Seyhan Babaroğlu, Ayşen Aksöyek, Ali Eba Demirbağ, İlknur Günaydın
{"title":"Which frailty score in cardiac surgery patients?","authors":"Seyhan Babaroğlu, Ayşen Aksöyek, Ali Eba Demirbağ, İlknur Günaydın","doi":"10.5606/tgkdc.dergisi.2025.26954","DOIUrl":"10.5606/tgkdc.dergisi.2025.26954","url":null,"abstract":"<p><strong>Background: </strong>Frailty assessment for risk prediction is suggested in elderly patients undergoing cardiac surgery. We aimed to compare five different frailty tests.</p><p><strong>Methods: </strong>Relation of Edmonton Frailty Score (EFS), Fried Frailty Phenotype (FFP), FRAIL (Fatigue, Resistance, Ambulation, Illness, and Loss of weight), Katz and hand grip strength (HGS) tests to each other, postoperative outcomes and mortality rates were evaluated prospectively in 140 consecutive patients aged ≥65 years.</p><p><strong>Results: </strong>The median follow-up period was 880.5 (range, 0 to 1,237) days with higher EFS and FFP scores in non-survivors (p<0.05). Patients with any complication had higher EFS (p=0.002), FFP (p=0.004) and FRAIL (p=0,006) scores. Compared to non-frail patients, frail patients' NYHA capacity, EuroSCORE II and STS mortality risks were higher; hemoglobin values and HGS were lower with EFS, FFP, and FRAIL tests. Frail patients' hospitalization periods with EFS (p=0.003) and intensive care unit stay with FFP (p=0.029) were longer. No mortality was observed in non-frail patients according to the FFP test. The Kaplan-Meier (KM) log-rank survival curves showed significant differences in favor of non-frail subgroups according to EFS, FFP and HGS tests (p<0.05). Relative risks for mortality in frail and pre-frail patients were between 0.9 and 4. The FFP was the most sensitive test (area under curve=0.721). There was discordance rather than concordance among five different tests (Kappa <0.411).</p><p><strong>Conclusion: </strong>For patients aged ≥65 years undergoing heart surgery the FFP can be used safely to determine non-frail patients. Although the EFS seems to be promising to identify frail patients, further large-scale studies using various tests are needed to predict an optimal cut-off value for this patient population.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"33 1","pages":"12-26"},"PeriodicalIF":0.5,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Caner İşevi, Mehmet Gökhan Pirzirenli, Ahmet Başoğlu
{"title":"Evaluation of thorax and mediastinum volumes in patients with pectus excavatum by stereological methods.","authors":"Caner İşevi, Mehmet Gökhan Pirzirenli, Ahmet Başoğlu","doi":"10.5606/tgkdc.dergisi.2025.26871","DOIUrl":"10.5606/tgkdc.dergisi.2025.26871","url":null,"abstract":"<p><strong>Background: </strong>In this study, we aimed to assess the pre- and postoperative thoracic and mediastinal volumes in patients who received minimally invasive pectus excavatum repair for pectus excavatum.</p><p><strong>Methods: </strong>Between January 2017 and January 2022, a total of 51 patients (41 males, 10 females; mean age: 15.5±3.5 years; range, 9 to 33 years) who underwent received minimally invasive pectus excavatum repair were retrospectively analyzed. The pre- and postoperative (after bar removal) thoracic computed tomography scans of the patients were evaluated and the mediastinal, lung, and thoracic volumes were calculated using stereological techniques.</p><p><strong>Results: </strong>The mean pre- and postoperative Haller Index was 3.87±1.32 and 3.28±0.86, respectively. The mean preoperative lung volume-to-preoperative thoracic volume ratio was 79.52±5.15% and the mean postoperative lung volume-to-postoperative thoracic volume ratio was 78.86±6.05%. The mean preoperative mediastinal volume-to-thoracic volume ratio was 20.48±5.15%, and the mean postoperative mediastinal volume-to-thoracic volume ratio was 21.14±6.05%.</p><p><strong>Conclusion: </strong>Our study results showed no statistically significant increase in the thoracic and mediastinal volumes calculated using stereological methods, while the Haller index values regressed in all patients. These findings suggest that while there may not be a qualitative increase in thoracic and mediastinal volume, there is a quantitative increase in the anteroposterior plane.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"33 1","pages":"77-85"},"PeriodicalIF":0.5,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mehmet Gökhan Pirzirenli, Caner İşevi, Yasemin Büyükkarabacak
