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  1. Article ; Online: Factors Affecting Recanalization in Femoropopliteal Deep Vein Thrombosis.

    Erol, Mehmet Emir / Özyalçın, Sertan / Tekin, Kudret Atakan / Diken, Adem İlkay / Yalçınkaya, Adnan / Ünal, Ertekin Utku

    Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis

    2023  Volume 29, Page(s) 10760296231173409

    Abstract: Effects of warfarin and new-generation direct oral anticoagulants (DOACs) on thrombus resolution after the treatment of deep vein thrombosis (DVT) are still unknown. The study aimed to investigate the effects of warfarin and DOACs on thrombus resolution ... ...

    Abstract Effects of warfarin and new-generation direct oral anticoagulants (DOACs) on thrombus resolution after the treatment of deep vein thrombosis (DVT) are still unknown. The study aimed to investigate the effects of warfarin and DOACs on thrombus resolution after DVT treatment.
    MeSH term(s) Humans ; Venous Thrombosis/diagnostic imaging ; Venous Thrombosis/drug therapy ; Warfarin/therapeutic use ; Popliteal Vein/diagnostic imaging ; Thrombosis/drug therapy ; Ultrasonography ; Anticoagulants/therapeutic use ; Treatment Outcome
    Chemical Substances Warfarin (5Q7ZVV76EI) ; Anticoagulants
    Language English
    Publishing date 2023-05-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1237357-6
    ISSN 1938-2723 ; 1076-0296
    ISSN (online) 1938-2723
    ISSN 1076-0296
    DOI 10.1177/10760296231173409
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Atrial Fibrillation after Coronary Bypass Surgery? Is Epicardial Fat a Risk Factor?

    Yalçınkaya, Adnan / Fidan, Nurdan / Sarı, Engin / Özyalçın, Sertan / Diken, Adem İlkay

    The Thoracic and cardiovascular surgeon

    2022  Volume 71, Issue 4, Page(s) 291–296

    Abstract: Backgrounds: Postoperative atrial fibrillation (POAF) is one of the most common complication of cardiac surgery. Epicardial fat tissue may play a role in the development of atrial fibrillation (AF). The aim of this study was to evaluate relationship ... ...

    Abstract Backgrounds: Postoperative atrial fibrillation (POAF) is one of the most common complication of cardiac surgery. Epicardial fat tissue may play a role in the development of atrial fibrillation (AF). The aim of this study was to evaluate relationship between epicardial fat volume (EFV) and the appearance of new-onset AF in patients undergoing isolated coronary artery bypass graft (CABG) with normal echocardiographic functions.
    Methods: Between January 2017 and June 2020, 281 coronary artery disease patients undergone isolated CABG surgery with normal echocardiographic functions were included in the study. Patient characteristics, medical history, and perioperative variables were retrospectively collected. Patients with AF predisposition factors were excluded.
    Results: Sixty-seven patients (23.8%) developed postoperatively AF during hospital stay. In univariate analysis, patients with postoperative AF were older compared with sinus rhythm patients (60.78 ± 9.03 vs. 65.46 ± 9.22,
    Conclusion: Aging is the only associated factor with AF in this study. There was no EFV difference between POAF and non-AF groups in patients undergoing isolated CABG with normal echocardiographic functions.
    MeSH term(s) Humans ; Female ; Atrial Fibrillation ; Retrospective Studies ; Postoperative Complications/etiology ; Treatment Outcome ; Coronary Artery Bypass/adverse effects ; Risk Factors
    Language English
    Publishing date 2022-07-27
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 800050-5
    ISSN 1439-1902 ; 0171-6425 ; 0946-4778 ; 0172-6137
    ISSN (online) 1439-1902
    ISSN 0171-6425 ; 0946-4778 ; 0172-6137
    DOI 10.1055/s-0042-1750787
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The effects of pharmacomechanical thrombectomy on novel complete blood count parameters in deep vein thrombosis: A retrospective study.

