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SELÇUK, EMRE

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    Mitral Kapak Replasmanı Sonrası Atriyal Fibrilasyon: Minimal İnvaziv ve Konvansiyonel Yöntemlerin Karşılaştırması
    (2020-11-12T00:00:00Z) Selçuk, Emre; Köksal, Cengiz; SELÇUK, EMRE; KÖKSAL, CENGİZ
    Giriş: Yeni başlangıçlı atriyal fibrilasyon (AF), açık kalp cerrahisi sonrası morbidite ve mortaliteyi artıran bir risk faktörüdür. Mitral kapak replasmanı sonrası postoperatif AF, yaklaşık %30 oranında görülür. Bu çalışmada sağ mini-torakotomi ve sternotomi ile mitral kapak replasmanı yapılan hastalarda postoperatif yeni başlangıçlı AF sıklığı karşılaştırılmıştır. Yöntemler: 2017–2020 tarihleri arasında kliniğimizde romatizmal mitral kapak hastalığı nedeni ile kapak replasmanı yapılan, ameliyat öncesi sinüs ritminde olan 159 hastanın verileri retrospektif olarak incelendi. Hastaların preoperatif demografik verileri, klinik özellikleri ve postoperatif AF açısından tanımlanmış risk faktörleri araştırıldı. Hastalar operasyon tipine göre iki gruba ayrıldı (Sağ mini torakotomi ve sternotomi). Postoperatif yeni başlangıçlı AF riski lojistik regresyon modeli oluşturularak araştırıldı. Bulgular: Toplam 159 hasta (mini torakotomi=45; sternotomi=114) çalışmaya dahil edildi. Hastaların %35.2’si (n=56) izole mitral darlık, %44.7’si (n=71) izole mitral yetmezlik, %20.1’i (n=31) miks mitral kapak hastalığı nedeni ile opere edildi. Her iki grup arasında preoperatif özellikler açısından anlamlı fark yoktu. Yeni başlangıçlı atriyal fibrilasyon oranı %2 idi (n=46). Minimal invaziv grupta postoperatif AF (%15,6 ve %34,2, p=0.02) ve kan ürünü kullanımı (%40 ve %63.2, p=0.008) daha azdı. Multivaryant analizde sternotomi, postoperatif AF açısından bağımsız bir risk faktörüydü (OR= 2.3; %95 Güven aralığı= 1.6-4.2). Persistan AF oranı %16,4 (n=26) olup mini torakotomi grubunda anlamlı olarak daha düşüktü (%6.7 ve %20.2, p=0.03) Sonuç: Romatizmal mitral kapak hastalığı nedeni ile minimal invaviz mitral kapak replasmanı yapılan hastalarda yeni başlangıçlı AF sıklığı, sternotomi ile opere edilen hastalara göre anlamlı olarak düşüktür. Anahtar sözcükler: Atriyal fibrilasyon, minimal invaziv, mitral kapak.
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    Prognostic Value of Coronary Dominance in Patients Undergoing Elective Coronary Artery Bypass Surgery
    (2020-01-01T00:00:00Z) Selcuk, Emre; Cevirme, Deniz; Bugra, Onursal; SELÇUK, EMRE
    Objective: To evaluate the clinical impact of coronary dominance type in terms of early and long-term outcomes in patients undergoing elective coronary artery bypass grafting (CABG).
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    D-dimer Level is an Early Marker of Ischaemia/ reperfusion Injury After Coronary Artery Bypass Surgery
    (2019-12-01T00:00:00Z) Çakalağaoğlu, Kamil; Keski̇n, Gökhan; Altaş, Özge; Selçuk, Emre; SELÇUK, EMRE
    Introduction: Myocardial Ischaemia-Reperfusion (I-R) injury produces a spectrum of clinical cardiovascular outcomes after cardiac surgery. The pathogenesis of I-R injury is complex and involves the activation and amplification of several systemic and local proinflammatory pathways. The process of restoring blood flow to the ischaemic myocardium can induce injury and paradoxically reduce the beneficial effects of myocardial reperfusion. The objective of this study was to determine the correlation between cardiac markers such as the Mb fraction of the creatine kinase (CK-MB), troponin I (cTnI) and D-dimer levels as a marker of myocardial injury secondary to I-R injury after coronary artery bypass surgery. Patients and Methods: Herein, a prospective study was designed that included 50 consecutive coronary artery bypass grafting (CABG) patients. Pre and postoperative blood samples were taken due to study protocol and such markers as Mb fraction of the creatine kinase (CK-MB), troponin I (cTnI) and D-dimer were measured. Results: All three markers were significantly elevated in postoperative blood samples. The D-dimer level reached its peak at the first and another peak at 12th hour postoperatively. However, the peak serum values of CK-MB and cTnI occurred at 6th and 12th hour, respectively. Conclusion: We demonstrated that D-dimer levels as a marker of generated thrombin during reperfusion correlated with other well-known biochemical markers of myocardial damage in the postoperative period. In other words, D-dimer levels may stand as a marker of I-R-induced myocardial damage.