{"title":"Hemoptysis and rose branch.","authors":"Mehmet Gökhan Pirzirenli, Caner İşevi, Yasemin Büyükkarabacak","doi":"10.5606/tgkdc.dergisi.2024.25950","DOIUrl":"10.5606/tgkdc.dergisi.2024.25950","url":null,"abstract":"","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4","pages":"465-466"},"PeriodicalIF":0.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The cardiovascular scamdemic: The epidemic spread of cardiovascular treatment scams and misinformation.","authors":"Ufuk Demirkılıç, Burcu Tosun","doi":"10.5606/tgkdc.dergisi.2024.26399","DOIUrl":"10.5606/tgkdc.dergisi.2024.26399","url":null,"abstract":"<p><p>Recently, some cardiovascular surgeons have been increasingly using social media for marketing, often employing misleading terminology. This trend, which we termed the \"cardiovascular scamdemic,\" involves the widespread dissemination of deceptive advertisements for cardiovascular treatments, resembling an epidemic. Exposure to such misinformation not only endangers patients, who naturally rely on information from professional sources, but also erodes public trust in medical ethics and scientific integrity. Additionally, it contributes to treatment refusal and adverse health outcomes. The lack of comprehensive global regulations addressing these issues highlights the urgent need for more effective enforcement measures.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4","pages":"469-476"},"PeriodicalIF":0.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A rare spatial relation of the great arteries in patients with transposition of the great arteries: Posterior aorta and its effect on outcomes.","authors":"Pelin Ayyıldız, Fatma Sevinç Şengül, Ensar Duras, Erkut Öztürk, Sertaç Haydin, Alper Güzeltaş","doi":"10.5606/tgkdc.dergisi.2024.26097","DOIUrl":"10.5606/tgkdc.dergisi.2024.26097","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate patients diagnosed with posterior transposition of the great arteries (TGA) in detail.</p><p><strong>Methods: </strong>This retrospective study included 192 patients (155 males, 37 females; mean age: 0.4±0.9 month; range, 0.1 to 6 month) with TGA who were followed between August 1, 2016, and August 1, 2022. Patients with ventriculoarterial discordance, normal vessel relationship, and mitral-aortic continuity were considered posterior TGA. Demographic features, clinical findings, echocardiographic data, and surgical results of each patient were recorded.</p><p><strong>Results: </strong>Posterior TGA was present in 11 (5.7%) of the patients. The median age of patients with posterior TGA at the time of surgery was two months (interquartile range [IQR], 1-3 months), and their median body weight was 6.2 kg (IQR, 5-7.2 kg). The median oxygen saturation of the patients was 85% (IQR, 80-90%). A ventricular septal defect was present in all patients on echocardiography. There was also nonrestrictive atrial septal defect and patent ductus arteriosus in four patients, and one patient had arcus aorta hypoplasia. A coronary anomaly was determined in eight of the patients during surgery. These were 1LRCA2Cx in three cases, 1LRCx in three cases, 1R2LCx in one case, and 1L2RCx in one case. Arterial switch operation and ventricular septal defect closure was performed in 10 patients initially and in one patient after a pulmonary banding operation. The median cardiopulmonary bypass time was 190 min (IQR, 170-210 min). The Lecompte maneuver was not performed in any of the patients. The median stay in the intensive care unit and the hospital was 7 days (IQR, 5-10 days) and 16 days (IQR, 14-18 days), respectively. Two patients died in the early postoperative period.</p><p><strong>Conclusion: </strong>In patients with suspected congenital heart disease, a segmental echocardiographic evaluation should be performed, and it should be kept in mind that the aorta may be located posteriorly as a rare spatial relationship in patients with TGA.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4","pages":"394-401"},"PeriodicalIF":0.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
İbrahim Halil Demir, Dursun Muhammed Özdemir, Selma Oktay Ergin, İlker Kemal Yücel, Murat Sürücü, Murat Çiçek, Numan Ali Aydemir, Ahmet Çelebi
{"title":"Transcatheter pulmonary artery debanding: Is it effective in every patient?","authors":"İbrahim Halil Demir, Dursun Muhammed Özdemir, Selma Oktay Ergin, İlker Kemal Yücel, Murat Sürücü, Murat Çiçek, Numan Ali Aydemir, Ahmet Çelebi","doi":"10.5606/tgkdc.dergisi.2024.26234","DOIUrl":"10.5606/tgkdc.dergisi.2024.26234","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to present our experience with transcatheter pulmonary debanding, focusing on patient outcomes.</p><p><strong>Methods: </strong>The retrospective study was conducted with 32 patients (17 males, 15 females; mean age: 3.6±2 years; range, 0.5 to 8.8 years) who underwent transcatheter pulmonary debanding between January 2010 and January 2024. The patients were evaluated in two groups. In Group 1 (n=24), total debanding was targeted for patients with spontaneously closed or restrictive ventricular septal defects or those suitable for transcatheter ventricular septal defect closure. In Group 2 (n=8), palliative debanding was utilized in children with ongoing band requirement.