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Carotid Artery Stenting: Experiences of a Neurology Department 颈动脉支架植入术:神经内科的经验
Kocaeli Medical Journal Pub Date : 1900-01-01 DOI: 10.5505/ktd.2022.66743
Serhan Yıldırım
{"title":"Carotid Artery Stenting: Experiences of a Neurology Department","authors":"Serhan Yıldırım","doi":"10.5505/ktd.2022.66743","DOIUrl":"https://doi.org/10.5505/ktd.2022.66743","url":null,"abstract":"ÖZ Introduction: Carotid artery stenting (CAS) is a recommended technique for extracranial carotid artery stenosis. CAS is prefered more than carotid endarterectomy because of more non-invasive technique, decrased recovery period, decresed patient discomfort. In this study, we evaluated the datas of patients treated with CAS in Kocaeli Derince Training and Research Hospital. Methods: We retrospectively evaluated the datas of patients who were treated with CAS in Kocaeli Training and Research hospital Neurology Department between 2018 and 2020 were included to our study. Demographic datas, angiographic findings, periprocedural processes and complications, ischemic stroke, acute myocardial infarction (MI) and death rates in 1 year follow- up were evaluated. Results: ASeventy-one patients were treated with CAS. Fifty-nine (83.1%) patients were male. Mean age was found as 67,4±8,7 years. CAS was applied to only right carotid artery in 32(45.1%) patients, only lef t carotid artery in 36(50.7%) patients and bilateral carotid arteries in 3(4.2%) patients. Open-cell stents were placed to 39 (54.9%) patients. Hemodynamic depression occured in 21(29.5%) patients. Hemodynamic depression was associated with open-cell stents (p=0.005) and coronary artery disease in medical history (p=0.030). Only 2(2.8%) patients had acute ischemic stroke in 1 year follow-up. Acute MI and death didn’t occur in our patients. Discussion and Conclusion: CAS is a safe and effective method in treatment of extracranial carotid artery stenosis. Open-cell stents may increase the risk of hemodynamic depression, but mechanism is unclear. Otuzdokuz açık stent akut MI Tartışma ve Sonuç: KAS, karotid arter darlıklarının tedavisinde etkili ve güvenli bir yöntemdir. Açık hücreli stentlerin hemodinamik depresyonu artırdığı izlenmiştir. Ancak bunun mekanizması bilinmemektedir. karotid arter stentleme, karotid arter arter","PeriodicalId":238749,"journal":{"name":"Kocaeli Medical Journal","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124909773","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}
引用次数: 0
Evaluation of Pulmonary Complications with Radiological Findings following Abdominal Surgery 腹部手术后肺部并发症与影像学表现的评价
Kocaeli Medical Journal Pub Date : 1900-01-01 DOI: 10.5505/ktd.2021.85047
Aysel Sunnetcioglu, B. Mermit Çilingir, Nurettin Yuzkat, Selami Ekin
{"title":"Evaluation of Pulmonary Complications with Radiological Findings following Abdominal Surgery","authors":"Aysel Sunnetcioglu, B. Mermit Çilingir, Nurettin Yuzkat, Selami Ekin","doi":"10.5505/ktd.2021.85047","DOIUrl":"https://doi.org/10.5505/ktd.2021.85047","url":null,"abstract":"","PeriodicalId":238749,"journal":{"name":"Kocaeli Medical Journal","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125619877","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}
引用次数: 0
Longitudinal incision versus transverse incision in De Quervain’s tenosynovitis surgery 纵向切口与横向切口在De Quervain腱鞘炎手术中的比较
Kocaeli Medical Journal Pub Date : 1900-01-01 DOI: 10.5505/ktd.2020.78989
Erdinç Acar, A. Gültekin
{"title":"Longitudinal incision versus transverse incision in De Quervain’s tenosynovitis surgery","authors":"Erdinç Acar, A. Gültekin","doi":"10.5505/ktd.2020.78989","DOIUrl":"https://doi.org/10.5505/ktd.2020.78989","url":null,"abstract":"YÖNTEM ve GEREÇLER: Çalışmaya, Aralık 2017 ile Mayıs 2019 tarihleri arasında De Quervain tenosinovit cerrahisi yapılan 17 hasta (12 bayan, 5 erkek) dahil edildi. Birinci gruba longitudinal insizyon (7 bayan, 2 erkek), ikinci gruba transvers veya oblik insizyon (5 bayan, 3 erkek) uygulandı. Bu hastalarda yineleme oranı ve memnuniyet oranları değerlendirildi. Cerrahi sonrası damar-sinir hasarı, yara yeri enfeksiyonu, yarada belirgin skar dokusu gelişimi ve eklem hareket açıklığında kısıtlanma gibi komplikasyonlar değerlendirilmiştir.","PeriodicalId":238749,"journal":{"name":"Kocaeli Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131248089","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}