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    Outcomes of Thrombolytic Therapy of Tunnelled Hemodialysis Catheter Dysfunction.
    (2021-06-14T00:00:00Z) Selçuk, Emre; Arıkan, Ali Ahmet; Bayraktar, Fath Avni; SELÇUK, EMRE
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    Lokal Anestezi ile Karotisendarterektomi Yapılan Vakalarda Shunt Gereksinimi İntraoperatif Verilen Bir Karardır
    (2021-10-28T00:00:00Z) İnan, Bekir; Akal, Ramazan; Selçuk, Emre; Türkkolu, Şevket Tuna; Masrioğlu, Ahmet; Museyeva, Sayagat; Aydın, Cemalettin; Ay, Yasin; Köksal, Cengiz; İNAN, BEKİR; AKAL, RAMAZAN; SELÇUK, EMRE; TÜRKKOLU, ŞEVKET TUNA; MASRİOĞLU, AHMET; MUSEYEVA, SAYAGAT; AYDIN, CEMALETTİN; AY, YASİN; KÖKSAL, CENGİZ
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    Nutcracker Sendromu (NCS) ve OvarianVen Embolizasyonu
    (2022-03-28T00:00:00Z) İnan, Bekir; Türkkolu, Şevket Tuna; Masrioğlu, Ahmet; Selçuk, Emre; Akal, Ramazan; Museyeva, Sayagat; Aydın, Cemalettin; Ay, Yasin; Köksal, Cengiz; İNAN, BEKİR; TÜRKKOLU, ŞEVKET TUNA; MASRİOĞLU, AHMET; SELÇUK, EMRE; AKAL, RAMAZAN; MUSEYEVA, SAYAGAT; AYDIN, CEMALETTİN; AY, YASİN; KÖKSAL, CENGİZ
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    Clinical Effects of Pleurotomy on Postoperative Outcomes of Patients Undergoing On-Pump Coronary Artery Bypass Grafting with Skeletonized Left Internal Thoracic Artery
    (2020-01-01T00:00:00Z) SELÇUK, Emre; Gunay, Deniz; Aksut, Mehmet; Bas, Tolga; Erdem, Hasan; Kirali, Mehmet K.; SELÇUK, EMRE
    Purpose: To evaluate the clinical impact of pleurotomy during skeletonized internal thoracic artery (ITA) harvesting in patients undergoing on-pump coronary artery bypass grafting (CABG).
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    PublicationOpen Access
    Analysis of Readmissions to The Intensive Care Unit After Coronary Artery Bypass Surgery: Ten Years- Experience
    (2020-01-01T00:00:00Z) Cakalagaoglu, Kamil Canturk; Selcuk, Emre; Erdem, Hasan; Elibol, Ahmet; KÖKSAL, CENGİZ; SELÇUK, EMRE; KÖKSAL, CENGİZ
    Objective: To evaluate the frequency, causes, and related predictive factors of intensive care unit (ICU) readmissions after coronary artery bypass grafting (CABG) surgery.
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    PublicationOpen Access
    In-Hospital and Long-Term outcomes after Open-Heart Surgery in Turkish Octogenarians: a Single-Center Study
    (2021-01-01T00:00:00Z) Aksut, Mehmet; Gunay, Deniz; Ozer, Tanil; Yerlikhan, Ozge Altas; Selcuk, Emre; Kirali, Mehmet Kaan; SELÇUK, EMRE
    Objective: We aimed to analyze the early and long-term results of open-heart surgery in Turkish patients aged 80 years or older who were operated on at our center. Methods: All patients aged 80 years or older who underwent surgery between January 2000 and December 2013 at a high-level heart center were included in the study. The in-hospital data of study patients were obtained from the electronic database and from the hospital files. Survival data were analyzed as a long-term outcome. Results: A total of 245 patients aged 80-93 years were evaluated in the study. The patients were followed up 5.4±3.7 years after open-heart surgery. In-hospital mortality rates were 10% in elective cases and 15.1% overall. Age ≥85 years, chronic kidney disease, chronic obstructive pulmonary disease, and emergency surgery were independent predictors of in-hospital mortality. The median survival time was found to be 4.4±0.3 years for all participants. The long-term survival of patients who underwent emergency cardiac surgery was significantly lower than that of elective patients (log-rank <0.001). Conclusion: Octogenarians have satisfactory long-term outcomes after open-heart surgery when operated electively. On the other hand, patients operated under emergency conditions have worse inhospital outcomes and long-term follow-up results.