Endovascular Repair of Peripheral Arterial Disease: Midterm Results From a Single Center.

Objective: One thousand consecutive patients who underwent endovascular repair in an 8-year period were studied retrospectively to evaluate technical success, freedom from reinterventions, early clinical outcome, and risk factors for restenosis/occlusion.

Methods: Mean ± SD Rutherford class was 3.29 ± 0.

Effect of Montelukast on Spinal Cord Ischemia- Reperfusion Injury.

Aim: Paraplegia due to ischemia-reperfusion (I/R) injury of the spinal cord is a devastating complication of thoracoabdominal aortic surgery. Cysteinyl leukotrienes are potent mediators of inflammation that are associated with I/R injury. The present study was designed to investigate the role of montelukast, a selective reversible CysLT1 receptor antagonist, on spinal cord I/R injury in an experimental model.

Application of radiofrequency ablation procedure on a morbidly obese patient with a venous ulcer and large saphenous vein.

Venous ulcers that occur due to chronic venous insufficiency are seen on the upper medial malleol of the ankle. Treatment of venous ulcers is protracted and generally the success rate is low. Co-morbid factors play an important role in the success of treatment of venous ulcers.

Relationship of admission neutrophil-to-lymphocyte ratio with in-hospital mortality in patients with acute type I aortic dissection.

Aim: Acute aortic dissection is a life-threatening cardiovascular emergency. Neutrophil-to-lymphocyte ratio is proposed as a prognostic marker and found to be related to worse clinical outcomes in various cardiovascular diseases. The aim of the present study was to evaluate the relationship between admission neutrophil-to-lymphocyte ratio and in-hospital mortality in acute type I aortic dissection.

Use of a superficial femoral artery autograft as a femoral vein replacement.

Posttraumatic arteriovenous fistulas (AVFs) are common complications of vascular penetrating trauma. Here we present a case of a 59-year-old woman who had a history of gunshot injury 42 years ago causing AVF between superficial femoral artery (SFA) and superficial femoral vein (SFV). SFV was resected.

Surgical treatment of post-infarct left ventricular pseudoaneurysm with on-pump beating heart technique.

Left ventricular pseudo-aneurysms develop when cardiac rupture is contained by pericardial adhesions or scar tissue due to myocardial infarction, surgery, trauma or infection. Left ventricular pseudo-aneurysms are uncommon, difficult to diagnose and prone to cardiac rupture. Urgent surgical repair is recommended.

Transventricular mitral valve repair in patients with acute forms of ischemic mitral regurgitation.

Transventricular mitral valve surgery combined with left ventricular restoration avoids atriotomy and provides a larger operative field. We describe a series of 5 patients in whom we performed transventricular mitral valve repair by various techniques, such as band annuloplasty, papillary muscle reattachment, chordal cutting, and edge-to-edge repair. The more acute forms of ischemic mitral regurgitation, as found in our patients, can coexist with post-myocardial infarction contained rupture or post-myocardial infarction ventricular septal rupture.

Tumescentless endovenous radiofrequency ablation with local hypothermia and compression technique.

Introduction: Modern surgical management of chronic venous insufficiency is possible since the development of catheter-based minimally invasive techniques, including radiofrequency ablation (RFA) and the application of colour Doppler sonography. RFA technology requires the use of tumescent anaesthesia, which prolongs the operating time. Instilling tumescent anaesthesia percutaneously below the saphenous fascia is the steepest part of the learning curve.

Radiofrequency ablation of the great saphenous vein in an elderly patient with co-morbid disease.

An 86-year-old male patient with hypertension, Parkinsonism, benign prostatic hyperplasia, cataract and chronic obstructive pulmonary disease had a history of coronary bypass surgery in two veins due to anterior myocardial infarction one year earlier. He presented with pain and feelings of paresthesia below the knee of his left leg, and had fallen twice. He had used compressions and venoprotective medication for two years and had also received physiotherapy but it had not alleviated the symptoms.

Efficacy of iloprost and montelukast combination on spinal cord ischemia/reperfusion injury in a rat model.

Background: The thoracic or thoracoabdominal aortic aneurysm surgery may cause spinal cord ischemia because of aortic cross-clamping and may result in severe postoperative complications caused by spinal cord injury. Ischemia/reperfusion injury may directly or indirectly be responsible for these complications. In this study we sought to determine whether combination of iloprost and montelukast can reduce the ischemia/reperfusion injury of spinal cord in a rat model.

Novel suture technique for hemostatic aortic anastomosis: backstitch.

Postoperative anastomotic suture line complications, such as hemorrhage and pseudoaneurysm, are often encountered in thoracic aortic surgery. To minimize these complications different anastomotic techniques have been developed. We hereby describe a new distal anastomotic technique, which involves positioning the graft inside the aorta at the distal end, reinforcing the suture line with an externally placed Teflon felt strip, and finishing the anastomosis with a circumferential and continued suture technique called "backstitch.

Repair of mitral paravalvular leak with double left atrial wall folding.

Mitral paravalvular leaks can be repaired by alternative repair techniques instead of direct suture repair of the leak site. We report our technique of double left atrial wall folding for repair of posterior mitral paravalvular leaks.

Protective effect of heparin in the end organ ischemia/reperfusion injury of the lungs and heart.

Background: Ischemia/reperfusion (I/R) injury is harmful to the cardiovascular system and is responsible for the inflammatory response and multiple organ dysfunctions. In this study we investigated the effect of activated clotting time level on the aortic cross-clamping triggers a systemic inflammatory response and it effects to lungs and heart.

Methods: End organ concentrations of interleukin-6 (IL-6), myeloperoxidase (MPO) and heat shock protein 70 (HSP-70) were determined in four groups of Spraque Dawley rats: ischemic control (operation with cross clamping received IP of 0.

[Alterations in pulmonary artery pressure following mitral valve replacement].

Objectives: We sought to evaluate the early postoperative hemodynamics and clinical aspects in patients with moderate to severe pulmonary artery pressure (PAP) who underwent mitral valve replacement (MVR) due to isolated mitral valve stenosis.

Study Design: Fifty patients (33 women, 17 men; mean age 45.8±11.

[The effects of implanted valve sizes on ventricular hypertrophy in aortic stenosis].

Objective: We aimed to study the effects of the valve sizes according to body surface area on aortic gradient and ventricular hypertrophy in the cases of aortic valve replacement due to isolated aortic stenosis.

Methods: Between January 2006 and April 2007, patients (12 men, 15 women; totally 27) followed up prospectively with echocardiography fourth and sixth month postoperatively. The patients were divided into two groups according to the prosthetic aortic valve diameters (19-21 mm vs 23-25 mm).