引用次数: 0
Our Kidney Transplant results in morbid obesity patients 我们的肾移植导致病态肥胖患者
Kocaeli Medical Journal Pub Date : 1900-01-01 DOI: 10.5505/ktd.2023.93195
O. Memik, Bekir Voyvoda
{"title":"Our Kidney Transplant results in morbid obesity patients","authors":"O. Memik, Bekir Voyvoda","doi":"10.5505/ktd.2023.93195","DOIUrl":"https://doi.org/10.5505/ktd.2023.93195","url":null,"abstract":"","PeriodicalId":238749,"journal":{"name":"Kocaeli Medical Journal","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131273673","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}
引用次数: 0
Relationship between Ankylosing Spondylitis and Obstructive Sleep Apnea Syndrome with Epworth Sleepiness Scale and Müller Maneuver 强直性脊柱炎与阻塞性睡眠呼吸暂停综合征的关系
Kocaeli Medical Journal Pub Date : 1900-01-01 DOI: 10.5505/ktd.2019.76598
T. Atan, D. Atan
{"title":"Relationship between Ankylosing Spondylitis and Obstructive Sleep Apnea Syndrome with Epworth Sleepiness Scale and Müller Maneuver","authors":"T. Atan, D. Atan","doi":"10.5505/ktd.2019.76598","DOIUrl":"https://doi.org/10.5505/ktd.2019.76598","url":null,"abstract":"YÖNTEM ve GEREÇLER: Çalışmaya 22 AS hastası ile benzer cinsiyet ve yaş dağılımında bulunan 18 sağlıklı kontrol dahil edildi. Her iki grubun baş ve boyun muayenesi yapıldı ve palatin tonsil büyüklüğünün derecesi ile mallampati derecesinin büyüklüğü kaydedildi. Buna ek olarak, fleksibl fiberoptik muayenede Müller manevrası ile hipofarenks ve dil kökü seviyelerinin obstrüksiyon dereceleri kaydedildi. TUAS varlığını belirlemek amacı ile tüm katılımcılara Epworth Uykululuk Skalası uygulandı. Hasta ve kontrol grubunun palatin tonsil büyüklüğü, mallampati derecesi, Müller manevrası değerleri ile Epworth Uykululuk Skalası değerleri karşılaştırıldı. Ayrıca AS hasta grubunda Epworth Uykululuk Skalası ile hastalık süresi ve Bath Ankilozan Spondilit Hastalık Aktivite İndeksi (BASDAI) skorları ile ölçülen hastalık aktivitesi arasındaki ilişki değerlendirildi.","PeriodicalId":238749,"journal":{"name":"Kocaeli Medical Journal","volume":"216 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131574382","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}
引用次数: 0
Neuropathy Mimicking Radiculopathy After Extracorporeal Shock Wave Lithotripsy Treatment: A Case Report 体外冲击波碎石治疗后神经病变模拟神经根病1例报告
Kocaeli Medical Journal Pub Date : 1900-01-01 DOI: 10.5505/ktd.2021.83436
Mahmut Taha Ölçücü, K. Yılmaz, Çağatay Özsoy, Yasemin Bicer Gomceli, M. Ateş
{"title":"Neuropathy Mimicking Radiculopathy After Extracorporeal Shock Wave Lithotripsy Treatment: A Case Report","authors":"Mahmut Taha Ölçücü, K. Yılmaz, Çağatay Özsoy, Yasemin Bicer Gomceli, M. Ateş","doi":"10.5505/ktd.2021.83436","DOIUrl":"https://doi.org/10.5505/ktd.2021.83436","url":null,"abstract":"Geliş tarihi / Received: Abstract 0 8.06.2020 Kabul tarihi / Accepted: 2.08.2021 We presented a 57-year-old female patient with neuropathy mimicking radiculopathy who underwent extracorporeal shock wave lithotripsy (ESWL) treatment for renal stone. After the second session of ESWL, the patient reported severe pain on the left side of the waist and sole of the left foot, tingling and burning of the sole of the left foot. She had no complaints before ESWL. After neurological examination, the patient was diagnosed as neuropathy due to the possible effects of ESWL on the spinal cord roots. Pregabalin 75 mg twice a day was started and her symptoms were gradually recovered during the six months. This case demonstrates that neuronal structures in the regions adjacent to the targeted ESWL region can be affected by shock waves. 0","PeriodicalId":238749,"journal":{"name":"Kocaeli Medical Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130194401","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}
引用次数: 0
Results of Microvascular Decompression Surgery in the Treatment of Trigeminal Neuralgia 微血管减压手术治疗三叉神经痛的疗效观察
Kocaeli Medical Journal Pub Date : 1900-01-01 DOI: 10.5505/ktd.2021.99710
Mehmet Secer, Aykut Gökbel