    Yener, Ali Ümit / Yalçinkaya, Adnan / Yener, Özlem / Çelik, Ekin Can / Hanedan, Onur / Çiçek, Mustafa Cüneyt / Çiçek, Ömer Faruk

    Medicine

    2023  Volume 102, Issue 7, Page(s) e33008

    Abstract: This study aimed to investigate the effects of pharmacomechanical thrombectomy on novel complete blood count parameters in deep venous thrombosis. This retrospective study included 242 patients aged >18 years who were treated for deep venous thrombosis. ... ...

    Abstract This study aimed to investigate the effects of pharmacomechanical thrombectomy on novel complete blood count parameters in deep venous thrombosis. This retrospective study included 242 patients aged >18 years who were treated for deep venous thrombosis. Patients were grouped as follows: group 1 was accepted as having interventional operations (n = 123) and group 2 was accepted as having only medical advice (n = 119). Routine complete blood count parameters, the neutrophil-to-lymphocyte ratio (NLR), and the platelet-to-lymphocyte ratio (PLR) were compared. There was no difference between the groups in terms of admission hemoglobin, hematocrit, mean platelet volume, NLR and PLR (P = .11, P = .24, P = .55, P = .93, and P = .96, respectively). In the pharmacomechanic thrombectomy group, NLR and PLR were significantly reduced after intervention when compared to the admission values (P < .001 and P < .001, respectively). However, the NLR and PLR values of medically treated patients did not differ significantly from their baseline values (P = .16 and P = .08, respectively). In this study, we effectively removed the thrombus load in blocked proximal veins using pharmacomechanical thrombectomy and observed a significant decrease in NLR and PLR, which are current, inexpensive, and accessible parameters.
    MeSH term(s) Humans ; Retrospective Studies ; Platelet Count ; Blood Cell Count ; Blood Platelets ; Lymphocytes ; Neutrophils ; Thrombectomy ; Venous Thrombosis/therapy ; Lymphocyte Count
    Language English
    Publishing date 2023-02-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80184-7
    ISSN 1536-5964 ; 0025-7974
    ISSN (online) 1536-5964
    ISSN 0025-7974
    DOI 10.1097/MD.0000000000033008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Carotid artery stenosis in asymptomatic patients undergoing coronary artery bypass grafting: who and when should be screened?

    Özyalçın, Sertan / Diken, Adem İlkay / Yalçınkaya, Adnan / Türkmen, Ufuk

    Kardiologia polska

    2020  Volume 79, Issue 1, Page(s) 25–30

    Abstract: Background: Carotid artery stenosis (CAS) is one of the major causes of stroke in coronary artery bypass grafting (CABG).: Aims: The aim of this study was to determine which age groups require screening for CAS using carotid duplex ultrasound in ... ...

    Abstract Background: Carotid artery stenosis (CAS) is one of the major causes of stroke in coronary artery bypass grafting (CABG).
    Aims: The aim of this study was to determine which age groups require screening for CAS using carotid duplex ultrasound in asymptomatic patients undergoing CABG.
    Methods: We included 644 neurologically asymptomatic consecutive patients (mean [SD] age, 63.9 [8.8] years; men, 453 [70.3%]) who underwent elective isolated CABG between June 2015 and June 2020. Clinical, demographic, and radiological data as well as coronary angiography results were retrospectively reviewed. Patients were classified into 4 age groups: 40 to 50, 51 to 60, 61 to 70, and >70 years, as well as 3 groups depending on the CAS degree: 50% or less, 50% to 70%, and 70% or greater. Regression analysis was applied across the selected parameters to identify risk factors for significant CAS, and receiver operating characteristic analysis, to determine cutoff age and SYNTAX score of patients who had to be screened before CABG.
    Results: Overall, 8 (1.1%) patients included in the present study had stroke following CABG. Cutoff values of the SYNTAX score and CAS of 70% or greater were found to be 27 and 64 years, respectively. The sensitivity and specificity of the cutoff value were 98.4% to 98.3% and 74.3% to 55.1%, respectively. The area under the curve was 0.98 and 0.73, respectively.
    Conclusion: Based on the receiver operating characteristic analysis, we recommended to perform screening for CAS in patients older than 64 years and with a SYNTAX score of 27 or higher, even if they are asymptomatic.
    MeSH term(s) Adult ; Carotid Stenosis/complications ; Carotid Stenosis/diagnostic imaging ; Carotid Stenosis/surgery ; Child ; Coronary Artery Bypass ; Coronary Artery Disease ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Risk Factors ; Stroke ; Treatment Outcome
    Language English
    Publishing date 2020-10-16
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 411492-9
    ISSN 1897-4279 ; 0022-9032
    ISSN (online) 1897-4279
    ISSN 0022-9032
    DOI 10.33963/KP.15649
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Atrial Fibrillation after Coronary Bypass Surgery? Is Epicardial Fat a Risk Factor?