</p><p><strong>Results: </strong>The median body weight was 15 kg. In Group 1, the mean right ventricle-to-aortic pressure ratio (RVp/Aop) was 0.91±0.21 before the procedure, which decreased to a mean of 0.33±0.20 after the procedure. In Group 2, the mean RVp/Aop was 1.31±0.47, which decreased to 0.77±0.13 after transcatheter palliative debanding. The mean peripheral oxygen saturation was 80±6% before the procedure and 94±2.5% after the procedure. Transcatheter debanding was successful in all patients when surgical pulmonary banding was performed with 6-0 Prolene and polytetrafluoroethylene band material.</p><p><strong>Conclusion: </strong>Transcatheter banding is a safe and effective procedure that minimizes the need for reoperation.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4","pages":"367-377"},"PeriodicalIF":0.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nur Dilvin Ozkan, Aynur Bas, Axel Scheed, Melanie Vogl, Tomas Bohanes, Elisabeth Stubenberger, Muhammet Sayan, Ismail Cuneyt Kurul, Ghanim Bahil, Ali Celik
{"title":"Can some inflammatory parameters predict the survival of patients with malignant pleural effusion?","authors":"Nur Dilvin Ozkan, Aynur Bas, Axel Scheed, Melanie Vogl, Tomas Bohanes, Elisabeth Stubenberger, Muhammet Sayan, Ismail Cuneyt Kurul, Ghanim Bahil, Ali Celik","doi":"10.5606/tgkdc.dergisi.2024.26905","DOIUrl":"10.5606/tgkdc.dergisi.2024.26905","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate whether there is a correlation between some serum inflammatory markers and the survival of patients with malignant pleural effusions (MPEs).</p><p><strong>Methods: </strong>The prospective study included 125 patients (67 males, 58 females; median age: 62 years; range, 40 to 92 years) who underwent thoracentesis for pleural effusion between January 2020 and December 2021. An overall survival analysis was performed, and survival differences between the groups were investigated. The cutoff value of the inflammatory parameters associated with mortality was determined by receiver operating characteristic analysis.</p><p><strong>Results: </strong>Median survival after detection of MPE was six months, and three- and five-year overall survivals were 16% and 4%, respectively. There was a significant correlation between the ECOG (Eastern Cooperative Oncology Group) score of the patients and the median survival. Serum C-reactive protein (CRP), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), fluid albumin, and serum lactate dehydrogenase (LDH)-to-pleural LDH ratio and survival had a statistically significant relationship in receiver operating characteristic analysis. Threshold values were determined accordingly. Poor prognostic factors that were found to be statistically significant were high CRP (p=0.001), high NLR (p=0.001), high PLR (p=0.02), and high serum LDH-to-pleural LDH ratio (p=0.04).</p><p><strong>Conclusion: </strong>Some serum inflammatory markers, including high CRP, high NLR, high PLR, and high serum LDH-to-pleural LDH ratio, can be a simple and inexpensive method in predicting prognosis in patients with MPE.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4","pages":"445-452"},"PeriodicalIF":0.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hanan Hemead, Nora Mamdouh, Akram Allam, Ahmed Abdelaziz
{"title":"Thoracic surgery in children and adolescents: Experience from the thoracic surgery unit of a single referral center.","authors":"Hanan Hemead, Nora Mamdouh, Akram Allam, Ahmed Abdelaziz","doi":"10.5606/tgkdc.dergisi.2024.26639","DOIUrl":"10.5606/tgkdc.dergisi.2024.26639","url":null,"abstract":"<p><strong>Background: </strong>The study aimed to highlight and evaluate thoracic surgical procedures performed in children and adolescents and demonstrate the extent to which thoracic surgeons can benefit this population.</p><p><strong>Methods: </strong>This retrospective study included 200 pediatric patients (100 males, 100 females; mean age: 14.7±6.7 years; range, 1 month to 21 years) who underwent thoracic surgery between January 2018 and January 2023. Patients' indications for surgery, surgical approach, complications, length of hospital stay, need for intensive care admission, and mortality were evaluated.</p><p><strong>Results: </strong>The most commonly performed surgery was sympathectomy (30.5%), followed by decortication (16%) and traumatic exploration (14%). Approximately 50% of surgeries were minimally invasive. The average length of hospital stay was 2.8 days, and the rate of intensive care admission was 20%. The intraoperative and postoperative complication rate was 10%.</p><p><strong>Conclusion: </strong>The concept of treating pediatric patients as small-size adults is irrational. Pediatric patients need special care and tailored guidelines due to their peculiar physical, psychological, and anatomical characteristics. We believe that having a dedicated team of thoracic surgeons trained and subspecialized for pediatric thoracic pathologies will improve outcomes. Furthermore, more research must be directed to this age group to establish evidence-based consensus and guidelines.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4","pages":"412-418"},"PeriodicalIF":0.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aysenur Dostbil, Kamber Kasali, Yener Aydin, Ilker Ince, Ali Bilal Ulas, Mehmet Akif Yilmaz, Muhammed Ceren, Atilla Eroğlu, Habip Burak Ozgodek, Mirac Selcen Ozkal, Hesham Elsharkawy
