Yazar "Cinar, Celal" seçeneğine göre listele

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    An unusual case of ectopic variceal bleeding treated with percutaneous intervention
    (Univ Catholique Louvain-Ucl, 2014) Adam, Gurhan; Gunes, Fahri; Akbal, Erdem; Cinar, Celal; Bozkaya, Halil; Resorlu, Mustafa; Aylanc, Nilufer
    [Anstract Not Available]
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    An Unusual Case of Severe Upper Gastrointestinal Bleeding Treated Using an Endovascular Technique
    (Southeastern Surgical Congress, 2014) Adam, Gurhan; