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  1. Article ; Online: Perspective to Accreditation Along IASIOS Journey.

    Dökdök, Murat

    Cardiovascular and interventional radiology

    2022  Volume 46, Issue 1, Page(s) 165

    MeSH term(s) Humans ; Accreditation
    Language English
    Publishing date 2022-10-07
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 603082-8
    ISSN 1432-086X ; 0342-7196 ; 0174-1551
    ISSN (online) 1432-086X
    ISSN 0342-7196 ; 0174-1551
    DOI 10.1007/s00270-022-03294-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Retrieval of a dislodged porth catheter with inaccessible tips in a pediatric cancer patient.

    Dökdök, Murat

    CVIR endovascular

    2021  Volume 4, Issue 1, Page(s) 54

    Language English
    Publishing date 2021-06-15
    Publishing country Switzerland
    Document type Letter
    ISSN 2520-8934
    ISSN (online) 2520-8934
    DOI 10.1186/s42155-021-00241-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Deconstructive vs. reconstructive endovascular treatment paradigms in acute carotid blowout.

    Dökdök, Murat / Yakupoglu, Abdullah

    Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES

    2023  Volume 29, Issue 11, Page(s) 1308–1313

    Abstract: Background: Carotid Blowout (CBO), a neuro-oncological emergency characterized by the rupture of the carotid artery, has been predominantly reported in patients with head and neck cancer who have undergone radiation therapy. In this study, our objective ...

    Title translation Akut karotis patlamasında dekonstrüktif ve rekonstrüktif endovasküler tedavi paradigmaları.
    Abstract Background: Carotid Blowout (CBO), a neuro-oncological emergency characterized by the rupture of the carotid artery, has been predominantly reported in patients with head and neck cancer who have undergone radiation therapy. In this study, our objective is to share our experience with deconstructive and reconstructive endovascular treatments for CBO.
    Methods: This study includes 17 patients who experienced intractable acute CBO, presenting with ear, oral, or nasal bleeding, between 2003 and 2022. We employed deconstructive embolization using vascular plugs, expanding hydrogel coils, glue, and balloons. If vascular anatomy and pathology permitted, we opted for reconstructive treatment using a covered stent. All patients underwent clini-cal follow-up visits, and we used the modified Rankin Scale to evaluate the clinical success of the procedures. We compared outcomes in terms of complications between the deconstructive and reconstructive treatment methods using the Chi-square test.
    Results: The patient cohort had an age range of 20-64 years (mean 50.9), including three females (18%) and 14 males (82%). We conducted 15 endovascular procedures on 14 patients during 19 angiography sessions. All 15 treatments achieved immediate hemo-stasis, resulting in complete technical success (p=1.0). Six patients (35%) underwent reconstructive treatments with covered stents in the internal carotid artery, while nine patients (65%) underwent deconstructive embolization in either the external or internal carotid artery. We found no significant association between the treatment paradigms (deconstructive vs. reconstructive) and the development of complications using a Chi-square test of independence X² (2, n=15)=0.07, p=0.79.
    Conclusion: Recent advancements in endovascular treatments have shown promising results in managing life-threatening acute CBO cases. Our study found no significant difference in outcomes between deconstructive and reconstructive endovascular paradigms in such patients. However, it is important to note that the available data, including ours, is heterogeneous and scarce, necessitating higher levels of evidence to draw more definitive conclusions.
    MeSH term(s) Male ; Female ; Humans ; Young Adult ; Adult ; Middle Aged ; Carotid Artery Diseases/etiology ; Carotid Artery Diseases/surgery ; Embolization, Therapeutic/adverse effects ; Carotid Artery, Internal/surgery ; Head and Neck Neoplasms ; Stents/adverse effects ; Endovascular Procedures/adverse effects ; Endovascular Procedures/methods ; Treatment Outcome ; Retrospective Studies
    Language English
    Publishing date 2023-10-27
    Publishing country Turkey
    Document type Journal Article
    ZDB-ID 2253739-9
    ISSN 1307-7945 ; 1306-696X
    ISSN (online) 1307-7945
    ISSN 1306-696X
    DOI 10.14744/tjtes.2023.78176
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Holmium-166 Radioembolization of Hepatic Metastases in Salvage Setting: Preliminary Findings from a Single Center Experience

    Dökdök, Murat / Berberoğlu, Kezban

    Journal of Clinical Interventional Radiology ISVIR

    2023  Volume 08, Issue 01, Page(s) 3–10

    Abstract: Purpose: The aim of this study is to report the early outcomes of holmium-166 ( 166 Ho) radioembolization in the treatment of liver metastases.: Methods: Nine patients with liver metastases originating from different primary sites were treated with ... ...

