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Öğe Effect of cross clamping on sialic acid and CKMB in coronary sinus blood in patients undergoing cardiopulmonary bypass(Blackwell Publishing, 2006) Kazezoglu, C.; Gökmen, S. S. er; Sunar, B.; Sunar, H.[Abstract Not Available]Öğe Is it Necessary to Use an Intraluminal Shunt in Symptomatic Patients with Contralateral Carotid Artery Stenosis ?(Acta Medical Belgica, 2014) Yuksel, V.; Canbaz, S.; Ege, T.; Sunar, H.Background : We aimed to investigate our results of carotid endarterectomy operations in symptomatic patients operated by using an intraluminal shunt and without use of an intraluminal shunt in patients with contralateral carotid artery stenosis. Methods : We reviewed the results of 144 carotid endarterectomy operations in patients with contralateral carotid artery stenosis from January 2007 to December 2012. These patients were allocated in 2 groups. Group 1 (n = 70) consisted of the patients operated by using an intraluminal shunt and Group 2 (n = 74) consisted of the patients operated without use of an intraluminal shunt. Postoperative neurologic complications were recorded. Results : Temporary neurologic impairment developed in 3 (4.3%) patients postoperatively in group 1 and in 2 (2.7%) patients postoperatively in group 2. This difference was not statistically significant between groups (p = 0.675). None of the patients returned to operation theatre due to excessive bleeding postoperatively. The stroke/death rate was 0.7% in the study group. Conclusions : We conclude that carotid endarterectomy in symptomatic patients with contralateral occlusion can be performed safely without the systematic use of a shunt. However, it is not possible to define exact indications for use of a shunt as we have no information on the reason why some surgeons used a shunt.Öğe Late manifestation of a pseudoaneurysm in the descending thoracic aorta(Verlag Hans Huber, 2006) Gurkan, S.; Sunar, H.; Canbaz, S.; Duran, E.Rupture of the descending aorta following deceleration trauma is a catastrophic event because it has a high mortality. Prompt surgical treatment is generally considered to be mandatory. However, a few injured patients may leave the hospital with an undiagnosed aortic rupture which may give rise to a chronic pseudoaneurysm. In this report, a 28-year-old man is presented in whom a pseudoaneurysm, of the descending thoracic aortic was diagnosed six months after a car accident.Öğe SURGICAL TREATMENT OF AORTOILIAC OCCLUSIVE DISEASE IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE UNDER EPIDURAL ANAESTHESIA(Carbone Editore, 2014) Yuksel, Volkan; Sagiroglu, Gonul; Huseyin, Serhat; Gultekin, Ahmet; Canbaz, S.; Ege, Turan; Sunar, H.Aim: The morbidity and mortality rates for peripheral arterial surgery have Unproved with the developments in vascular surgery and anaesthesiology. We aimed to report our experience with epidural anaesthesia for surgical treatment of aortoiliac occlusive peripheral arterial disease. Materials and methods: Between January 2012 and July 2013, 7 patients with severe chronic obstructive pulmonary disease operated for peripheral arterial disease were included in the study. The epidural catheter Was performed in the operating theatre on the day of surgery. Analgesie effectivity was controlled by visual analogue scale: Mean arterial pressure, heart rate and SpO2 were measured: Retroperitoneal approach was preferred in all patients. Results: Patients were all male and mean age was 58 years. The mean stay in the intensive care unit was 21 hours. The mean length of stay in the hospital postoperatively wasp days. No complication was observed related to the epidural anaesthesia. In the postoperative follow up, two patients developed wound infection at the groin incision. They healed uneventfully with proper antibiotic treatment. Conclusion: In conclusion, patients with severe chronic obstructive pulmonary disease Can be encouraged for elective aortofemoral bypass operation under epidural anaesthesia with acceptable Morbidity.