{"title":"Comparison of the postoperative analgesic efficacy of serratus anterior plane block with different types of blocks for video-assisted thoracoscopic surgery: A systematic review and meta-analysis of randomized controlled trials.","authors":"Aysenur Dostbil, Kamber Kasali, Yener Aydin, Ilker Ince, Ali Bilal Ulas, Mehmet Akif Yilmaz, Muhammed Ceren, Atilla Eroğlu, Habip Burak Ozgodek, Mirac Selcen Ozkal, Hesham Elsharkawy","doi":"10.5606/tgkdc.dergisi.2024.26887","DOIUrl":"10.5606/tgkdc.dergisi.2024.26887","url":null,"abstract":"<p><strong>Background: </strong>The study aimed to compare the analgesic efficacy of single-shot serratus anterior plane block (SAPB) for video-assisted thoracoscopic surgery (VATS) with other regional block techniques.</p><p><strong>Methods: </strong>In this meta-analysis, randomized controlled trials published in the PubMed, Scopus, Web of Science, ClinicalKey, and PROSPERO electronic databases between March 24, 2014 and March 24, 2024 comparing the analgesic efficacy of SABP with other regional blocks in adult patients undergoing VATS were reviewed.</p><p><strong>Results: </strong>Nine randomized controlled trials consisting of a total of 537 participants (287 males, 250 females; mean age: 55.2±13.1 years) were included in this meta-analysis. Serratus anterior plane block was compared with erector spinae plane block (ESPB), local infiltration anesthesia (LIA), and thoracic paravertebral block (TPVB). The postoperative 24-h cumulative opioid consumption was statistically significantly higher in SAPB than in ESPB (standardized mean difference [SMD]=1.98; 95% confidence interval [CI], 0.23 to 3.73; Z=2.22; p=0.03; <i>I</i> <sup>2</sup> =97%; random effects model) and TPVB (SMD=0.63; 95% CI, 0.31 to 0.96; Z=3.84; p<0.001; <i>I</i> <sup>2</sup> =0%; fixed effects model) and lower than in LIA (SMD=-1.77; 95% CI, -2.24 to -1.30; Z=7.41; p<0.001; <i>I</i> <sup>2</sup> =0%; fixed effects model). Active pain scores 2 h postoperatively were statistically significantly lower in SAPB than in LIA (SMD=-2.90; 95% CI, -5.29 to -0.50; Z=2.37; p=0.02; <i>I</i> <sup>2</sup> =93%; random-effects model). At 12 h postoperatively, both passive pain scores (SMD=0.37; 95% CI, 0.07 to 0.66; Z=2.41; p=0.02; <i>I</i> <sup>2</sup> =0%; fixed effects model) and active pain scores (SMD=0.55; 95% CI, 0.25 to 0.85; Z=3.60; p<0.001; <i>I</i> <sup>2</sup> =0%; fixed effects model) were statistically significantly lower in ESBP than in SAPB. There was no difference between SAPB and the other groups in terms of the incidence of postoperative nausea and vomiting.</p><p><strong>Conclusion: </strong>After a comprehensive evaluation of postoperative analgesic effects, it appears that ESBP and TPVB may be better than SABP, and SABP may be better than LIA for analgesia of patients undergoing VATS. Further studies are required to determine the optimal regional analgesia technique in VATS.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4","pages":"419-435"},"PeriodicalIF":0.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Demet Kangel, Ali Nazım Güzelbağ, Serap Baş, Ali Can Hatemi, İbrahim Cansaran Tanıdır
{"title":"Management of patients developing axillary pseudoaneursym after ductal stenting: Report of three cases.","authors":"Demet Kangel, Ali Nazım Güzelbağ, Serap Baş, Ali Can Hatemi, İbrahim Cansaran Tanıdır","doi":"10.5606/tgkdc.dergisi.2024.25816","DOIUrl":"10.5606/tgkdc.dergisi.2024.25816","url":null,"abstract":"<p><p>Pseudoaneurysms develop as a result of disruption of the arterial wall due to trauma or iatrogenic reasons such as catheterization, and it is important due to the high risk of bleeding and rupture. Until recently, the main treatment of pseudoaneurysms was surgical repair. However, in recent years, minimally invasive methods such as ultrasound-guided compression and percutaneous thrombin injection have been used more frequently. In this article, the clinical course and findings of three different cases who developed pseudoaneurysm as a result of stenting the ductus arteriosus via the axillary artery were discussed.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4","pages":"457-461"},"PeriodicalIF":0.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}