Yazar "Katrancioglu, Nurkay" seçeneğine göre listele
Listeleniyor 1 - 5 / 5
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Could direct-acting oral anticoagulant be a possible cause of delayed pseudoaneurysm? A case report(2023) Katrancioglu, Nurkay; Serhatlıoğlu, 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.Öğe How reliable is carotid artery guidance for internal jugular vein cannulation?(2025) Katrancioglu, Nurkay; Serhatlıoğlu, FarukAim: Because of the proximity between the common carotid artery (CCA) and internal jugular vein (IJV), determination of carotid localization by palpation has an important role in central vein cannulation (CVC) using the anatomical marking method. Changes in the location of the CCA and IJV may cause complications during CVC. We aimed to demonstrate the anatomical relationship between the CCA and IJV to help reduce the possibility of complications during IJV cannulations by using the anatomical landmarks.Material and Methods: Images of 79 adult patients who underwent neck CT angiography were retrospectively analyzed from the hospital database. Anatomical relationships, tissue depth and diameters of CCA and IJV were measured and then analyzed from three anatomical segments (second tracheal ring, cricoid cartilage, and superior border of the thyroid cartilage) determined on CT.Results: A total of 158 IJVs and CCAs from 79 subjects were analyzed. As anticipated, in the majority of cases, the IJV was found lateral to the CCA. (101 out of 158, or 64%). However, in a significant portion of cases (57 out of 158, or 36%), the IJV was not found lateral to the CCA. The location of the IJV relative to the CCA was observed as follows: in 31 cases (20%), it was located anterolaterally; in 19 cases (12%), it was located posterolaterally; and in 7 cases (4%), it was situated directly anteriorly, causing complete overlap.Conclusion: Variations in the anatomical relationship of the IJV and CCA are not uncommon. Therefore, anatomical landmark-guided cannulation with only CCA palpation may not always provide accurate anatomical guidance. If the first attempt at IJV cannulation with CCA palpation is unsuccessful, anatomical variation should be considered, and instead of repeating attempts, we believe it would be more accurate to proceed with imaging-guided procedures.Öğe Incidence of chest wall deformity in 15,862 students in the province of Sivas, Türkiye(2023) katrancioglu, ozgur; AKKAS, YUCEL; şahin, ekber; Demir, Fatmagul; Katrancioglu, NurkayBackground: This study aims to investigate the prevalence of chest deformity in middle- and high-school students in Sivas province of Turkey, to identify the risk factors associated with the psychological and physical disorders caused by the deformity, and to facilitate early diagnosis and treatment guidance by increasing awareness of this problem. Methods: Between October 2011 and May 2012, a total of 15,862 students (8,508 males, 7,354 females; mean age: 15.9±1.3 years; range, 12 to 19 years) from public schools were included. A number of schools were randomly selected for study, and the students were screened by physical examination. A study protocol was developed in which patients with deformities were questioned about family history and symptoms. Results: Chest wall deformity was detected in a total of 250 students (1.6%). The prevalence rates of pectus carinatum and pectus excavatum in the children were 0.7% and 0.6%, respectively. The overall prevalence of chest wall deformity was 1.6%. Conclusion: Chest wall deformity is more common in boys and pectus carinatum is the most common deformity type. Chest wall deformity is more common in the 15-16 age group and female sex is a risk factor for psychological discomfort.Öğe Is there a relationship between Haller Index and cardiopulmonary function in children with pectus excavatum?(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2023) Katrancioglu, Ozgur; Ozgel, Mehmet; Inceoglu, Feyza; Katrancioglu, Nurkay; Sahin, EkberBackground: This study aims to systematically examine the cardiopulmonary functions in children with pectus excavatum and to compare the obtained findings with the Haller Index.Methods: Between September 2017 and June 2018, medical records of a total of 31 patients (27 males, 4 females; mean age: 14.8 & PLUSMN;2.0 years; range, 9 to 18 years) with pectus excavatum were retrospectively analyzed. The patients were divided into Group 1 (<2.5), Group 2 (2.5 to 3.19), and Group 3 (>3.2) according to the Haller Index. All groups were systematically evaluated based on pulmonary function tests and echocardiography. Forced vital capacity, forced expiratory volume in 1 second, and the forced expiratory volume in 1 second/ forced vital capacity ratio were calculated. Left ventricular end -diastolic diameter, ejection fraction, mitral valve prolapses, and right ventricular cavity in the apical four-chamber position were evaluated with echocardiography.Results: Of the patients, 19.4% were in Group 1, 38.7% in Group 2, and 41.9% in Group 3. The mean Haller Index value was 3.09 & PLUSMN;0.64. According to pulmonary function test results, 16.1% of the patients had restrictive disease and 6.5% had obstructive disease. There was a negative correlation between the index and forced expiratory volume in 1 second and forced vital capacity, and there was a statistically significant decrease in these values, as the Haller Index increased (p<0.017). There was a significant difference in the ejection fraction among the groups (p<0.001) and, as the Haller Index increased, ejection fraction statistically significantly decreased.Conclusion: Our study results show a negative correlation between the severity of pectus excavatum and pulmonary dysfunction and, as the severity increases, left ventricular function may be affected by the deformity. As a result, there seems to be a significant relationship between the severity of the deformity and cardiopulmonary functions.Öğe Outcomes of the minimally invasive nuss procedure for pectus excavatum(2024) katrancioglu, ozgur; Karadayi, Sule; Katrancioglu, NurkayBecause of some disadvantages of the \"Ravitch method,\" which is the classical open surgical method used for many years in the treatment of pectus excavatum (PE), as an alternative to it, a minimally invasive surgical method called the “Nuss procedure” has been developed. This procedure has become the most preferred surgical method in the treatment of PE in recent years. In our study, we aimed to share the results of the “Nuss procedure” that we applied to our patients with PE in light of the literature. The files of 77 patients who underwent a Nuss operation for PE in our clinic between July 2007 and March 2023 were evaluated retrospectively. The age, gender, surgical method, complications, and length of hospital stay of the patients were recorded. The median age was 17.71±4.84 years (range, 2.5-33) and the majority of patients were male (63 males, 14 females). As symptoms, 14 (18.2%) patients had dyspnea, 32 (41.5%) had chest pain, and almost all patients had psychosocial problems. While minimal pneumothorax was the most common early postoperative complication (n=18, 23.4%), bar dislocation was the most common late complication (n=5, 6.5%). None of the patients had serious complications such as death, organ injury, or massive bleeding during the operations. We think that the Nuss procedure, which is a minimally invasive approach, can be safely applied to selected patients due to its short operation time, low complication rate, and success in correcting the deformity.
