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SELÇUK, EMRE

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EMRE
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SELÇUK
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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.
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    PublicationOpen 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, CENGİZ
    Background 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.
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    PublicationOpen Access
    Fatal Autonomic Dysfunction Due to Guillain-Barre Syndrome After Cardiac Surgery
    (2022-01-01T00:00:00Z) SELÇUK, Emre; KÖKSAL, CENGİZ; SELÇUK, EMRE; KÖKSAL, CENGİZ
    Guillain-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.
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    PublicationOpen Access
    Acute right iliofemoral deep vein thrombosis mimicking acute appendicitis in the postpartum period: a case report
    (2020-11-01T00:00:00Z) Selcuk, E.; Karaisli, S.; SELÇUK, EMRE
    The risk of venous thromboembolism increases during pregnancy and postpartum. The incidence in the first six weeks following delivery is approximately 0.15%. Deep vein thrombosis may present with acute appendicitis-like symptoms such as right iliac fossa pain, nausea and vomiting.