Person: SELÇUK, EMRE
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Publication Metadata only Mitral Kapak Replasmanı Sonrası Atriyal Fibrilasyon: Minimal İnvaziv ve Konvansiyonel Yöntemlerin Karşılaştırması(2020-11-12T00:00:00Z) Selçuk, Emre; Köksal, Cengiz; SELÇUK, EMRE; KÖKSAL, CENGİZGiriş: 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.Publication Metadata only 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, EMREIntroduction: 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.Publication Metadata only Outcomes of Thrombolytic Therapy of Tunnelled Hemodialysis Catheter Dysfunction.(2021-06-14T00:00:00Z) Selçuk, Emre; Arıkan, Ali Ahmet; Bayraktar, Fath Avni; SELÇUK, EMREPublication Metadata only 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, CENGİZPublication Metadata only 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, CENGİZPublication Metadata only Gebelik Döneminde Venöz Yetmezlik Semptomlarının Aberdeen Varıköz Ven Anketi ile Değerlendirilmesi ve Yaşam Kalitesini Etkileyen Faktörler(2019-10-29T00:00:00Z) Selçuk, Emre; Avni Bayraktar, Fatih; SELÇUK, EMREPublication Metadata only Does Concomitant Tricuspid Annuloplasty Increase the Need for Permanent Pacemaker Implantation Following Mitral Valve Replacement?(2021-04-01T00:00:00Z) Aksoy, Rezzan; Selçuk, Emre; Küp, Ayhan; Çevirme, Deniz; Başar, Veysel; Balcı, Furkan; Rabuş, Murat; SELÇUK, EMREIntroduction:This study compared the frequency of permanent pacemaker implantation (PPI) following mitral valve replacement (MVR) with tricuspid annuloplasty (TAP) and isolated MVR.Patients and Methods:This retrospective study analysed 409 patients who had undergone MVR with or without concomitant TAP, from January 2015 through May 2020. Patients were divided into two groups (the isolated MVR group and the MVR plus TAP group). The two groups were compared according to whether PPI was present or not.Results:A total of 409 consecutive patients [in the isolated MVR group, n= 212 patients; 129 (60.8%) female and in the MVR plus TAP group, n= 197 patients; 138 (70.1%) female] were assessed. The number of female, functional mitral regurgitation, mixed mitral disease, and the use of bio-prosthetic valve was higher in the MVR plus TAP group (p< 0.01). A total of 8 (2%) patients needed a PPI. There was no statistically significant difference between the two groups in terms of PPI (p> 0.01). The frequency of postoperative PPI was 2.2% (7 of 311 patients) in patients with rheumatic etiology and 1.1% (1 of 98 patients) in patients with non-rheumatic etiology (OR: 2.026, 95% CI: 0.24-16.68, p= 0.5). The median time to implantation was seven days [minimum postoperative days (POD) 5 , maximum POD 45].Conclusion:When isolated MVR is considered and if the patient also has tricuspid regurgitation (TR), it is apparent that TAP will be inevitable, because TR inflicts a considerable burden on the patient’s quality of life. Recent studies reported varying frequencies of PPI after TAP accompanying left valve surgery. The present study observed no increase in the use of PPI after MVR accompanied by TAP as compared with isolated MVR.Publication Metadata only Çok Katmanlı Akış Modülatör Stent İmplantasyonu Sonrası Devam Eden Kaçağın Endovasküler Tedavisi(2021-10-28T00:00:00Z) Selçuk, Emre; Museyeva, Sayagat; İnan, Bekir; Türkkolu, Şevket Tuna; Masrioğlu, Ahmet; Akal, Ramazan; Aydın, Cemalettin; Ay, Yasin; Köksal, Cengiz; SELÇUK, EMRE; MUSEYEVA, SAYAGAT; İNAN, BEKİR; TÜRKKOLU, ŞEVKET TUNA; MASRİOĞLU, AHMET; AKAL, RAMAZAN; AYDIN, CEMALETTİN; AY, YASİN; KÖKSAL, CENGİZPublication Metadata only Thoracic Surgery(2020-10-01T00:00:00Z) Sarikaya, Sabit; Selçuk, Emre; Kırali, Kaan; SELÇUK, EMREThe thoracoabdominal surgical approach means the exploration of the thorax and abdominal cavities simultaneously via a single or staged incision. This technique has been used for various indications since the end of the 19th century. Nowadays, although minimal invasive techniques are popular, it is still a valid approach in certain operations. Not only it is a current approach in thoracic surgical procedures but it also is a technique that should be noted it is used in pathologies requiring a multidisciplinary approach. This chapter focuses on the indications, technique details and also pitfalls of the thoracoabdominal incision.Publication Metadata only Outcomes Of Pharmacomechanıcal Thrombectomy For Phlegmasıa Cerulea Dolens(2020-10-31T00:00:00Z) Selçuk, Emre; SELÇUK, EMRE