Anterior spinal artery syndrome after peripheral angiography of the lower limbs

Study design: A case report of temporary anterior spinal artery syndrome secondary to peripheral angiography of the lower limbs

A retrospective analysis of high-risk patients for mediastinoscopy

Background: This study aims to investigate possible factors influencing mortality and morbidity rates in high-risk patients for mediastinoscopy

Epidural anesthesia may attenuate lipid peroxidation during aorto-femoral surgery

Purpose: To determine the effect of epidural anesthesia (FP) on oxygenation of the chronically ischemic limb in patients undergoing aorto-femoral bypass grafting and to assess whether it produces an alteration of lipid peroxidation and antioxidant status following revascularization

Prospective Evaluation of the Factors Effective on Morbidity and Mortality of Patients Undergoing Liver Resection Surgeries

Background/Aims: The objective of this study is to evaluate the factors effective on mortality and morbidity of the patients operated for liver tumor. Methodology: Thirty-four patients who were operated for liver tumor between January 1st 2008 and December 31st 2009 in Cerrahpasa Medical Faculty have been included in this study. Patient preoperative, perioperative and postoperative characteristics and the effects of these characteristics on mortality, morbidity and the length of hospital stay were evaluated. Results: Most common postoperative complications during the study were fever and surgical site infection. Nineteen of the patients with blood loss over 1000mL had the need for postoperative ICU treatment. The presence of concomitant disease, especially diabetes mellitus, liver disease and cardiovascular diseases and more than 2 units transfusion of erythrocyte suspension and fresh frozen plasma were considered related to mortality and morbidity. Conclusions: Patient preoperative, perioperative and postoperative characteristics affect patient morbidity and mortality in liver resection surgery. Diagnosing liver tumors early and thus reducing surgical site blood loss and use of blood products will decrease mortality and morbidity ratios after liver surgeries

Distribution of morbidity in diabetic and non-diabetic patients according to intraoperative blood glucose levels in coronary artery bypass greft surgery: our single-center experience of 267 patients

Background: This study aims to investigate the distribution of morbidity in diabetic and non-diabetic patients who were subjected to conservative glycemic control during coronary artery bypass graft (CABG) surgery and to determine the efficacy of this strategy according to currently recommended target intraoperative blood glucose value

The effects of pentoxyphiline on neurocognitive functions and neurobiochemical markers in coronary artery bypass graft surgery

Aim: Neurocognitive dysfunction is a complication of cardiopulmonary bypass (CPB). Neuron-specific enolase (NSE) and S100ß protein are markers of cerebral injury. With its beneficial rheological and anti-inflammatory properties, pentoxyphiline (PTX) is an interesting agent in cardiac surgery patients. The study was designed to evaluate the influence of prophylactic use of PTX on cognitive function and S100ß and NSE in on-pump coronary artery bypass grafting (CABG) patients.Method: In this prospective study, 40 patients undergoing on-pump CABG and received either PTX (bolus of 5 mg kg-1) after induction of anesthesia or saline are included. Neurological examination and neuropsychologic tests, including the mini-mental state examination test (MMSET) and Benton visual retention test (BVRT), were obtained preoperatively and on the seventh postoperative day. Blood samples for analysis of S100ß and NSE were collected before anesthesia, at the end of CPB, at the 3rd hour and 24th hour postoperatively.Results: Demographic and perioperative data were similar for the two groups. Mean cross-clamping times were 67.86±22.22 and 66.32±27.84 min, respectively. In both groups, S100ß and NSE increased significantly (p0.05). MMSET and BVRT performances of the two groups were similar and did not change compared to preoperative scores.Conclusions: Coronary artery bypass surgery caused a significant increase in NSE and S100ß serum levels but with no deterioration in neuropsychological outcome assessed in the first postoperative week. Although it was reported that PTX could be a promising agent to prevent post-CPB organ dysfunction in elderly cardiac surgery patients, prophylactic use of PTX appeared to offer no advantage for cerebral protection in the age group involved in this study

Simultaneous heart and kidney transplantation

Simultaneous heart and kidney transplantation is a valid therapeutic option for the patients with end-stage heart and kidney disease; however, the long-term outcomes of the therapy are unknown. According to the current literature data, simultaneous heart and kidney transplantation provides outcomes similar to those for isolated heart or kidney transplantation. In this report, the early results of simultaneous heart and kidney transplantation from the same donor, which was the second successful case in Turkey, were presented