{"title":"Results of Microvascular Decompression Surgery in the Treatment of Trigeminal Neuralgia","authors":"Mehmet Secer, Aykut Gökbel","doi":"10.5505/ktd.2021.99710","DOIUrl":"https://doi.org/10.5505/ktd.2021.99710","url":null,"abstract":"INTRODUCTION: Trigeminal neuralgia (TN) develops as a result of the trigger of one or more branches of the trigeminal nerve by stimuli. Most cases of TN are usually caused by compression of the trigeminal nerve root, within a few millimeters from its exit from the pons. In this study, we aimed to present our experience regarding the microvascular decompression surgical approach and its results in the treatment of patients who applied to the clinic with a diagnosis of TN and who did not respond to any of the treatments. METHODS: Microvascular decompression (MVD) surgery was performed on a total of 7 patients with TN who applied to the clinic between 2020 and 2021, and the information of the patients was retrospectively evaluated using surgery reports, epicrisis, and magnetic resonance images (MRI). RESULTS: It was observed that all 7 patients with TN were initially administrated carbamazepine and/or oxcarbazepine, implemented radiofrequency thermocoagulation treatment and gamma knife radiosurgery. Subsequently, all the patients underwent MVD surgery. No complications developed in the postoperative period and complaints of TN in all patients completely resolved in the early period. DISCUSSION AND CONCLUSION: In patients who are unresponsive to treatments, thin-section 2","PeriodicalId":238749,"journal":{"name":"Kocaeli Medical Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128053011","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}
引用次数: 0
Long-Term Outcomes of Catheter Ablation of Ventricular Tachycardia in Patients With Ischemic Cardiomyopathy 缺血性心肌病患者室性心动过速导管消融的远期疗效
Kocaeli Medical Journal Pub Date : 1900-01-01 DOI: 10.5505/ktd.2019.98360
S. Kanat, F. Mutluer
{"title":"Long-Term Outcomes of Catheter Ablation of Ventricular Tachycardia in Patients With Ischemic Cardiomyopathy","authors":"S. Kanat, F. Mutluer","doi":"10.5505/ktd.2019.98360","DOIUrl":"https://doi.org/10.5505/ktd.2019.98360","url":null,"abstract":"","PeriodicalId":238749,"journal":{"name":"Kocaeli Medical Journal","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133720282","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}
引用次数: 0
Delirium After Chloralhydrate in A Child– A Case Report 儿童服用氯醛后谵妄1例报告
Kocaeli Medical Journal Pub Date : 1900-01-01 DOI: 10.5505/ktd.2021.33349
İlknur Sürücü Kara, İlke Küpeli
{"title":"Delirium After Chloralhydrate in A Child– A Case Report","authors":"İlknur Sürücü Kara, İlke Küpeli","doi":"10.5505/ktd.2021.33349","DOIUrl":"https://doi.org/10.5505/ktd.2021.33349","url":null,"abstract":"Chloralhydrate is a drug that is used as sedative - hypnotic drug for imaging methods where analgesia is not required and sedation is sufficient in children. It is widely used because of its wide therapeutic index, relatively low respiratory depression, ease of administration and less frequent side effects. Although delirium was mentioned as the side effect of chloral hydrate in many places, no case report could be detected. In this case report, a child who developed delirium after the therapeutic use of chloralhydrate was mentioned","PeriodicalId":238749,"journal":{"name":"Kocaeli Medical Journal","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134024346","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}
引用次数: 0
Our Recurrence Ratios in Pelvic Organ Prolapse Surgical Repair 盆腔器官脱垂手术修复的复发率
Kocaeli Medical Journal Pub Date : 1900-01-01 DOI: 10.5505/ktd.2019.02170
G. Sukgen, Ünal Türkay
{"title":"Our Recurrence Ratios in Pelvic Organ Prolapse Surgical Repair","authors":"G. Sukgen, Ünal Türkay","doi":"10.5505/ktd.2019.02170","DOIUrl":"https://doi.org/10.5505/ktd.2019.02170","url":null,"abstract":"BULGULAR: 126 hastanın yaş ortalaması 58.5 ± 10.8 yıl (en az 42, en fazla 75), ortalama ağırlık 70 ± 12.7 kg (en az 48 kg, en fazla 92 kg) ve ortalama parite 3 (en az 0, en fazla 6) idi. Nüks oranlarımız ön onarım grubunda 8 (%12.5), arka onarım grubunda 7 (%24.1), ön-arka onarım grubunda 1 (%7.6), vajen kubbe prolapsusu grubunda hiçbir hasta yok şeklinde idi. Tüm durumlarda, genel nüks oranı %12.69 idi.","PeriodicalId":238749,"journal":{"name":"Kocaeli Medical Journal","volume":"660 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134166958","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}
引用次数: 0
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