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Öğe An easy way to remove a stuck hemodialysis catheter(Wiley, 2021) Katrancioglu, Nurkay; Serhatlioglu, Faruk; Katrancioglu, OzgurThe replacement of tunneled hemodialysis catheters (CVCs) is a common procedure. In some cases, the CVC cannot be removed from the central vein because of tight adhesions to the surrounding fibrin sheath. A tight fibrin sheath leads to firm adherence between the catheter and the central veins or right atrial wall. Such stuck catheters cannot be removed from the central vein using standard methods. We present here a case demonstrating the successful removal of such a stuck CVC using the reverse Seldinger method.Öğe Could direct-acting oral anticoagulant be a possible cause of delayed pseudoaneurysm? A case report(Turkish National Vascular and Endovascular Surgery Society, 2023) Katrancioglu, Nurkay; Serhatlioglu, FarukDelayed iatrogenic pseudoaneurysm (IPA) is very rare. We aimed to present a case of delayed femoral IPA using apixaban, which developed four months after coronary intervention (PCI). A 75-year-old female patient who had PCI four months ago presented with right femoral artery IPA that started one month ago, with no recent history of trauma, infection, or new procedures, except for diabetes and apixaban use. The occurrence of IPA at the insertion site four months after the initial procedure is an infrequent complication. Delayed IPA risk factors are trauma, infection, anticoagulant use, and inflammatory disease. Since no other risk factor was found in our case, the cause of IPA seems to be apixaban. Our case highlights the importance of considering delayed IPA as a potential complication, which may manifest up to four months after the initial procedure, especially in diabetic patients who are on anticoagulant therapy. © @Author(s).Öğe Deep Venous Thrombosis as a Complication of Brucellosis: A Case Report on Diagnosis and Treatment Management(Galenos Yayincilik, 2019) Arslan Gulen, Tugba; Serhatlioglu, Faruk; Imre, Ayfer; Kayabas, Uner[Abstract Not Available]Öğe Echocardiographically Measured Epicardial Fat Predicts New-onset Atrial Fibrillation after Cardiac Surgery(Soc Brasil Cirurgia Cardiovasc, 2020) Gunturk, Ertugrul Emre; Topuz, Mustafa; Serhatlioglu, Faruk; Akkaya, HasanObjective: The current study aims to investigate the role of echocardiographically measured epicardial adipose tissue (EAT) thickness in the prediction of new-onset atrial fibrillation (AF) following coronary artery bypass grafting (CABG) surgery. Methods: One hundred and twenty-four patients scheduled to undergo isolated on-pump CABG due to coronary artery disease were enrolled to the current study. Patient characteristics, medical history and perioperative variables were prospectively collected. EAT thickness was measured using transthoracic echocardiography (TTE). Any documented episode of new-onset postoperative AF (POAF) until discharge was defined as the study endpoint. Forty-four participants with POAF served as AF group and 80 patients without AF served as Non-AF group. Results: Two groups were similar in terms of baseline echocardiographic and laboratory findings. In laboratory findings, the groups were similar in terms of the studied parameters, except N-terminal pro-brain natriuretic peptide (NT Pro-BNP), which was higher in AF group than in Non-AF group (P=0.035). The number of left internal mammary artery (LIMA) grafts was not different in both groups. AF group had higher cross-clamp (CC) and cardiopulmonary bypass (CPB) times than Non-AF group (P=0.01 and P<0.001). In multivariate logistic regression analysis, EAT was found an independent predictor for the development of POAF (OR 4.47, 95% CI 3.07-5.87, P=0.001). Conclusion: We have shown that EAT thickness is associated with increased risk of AF development and can be used as a prognostic marker for this purpose.Öğe Evaluation of the predictive role of standard laboratory tests for disease severity in patients with deep venous thrombosis(Via Medica, 2022) Etli, Mustafa; Karahan, Oguz; Serhatlioglu, Faruk; Ontas, HakanIntroduction: Deep venous thrombosis (DVT) can result in fatal outcomes if it is not timely diagnosed and sufficiently treated. Some laboratory markers were identified in previous reports for predicting the disease with low sensitivity or specificity. We aimed to evaluate the predictive value of serum albumin levels and compare them with conventional laboratory parameters. Material and methods: Fifty patients with acute lower-extremity DVT who has no previous history of malignancy or hematologic disorder were included in the study. The demographical variables and standard biomarkers of the DVT group were compared with the normal population (n:50). Thereafter patients were divided into two groups extensive DVT (thrombosis involves popliteal, femoral, and iliac veins together) and localized DVT (thrombosis involves popliteal vein and below) and biomarkers were compared in patient groups. Results: The demographical variables and white blood cell count (WBC) were found as similar between healthy groups and DVT groups. However, mean platelet volume (MPV), D-Dimer, neutrophil to lymphocyte ratio (NLR), and fibrinogen to albumin ratio (FAR) were found markedly higher in DVT patients. Moreover, statistically incremental FAR and NLR levels were detected (p < 0.05) in patients with extensive DVT (involved iliac and femoral veins). Conclusion: Serum NLR and FAR levels seem to be significant predictors for the extensive thrombotic event in patients with DVT.Öğe Is intraoperative embolization with n-butyl cyanoacrylate an alternative option in carotid body tumors surgery? A case report(Elsevier Sci Ltd, 2023) Katrancioglu, Nurkay; Serhatlioglu, Faruk; Katrancioglu, OzgurIntroduction and importance: The risk of intraoperative bleeding is relatively considerable because carotid body tumors (CBT) have rich vascular structures. Aim is to reduce intraoperative bleeding with preoperative embolization. We present a unique technique for the successful surgical removal of a challenging CBT using intraoperative direct percutaneous intratumoral n-butyl cyanoacrylate (n-BCA) embolization in a patient whose preoperative embolization failed and the operation could not be continued due to intraoperative bleeding.Clinical presentation: A 67-year-old female patient presented with 7 cm Shamblin class 3 CBT on her right neck. Due to the failure of the preoperative embolization, bleeding developed during the operation. In the case of Shamblin class 3 CBT, the primary concern was not the volume of bleeding, but the difficulty in seeing the dissection line due to hemorrhage. Intraoperative n-BCA straight embolization totally controlled the bleeding. The CBT was then readily removed.Clinical discussion: Effective management of intraoperative hemorrhage is essential to ensure successful progression of surgical procedures of CBT. Hemorrhage causes complete disappearance of the dissection line, which is already difficult to detect due to adventitia invasion. It is clear that another method is needed when preoperative embolization or covered stenting fails. n-BCA has been used in the endovenous treatment of varicose veins for a long time, but to the best of our knowledge, there is no other case of its use in intraoperative CBT embolization. Conclusion: Direct intraoperative embolization with n-BCA may be an alternative when other techniques are insufficient.