    Abstract Purpose: The aim of this study is to report the early outcomes of holmium-166 ( 166 Ho) radioembolization in the treatment of liver metastases.
    Methods: Nine patients with liver metastases originating from different primary sites were treated with 166 Ho radioembolization between January 2019 and February 2020. The patients were assessed for pain using a visual analog scale (VAS) and quality of life (QoL) at various intervals during hospitalization and follow-up. Toxicity that may be attributable to radioembolization was graded according to CTCAE v5.0. The tumor dosimetry and tumor response were assessed with anatomic and metabolic imaging.
    Results: The mean tumor dose was 150 Gy, 95% confidence interval (CI) was 135.2 to 164.8, with a range of 100 to 200 Gy based on single-photon emission computed tomography (SPECT)/CT, and distribution verified with inline T2/R2* magnetic resonance imaging (MRI) maps. No early (30-day) mortality or grade greater than 2 toxicities were noted, but one patient had chylous ascites. QoL assessed with the European Quality of Life 5-Dimensions 3-Level version (EQ-5D-3L) revealed mean index scores of 0.748 (range: 0.5–1), 95% CI of 0.6 to 0.9, before the procedure, and 0.7 (range: 0.5–1) and 95% CI of 0.6 to 0.8, at 1 month. The mean VAS was 70.6, 95% CI was 65.5 to 75.6, immediately after the procedure, and decreased to the mean VAS of 65.7 and 95% CI of 55.9 to 75.5 after 1 month. Five patients showed a partial response, three showed a stable disease, and one showed progressive disease at the first 2- to 3-month imaging follow-up.
    Conclusion: Radioembolization with 166 Ho microspheres for liver metastases appears to be safe, tolerable, and effective during the short term in this small-scale study.
    Keywords holmium-166 microspheres ; radioembolization ; liver metastases
    Language English
    Publishing date 2023-09-11
    Publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2904139-9
    ISSN 2456-4869 ; 2456-4869
    ISSN (online) 2456-4869
    ISSN 2456-4869
    DOI 10.1055/s-0043-1772492
    Database Thieme publisher's database

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  5. Article: Compliance of Interventional Radiologists With Interventional Oncology Accreditation Standards.

    Dokdok, Murat / Ballı, Huseyin Tugsan

    Cureus

    2023  Volume 15, Issue 7, Page(s) e42608

    Abstract: Purpose: We aimed to evaluate interventional radiologists' compliance with patient care and the quality management process of cancer patients using a national survey.: Methods: An electronic survey was designed with questions derived from the core ... ...

    Abstract Purpose: We aimed to evaluate interventional radiologists' compliance with patient care and the quality management process of cancer patients using a national survey.
    Methods: An electronic survey was designed with questions derived from the core criteria of the International Accreditation System for Interventional Oncology (IASIOS), with the approval of the IASIOS council. Among the interventional radiologists contacted by e-mail through the national association, 34 responded to the questionnaire. The agreement of the participants with the core requirements was evaluated in five questions consisting of 34 articles using the 5-point Likert scale.
    Results: Regarding the years of experience in interventional radiology (IR), the mean scale for the less than five-year group was 118.4, while that for the group with more than 15 years was 145.17 (p = 0.030). The mean scale of the five- to 15-year-old group was 121.75, versus that of more than 15 years, which was 145.17 (p = 0.028). Thus, significant differences arose between <five years versus >15 years and five to 15 years versus >15 years groups; later groups were more likely to comply. There was also a statistical difference between the groups formed according to the ratio of oncological interventions (<25% vs. 25%-50%) in the daily workload (p = 0.010).
    Conclusion: Increased experience in IR and more relay on oncological interventions appear to augment compliance with the IASIOS criteria. We believe that interventional radiologists who have distinct territorial praxis could benefit from such a framework with improved self-awareness.
    Language English
    Publishing date 2023-07-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.42608
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Acute Arteriobiliary Fistula Emergent Long after Biliary Drainage and Radioembolization

    Murat Dökdök / Kutlay Karaman

    Journal of Clinical Interventional Radiology ISVIR (2022)

    2022  

    Abstract: Various causes of hemobilia have been described in the literature, majority being iatrogenic. Other different pathologies such as inflammation and tumors also have been described. A 55-year-old male, who had a history of obstructive jaundice caused by a ... ...

    Abstract Various causes of hemobilia have been described in the literature, majority being iatrogenic. Other different pathologies such as inflammation and tumors also have been described. A 55-year-old male, who had a history of obstructive jaundice caused by a 4-cm liver mass treated with external-internal biliary drainage and transarterial radioembolization 6 months back, presented with acute hemobilia. Computed tomography demonstrated widespread radionecrosis of the right lobe and extravasation of intravascular contrast from right hepatic artery into common bile duct. Verified on angiography, the arteriobiliary fistula was managed with coil embolization.
    Keywords late-onset hemobilia ; arteriobiliary fistula ; arterial injury ; radionecrosis ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher Thieme Medical Publishers, Inc.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article: Thoracic Duct Embolization for Postoperative Lymphatic Fistula.

