristics of the patients, Holter ECG records, imaging findings, and biochemical data were recorded. Results: The mean systolic blood pressure was 118.7±16.4 mmHg and the mean heart rate was 96.2±18.2 bpm. There was an arrhythmia on Holter ECG in 32 (50%) of the patients. The most common arrhythmias were ventricular extrasystoles in 21.9% and supraventricular tachycardia in 14.1% of the patients. The frequency of paroxysmal atrial fibrillation was 4.7%. Non-sustained ventricular tachycardia (VT) was detected in two (3.1%) patients. Conclusion: Identifying underlying arrhythmias in pregnant women with palpitation is of utmost importance for both the maternal and fetal health. The incidence of arrhythmias that should be treated in this patient group is too high to be ignored.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"14 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114114342","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":"Relationship between the triglyceride glucose index and collateral index in patients with coronary chronic total occlusion","authors":"C. Aydın","doi":"10.5606/e-cvsi.2021.1192","DOIUrl":"https://doi.org/10.5606/e-cvsi.2021.1192","url":null,"abstract":"Objectives: This study aims to investigate the relationship between the triglyceride glucose (TyG) index and coronary collateral circulation (CCC) in patients with coronary chronic total occlusion (CTO). Patients and methods: Between July 2018 and December 2019, a total of 228 consecutive patients (186 males, 42 females; mean age: 62.2±9.7 years; range, 18 to 80 years) with stable or unstable angina pectoris who had CCO in at least one coronary artery were retrospectively analyzed. The TyG index was calculated. Coronary collateral circulation was evaluated using the Rentrop grading system. The patients were divided into two groups as low-grade CCC (Group 1, n=101) and high-grade CCC (Group 2, n=127). Results: There was no significant difference in the body mass index, left ventricular ejection fraction, height, weight, the frequency of dyslipidemia, hypertension, diabetes mellitus, and smoking between the groups (p>0.01). In the multivariate logistic regression analysis, high TyG index (odds ratio [OR]: 1.345; 95% confidence interval [CI]: 1.120-2.184; p<0.001) and uric acid levels (OR: 0.249; 95% CI: 0.105-0.491; p=0.013) were the independent predictors of poor CCC. Conclusion: Our study results suggest that a high TyG index is related to poor collateral circulation.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131034814","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":"Why should we perform pulmonary function test before coronary artery bypass grafting?","authors":"Yasin Özden","doi":"10.5606/e-cvsi.2021.1191","DOIUrl":"https://doi.org/10.5606/e-cvsi.2021.1191","url":null,"abstract":"Objectives: In this study, we aimed to examine the relationship between preoperative pulmonary function test (PFT) parameters and postoperative length of invasive mechanical ventilation (IMV), length of intensive care unit (ICU) and hospital stay in patients who underwent coronary artery bypass grafting (CABG). Patients and methods: Between October 2017 and July 2018, a total of 100 patients (84 males, 16 females; mean age: 61.1±10.0 years; range, 41 to 85 years) who underwent elective CABG surgery for the first time and who did not have any additional cardiac problems, except for coronary artery disease, had an ejection fraction (EF) of ≥30% and underwent preoperative PFTs were retrospectively analyzed. The percent forced vital capacity (FVC %) predicted from the PFT values and percent forced expiratory volume in 1 sec (FEV1%) were recorded. An IMV duration of ≤12 h was considered normal and >12 h was considered prolonged. A length of ICU stay for ≤24 h was considered normal and >24 h was considered prolonged. A length of hospital stay for ≤7 days was considered normal and >7 was considered prolonged. Results: As the predicted FVC (%) value decreased in the preoperative PFTs, the length of IMV, length of ICU and hospital stay increased significantly (p=0.040, p=0.036, p=0.009, respectively). In terms of the predicted FEV1 (%) value, as the predicted FEV1 (%) value decreased, the duration of IMV, length of ICU and hospital stay prolonged (p=0.023, p=0.044, p=0.024, respectively). Conclusion: It is possible to have an idea about postoperative duration of ventilation, ICU and hospital stay based on PFT parameters. Also, the result would be more realistic when adapted to existing scoring systems to assess postoperative complications. Therefore, we believe that scoring systems for evaluating complications after cardiac surgery should include not only chronic lung disease, but also PFT parameters that give a more detailed information.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116932215","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":"Hemoglobin A1c levels do not predict primary arteriovenous fistula failure in hemodialysis patients","authors":"Betül Nur Keser","doi":"10.5606/e-cvsi.2021.1161","DOIUrl":"https://doi.org/10.5606/e-cvsi.2021.1161","url":null,"abstract":"Objectives: In this study, we aimed to assess whether higher preoperative levels of glycated hemoglobin (HbA1c) could predict primary arteriovenous fistula (AVF) failure and to investigate the effect of diabetes mellitus on primary arteriovenous failure. Patients and methods: Between July 2018 and August 2019, a total of 127 newly created AVFs in 117 patients (67 males, 50 females; mean age: 62.4±12.2 years; range, 18 to 86 years) who underwent primary AVF operation in our cardiovascular surgery clinic were retrospectively analyzed. Medical data were obtained from the institutional database. Arteriovenous f istula failure was evaluated during follow-up. Results: Primary AVF failure was seen in 24 (18.9%) patients. Patients with diabetes mellitus had a higher ratio of failure compared to those without (62.5% vs. 38.8%, respectively; p=0.035). After adjustment, diabetes mellitus was not found to be an independent risk factor for AVF failure (p>0.05). There was no significant correlation between HbA1c levels and fistula failure (p>0.05). Conclusion: Our study results suggest that diabetes is associated with AVF failure, but it is not an independent risk factor for AVF failure. Higher HbA1c levels fail to predict AVF failure.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"41 1-2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116726602","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":"Improvement in hearing functions after successful carotid body tumor resection","authors":"Yasin Özden","doi":"10.5606/e-cvsi.2021.1172","DOIUrl":"https://doi.org/10.5606/e-cvsi.2021.1172","url":null,"abstract":"Carotid body tumors (CBTs), also known as paragangliomas, are rare neuroendocrine hypervascularized neoplasms. They are slowly growing pulsatile masses, usually benign, near the carotid arteries. Besides the endocrinological effects of the tumor, compression and hypervascular invasion effects can be also seen. A 63-year-old female patient who had hearing loss in the right ear was admitted to our clinic. Coil embolization was performed to the major arteries feeding the tumor before total excision of the tumor. A decrease in the hearing loss was observed after the operation which might be due to compression and hypervascular steal effects of the tumor. In conclusion, hearing functions can be improved with success CBT resection.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133846002","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}