    Yalçınkaya, Adnan / Fidan, Nurdan / Sarı, Engin / Özyalçın, Sertan / Diken, Adem İlkay

    The Thoracic and Cardiovascular Surgeon

    2022  Volume 71, Issue 04, Page(s) 291–296

    Abstract: Backgrounds: Postoperative atrial fibrillation (POAF) is one of the most common complication of cardiac surgery. Epicardial fat tissue may play a role in the development of atrial fibrillation (AF). The aim of this study was to evaluate relationship ... ...

    Abstract Backgrounds: Postoperative atrial fibrillation (POAF) is one of the most common complication of cardiac surgery. Epicardial fat tissue may play a role in the development of atrial fibrillation (AF). The aim of this study was to evaluate relationship between epicardial fat volume (EFV) and the appearance of new-onset AF in patients undergoing isolated coronary artery bypass graft (CABG) with normal echocardiographic functions.
    Methods: Between January 2017 and June 2020, 281 coronary artery disease patients undergone isolated CABG surgery with normal echocardiographic functions were included in the study. Patient characteristics, medical history, and perioperative variables were retrospectively collected. Patients with AF predisposition factors were excluded.
    Results: Sixty-seven patients (23.8%) developed postoperatively AF during hospital stay. In univariate analysis, patients with postoperative AF were older compared with sinus rhythm patients (60.78 ± 9.03 vs. 65.46 ± 9.22, p  = 0.001). There are no statistically significant differences between groups and EFV compared (107.78 ± 41.04 vs. 106.66 ± 34.98 p  = 0.84). Large left atrial diameter, female patient, cardiopulmonary bypass and longer cross-clamp time showed correlation between POAF without statistical significance.
    Conclusion: Aging is the only associated factor with AF in this study. There was no EFV difference between POAF and non-AF groups in patients undergoing isolated CABG with normal echocardiographic functions.
    Keywords coronary artery bypass grafts surgery ; CABG ; arrhythmia therapy ; cardiac anatomy/pathologic anatomy
    Language English
    Publishing date 2022-07-27
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 800050-5
    ISSN 1439-1902 ; 0171-6425 ; 0946-4778 ; 0172-6137
    ISSN (online) 1439-1902
    ISSN 0171-6425 ; 0946-4778 ; 0172-6137
    DOI 10.1055/s-0042-1750787
    Database Thieme publisher's database

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  6. Article: Distribution of Thoracic Aortic Calcifications in Patients Undergoing Coronary Artery Bypass Grafting.

    Diken, Adem Ilkay / Yalçınkaya, Adnan / Özyalçın, Sertan

    Aorta (Stamford, Conn.)

    2017  Volume 5, Issue 5, Page(s) 132–138

    Abstract: Background: In procedures involving surgical maneuvers such as cannulation, clamping, or proximal anastomosis where aortic manipulation is inevitable, a preliminary assessment of atherosclerotic plaques bears clinical significance. In the present study, ...