    Erdemir, Ayhan / Dökdök, Murat / Raşa, Kemal

    Case reports in surgery

    2022  Volume 2022, Page(s) 7510793

    Abstract: Lymphatic fistula as a rare entity particularly emerges after head and neck cancer surgery. It may lead to delayed wound healing, electrolyte loss, malnutrition, dehydration, and immune suppression. Therefore, rapid diagnosis and treatment are of the ... ...

    Abstract Lymphatic fistula as a rare entity particularly emerges after head and neck cancer surgery. It may lead to delayed wound healing, electrolyte loss, malnutrition, dehydration, and immune suppression. Therefore, rapid diagnosis and treatment are of the utmost importance. We aimed to present a lymphatic fistula case who was treated successfully by lymphangiography with percutaneous embolization of the thoracic duct. We believe that minimally invasive techniques could be an alternative to the conservative approach as the first-line choice.
    Language English
    Publishing date 2022-05-29
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2657697-1
    ISSN 2090-6919 ; 2090-6900
    ISSN (online) 2090-6919
    ISSN 2090-6900
    DOI 10.1155/2022/7510793
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: UV disinfection as an adjunctive method in the interventional suite.

    Dökdök, Murat / Karaman, Kutlay

    Diagnostic and interventional radiology (Ankara, Turkey)

    2020  Volume 26, Issue 5, Page(s) 514

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Disinfection ; Humans ; Pandemics ; Pneumonia, Viral ; Radiology, Interventional ; SARS-CoV-2
    Language English
    Publishing date 2020-06-03
    Publishing country Turkey
    Document type Journal Article ; Comment
    ZDB-ID 2184145-7
    ISSN 1305-3612 ; 1305-3825
    ISSN (online) 1305-3612
    ISSN 1305-3825
    DOI 10.5152/dir.2020.20250
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Acute Arteriobiliary Fistula Emergent Long after Biliary Drainage and Radioembolization

    Dökdök, Murat / Karaman, Kutlay

    Journal of Clinical Interventional Radiology ISVIR

    2022  Volume 06, Issue 03, Page(s) 205–206

    Abstract: Various causes of hemobilia have been described in the literature, majority being iatrogenic. Other different pathologies such as inflammation and tumors also have been described. A 55-year-old male, who had a history of obstructive jaundice caused by a ... ...

    Abstract Various causes of hemobilia have been described in the literature, majority being iatrogenic. Other different pathologies such as inflammation and tumors also have been described. A 55-year-old male, who had a history of obstructive jaundice caused by a 4-cm liver mass treated with external-internal biliary drainage and transarterial radioembolization 6 months back, presented with acute hemobilia. Computed tomography demonstrated widespread radionecrosis of the right lobe and extravasation of intravascular contrast from right hepatic artery into common bile duct. Verified on angiography, the arteriobiliary fistula was managed with coil embolization.
    Keywords late-onset hemobilia ; arteriobiliary fistula ; arterial injury ; radionecrosis
    Language English
    Publishing date 2022-01-17
    Publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2904139-9
    ISSN 2456-4869 ; 2456-4869
    ISSN (online) 2456-4869
    ISSN 2456-4869
    DOI 10.1055/s-0041-1740569
    Database Thieme publisher's database

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  10. Article: Isolated Unilateral Hypoglossal Nerve Palsy Caused by Internal Carotid Artery Loop.

    Dokdok, Murat / Göçmen, Selçuk / Kahraman, Serdar / Kütükçü, Yaşar

    Cureus

    2021  Volume 13, Issue 5, Page(s) e14819

    Abstract: Isolated unilateral hypoglossal nerve (HN) palsy caused by vascular compression is a rare condition. We report a case of a 42-year-old male, presenting with tongue paresis and unilateral atrophy of the tongue due to an internal carotid artery (ICA) loop. ...

    Abstract Isolated unilateral hypoglossal nerve (HN) palsy caused by vascular compression is a rare condition. We report a case of a 42-year-old male, presenting with tongue paresis and unilateral atrophy of the tongue due to an internal carotid artery (ICA) loop. The compression of HN by ICA loop and concomitant wall irregularities of the loop segment were observed in magnetic resonance imaging and digital subtraction angiography (DSA). The patient was managed with antithrombotic without the need of any further intervention. To our best knowledge, this is the first reported case of isolated compressive neuropathy of the HN caused by loop of the ICA. Here, the clinical presentation, etiology, and management of isolated HN palsy caused by vascular lesions are discussed along with the relevant literature.
    Language English
    Publishing date 2021-05-03
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.14819
    Database MEDical Literature Analysis and Retrieval System OnLINE

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