Person: SELÇUK, EMRE
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Publication Metadata only 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, EMREPurpose: To evaluate the clinical impact of pleurotomy during skeletonized internal thoracic artery (ITA) harvesting in patients undergoing on-pump coronary artery bypass grafting (CABG).Publication Metadata only A novel approach of tricuspid valve repair: mitralization of tricuspid valve(2022-03-01T00:00:00Z) KÖKSAL, CENGİZ; SELÇUK, Emre; Kahveci, Gokhan; Erdem, Hasan; KÖKSAL, CENGİZ; SELÇUK, EMREOBJECTIVES: This study presents the mid-term results of a novel tricuspid valve ( TV) repair strategy defined as -mitralization of TV- (resection and plication of the posterior leaflet, ring implantation, optional leaflet procedures) applied for the correction of tricuspid regurgitation (TR).Publication Open Access Biochemical predictors of postoperative atrial fibrillation following cardiac surgery(2021-04-01T00:00:00Z) TÜRKKOLU, ŞEVKET TUNA; SELÇUK, Emre; KÖKSAL, CENGİZ; TÜRKKOLU, ŞEVKET TUNA; SELÇUK, EMRE; KÖKSAL, CENGİZBackground New-onset postoperative atrial fibrillation (POAF) is common after cardiac surgery. Early identification of its risk factors during the preoperative period would help in reducing the associated morbidity, mortality, and healthcare costs. Aim of the study This study aimed to identify the predictors of POAF following open cardiac surgery, with emphasis on biochemical parameters. Methods A total of 1191 patients with no preoperative atrial fibrillation (AF) and undergoing open cardiac surgery for any reason were included in this retrospective study. Data on clinical and biochemical parameters, the occurrence of new-onset AF, and its clinical course were retrieved from the hospital database. Results During the early postoperative period 330 patients (27.7%) developed atrial fibrillation, at median third postoperative day (range 1-6 days) and 217 (65.8%) responded to treatment. Multivariate analysis identified the following as the significant independent predictors of any POAF: EF < 60% (Odds ratio (OR), 2.6), valvular intervention (OR, 2.4), liver failure (OR, 2.4), diabetes (OR, 1.6), low hematocrit (OR, 2.1), low thrombocyte (OR, 5.6), low LDL (OR, 1.6), high direct bilirubin (OR, 2.0), low GFR (OR, 1.6), and high CRP (OR, 2.0). Following parameters emerged as significant independent predictors of persistent AF: EF < 60% (OR, 1.9), diabetes (OR, 2.1), COPD (OR, 1.8), previous cardiac surgery (OR, 3.1), valvular intervention (OR, 2.4), low hematocrit (OR, 1.9), low LDL (OR, 2.1), high HbA1c (OR, 2.0), and high CRP (OR, 2.7). Conclusions Certain parameters assessed during preoperative physical and laboratory examinations have the potential to be used as markers of POAF.Publication Metadata only Comparative efficacy and life quality effects of surgical stripping, radiofrequency ablation, and cyanoacrylate embolization in patients undergoing treatment for great saphenous vein insufficiency(2020-08-01T00:00:00Z) AY, YASİN; Gunes, Esra; TÜRKKOLU, ŞEVKET TUNA; SELÇUK, Emre; ÇALIM, Muhittin; AKAL, Ramazan; AYDIN, CEMALETTİN; İNAN, BEKİR; KÖKSAL, CENGİZ; KAHRAMAN AY, Nuray; AY, YASİN; TÜRKKOLU, ŞEVKET TUNA; SELÇUK, EMRE; ÇALIM, MUHITTIN; AKAL, RAMAZAN; AYDIN, CEMALETTİN; İNAN, BEKİR; KÖKSAL, CENGİZ; KAHRAMAN AY, NURAYObjectives To compare traditional surgery with two minimally invasive endo-venous procedures in terms of their long-term effect on the quality of life in great saphenous vein insufficiency (GSV). Method This prospective observational study included 217 patients that underwent surgical stripping (n = 62), radiofrequency ablation (n = 70), or cyanoacrylate embolization (n = 85) for the treatment of GSV insufficiency. Venous Clinical Severity Score (VCSS) assessments were made, 36-item Short-Form Health Survey (SF-36) questionnaire and Chronic Venous Insufficiency quality of life Questionnaire (CIVIQ-14) were administered, before and 1 year after the treatments. Results Surgical stripping group had significantly higher closure rates than the other groups (p < 0.05). At 12 months, decrease in VCSS scores was less pronounced in the cyanoacrylate embolization group when compared to the other two groups (p < 0.05). Improvement in CIVIQ-14 scores was better in the radiofrequency ablation group when compared to the cyanoacrylate embolization group (p < 0.05). Surgical stripping or radiofrequency ablation groups performed better on several domains of SF-36, when compared to the cyanoacrylate embolization group. Conclusions Surgical stripping and radiofrequency ablation seem to provide a better quality of life results at one year in patients undergoing treatment for GSV insufficiency.Publication Open Access Fatal Autonomic Dysfunction Due to Guillain-Barre Syndrome After Cardiac Surgery(2022-01-01T00:00:00Z) SELÇUK, Emre; KÖKSAL, CENGİZ; SELÇUK, EMRE; KÖKSAL, CENGİZGuillain-Barre syndrome, a rare peripheral neuropathy, appears to occur more often in patients who have recently undergone surgery than in the general population. However, the pathophysiologic relationship between surgery and Guillain-Barre syndrome is elusive. Few cases of Guillain-Barre syndrome after cardiac surgery have been reported. Autonomic dysfunction, a serious complication of Guillain-Barre syndrome, has not been previously reported after cardiac surgery.Publication Metadata only A Synchronous Ipsilateral True Superficial Femoral Artery and Profunda Femoris Artery Aneurysm With Rupture: A Case Report and Review of the Literature(2020-10-01T00:00:00Z) ARIKAN, ALİ AHMET; Bayraktar, Fatih Avni; SELÇUK, Emre; SELÇUK, EMREAtherosclerotic true aneurysms of the superficial femoral artery (SFA) and profunda femoris artery (PFA) are rare and difficult to detect. The synchronous presence of SFA and PFA aneurysms is even rarer. Herein, we present a case with ipsilateral true SFA and PFA aneurysms diagnosed with rupture. A review of the international literature is made, and the diagnosis and treatment options of this rare condition are discussed. A 75-year-old male was admitted to our hospital with an aneurysm on the distal SFA and the ipsilateral PFA, as well as a hematoma around the PFA. It was difficult to determine the source of the rupture before surgery, even with proper imaging. Successful ligation of the PFA and an aneurysmectomy followed by a bypass grafting for the SFA were performed. An intraoperative examination revealed that the SFA aneurysm had ruptured. In elderly males with a history of ectasia or aneurysm on the aorta or peripheral arteries, a synchronous aneurysm on the SFA or the PFA should be suspected.