    Abstract Background: In procedures involving surgical maneuvers such as cannulation, clamping, or proximal anastomosis where aortic manipulation is inevitable, a preliminary assessment of atherosclerotic plaques bears clinical significance. In the present study, our aim was to evaluate the frequency and distribution of aortic calcifications in patients undergoing coronary artery bypass grafting (CABG) surgery to propose a morphological classification system.
    Methods: A total of 443 consecutive patients with coronary artery disease were included in this study. Preoperative non-contrast enhanced computed tomography images, in-hospital follow-up data, and patient characteristics were retrospectively evaluated.
    Results: Whereas 33% of patients had no calcifications at any site in the aorta, 7.9%, 75.4%, and 16.7% had calcifications in the ascending aorta, aortic arch, and descending aorta, respectively. Focal small calcifications were the most common type of lesions in the ascending aorta (3.9%), whereas 9 patients (1.4%) had porcelain ascending aorta. We defined four types of patients with increasing severity and extent of calcifications.
    Conclusions: Based on the frequency and distribution of calcifications in the thoracic aorta, we propose a classification system from least to most severe for coronary artery disease patients who are candidates for CABG.
    Language English
    Publishing date 2017-10-01
    Publishing country Germany
    Document type Journal Article
    ISSN 2325-4637
    ISSN 2325-4637
    DOI 10.12945/j.aorta.2017.17.035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: The use of Rapid Shallow Breathing Index shortens time to extubation in patients undergoing coronary artery bypass grafting.

    Diken, Özlem Erçen / Diken, Adem İlkay / Özyalçın, Sertan / Yalçınkaya, Adnan

    Turk gogus kalp damar cerrahisi dergisi

    2018  Volume 26, Issue 1, Page(s) 45–51

    Abstract: Background: This study aims to investigate the effects of the use of the Rapid Shallow Breathing Index on extubation success and time to extubation in patients undergoing elective isolated coronary artery bypass grafting.: Methods: This prospective, ... ...

    Abstract Background: This study aims to investigate the effects of the use of the Rapid Shallow Breathing Index on extubation success and time to extubation in patients undergoing elective isolated coronary artery bypass grafting.
    Methods: This prospective, randomized-controlled study included a total of 72 patients (55 males, 19 females; mean age 60.3±9.3 years; range 45 to 76 years) who underwent isolated coronary artery bypass grafting between February 2016 and November 2016. The patients were divided into two groups as the RSBI group (n=36) and the control group (n=36). The control group was extubated by conventional criteria that were routinely applied in our clinic, while the RSBI group was extubated, when the index scores became below 77 breaths per min/L, following ensuring hemodynamic stability and weaning procedure from mechanical ventilation.
    Results: The mean time to wean from mechanical ventilation was 5.8±1.0 hours in the RSBI group and 8.1±2.0 hours in the control group (p=0.03). Extubation protocol performed through the use of the index was found to provide 26% earlier extubation compared to the conventional extubation criteria. There was no significant difference in the postoperative follow-up parameters or clinical conditions.
    Conclusion: Our study results show that a practical tool such as the Rapid Shallow Breathing Index can be reliably used for making a decision in favor of extubation in patients undergoing coronary artery bypass grafting. A shortened time to extubation by the use of this index may provide substantial benefits in terms of prevention of infections, mechanical ventilation-induced lung injuries, and potential pulmonary complications.
    Language English
    Publishing date 2018-01-09
    Publishing country Turkey
    Document type Journal Article
    ISSN 1301-5680
    ISSN 1301-5680
    DOI 10.5606/tgkdc.dergisi.2018.15136
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Adjuvant radiofrequency thermocoagulation improves the outcome of liquid sclerotherapy in the treatment of spider veins of the leg: A pilot study.

    Diken, Adem İlkay / Alemdaroğlu, Utku / Özyalçın, Sertan / Hafez, İzzet / Tünel, Hüseyin A / Yalçınkaya, Adnan / Ecevit, Ata N

    Phlebology

    2021  Volume 36, Issue 8, Page(s) 620–626

    Abstract: Objective: This study evaluated the effect of low-energy radiofrequency thermocoagulation added to standard liquid sclerotherapy on clinical outcomes of patients with venous insufficiency.: Patients and method: We included 111 patients with spider ... ...

    Abstract Objective: This study evaluated the effect of low-energy radiofrequency thermocoagulation added to standard liquid sclerotherapy on clinical outcomes of patients with venous insufficiency.
    Patients and method: We included 111 patients with spider veins CEAP/C1 stage. The patients were randomized into sclerotherapy (Group 1) and sclerotherapy + sclerotherapy immediately followed by low energy percutaneous RF thermocoagulation (Group 2) groups and followed up with same protocols prospectively.
    Results: The study groups did not differ in terms of the mean age, body mass index, the number of spider veins and pre-interventional venous clinical severity scores (VCSS). Patients' self-assessed satisfaction ratings of cosmetic outcomes were found to be higher compared to the baseline (p = 0.001). While both techniques caused a significant decline in VCSS at postprocedural third month, it was observed that the type of applied intervention did not affect the VCSS (p = 0.43 and p = 0.93, respectively). There was a significant difference in hyperpigmentation and trapped blood between the two groups after the procedure (p = 0.009 and p = 0.02, respectively), there was no statistically significant difference in terms of skin necrosis (p = 0.52). A significant difference in the self-assessed cosmetic outcomes was observed in patients treated with sclerotherapy followed by low energy percutaneous RF thermocoagulation compared with patients whom sclerotherapy performed alone (p = 0.001).
    Discussion: This study suggests that radiofrequency thermocoagulation added to the sclerotherapy provides better cosmetic outcomes with less treatment sessions and no additional complication rates.
    MeSH term(s) Electrocoagulation ; Humans ; Leg ; Pilot Projects ; Saphenous Vein ; Sclerotherapy ; Telangiectasis ; Treatment Outcome ; Varicose Veins/therapy
    Language English
    Publishing date 2021-04-04
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 645172-x
    ISSN 1758-1125 ; 0268-3555
    ISSN (online) 1758-1125
    ISSN 0268-3555
    DOI 10.1177/02683555211006534
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Malposition of an atrial pacemaker lead crossing through patent foramen ovale in a patient with ischemic stroke.

    Karavelioğlu, Yusuf / Doğan, Tolga / Kalçık, Macit / Yalçınkaya, Adnan

    Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir

    2016  Volume 44, Issue 1, Page(s) 87

    MeSH term(s) Aged ; Equipment Failure ; Foramen Ovale, Patent ; Humans ; Male ; Pacemaker, Artificial/adverse effects ; Stroke
    Language English
    Publishing date 2016-01
    Publishing country Turkey
    Document type Case Reports ; Journal Article
    ZDB-ID 1215217-1
    ISSN 1308-4488 ; 1016-5169
    ISSN (online) 1308-4488
    ISSN 1016-5169
    DOI 10.5543/tkda.2015.39167
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Ultrasonographic guidance should be the first option during central vein catheterization.

    Diken, Adem İlkay / Yalçınkaya, Adnan / Özyalçın, Sertan / Kayır, Selçuk / Türkmen, Ufuk

    Turk gogus kalp damar cerrahisi dergisi

    2019  Volume 27, Issue 3, Page(s) 423

    Language English
    Publishing date 2019-06-24
    Publishing country Turkey
    Document type Journal Article
    ISSN 1301-5680
    ISSN 1301-5680
    DOI 10.5606/tgkdc.dergisi.2019.17933
    Database MEDical Literature Analysis and Retrieval System OnLINE

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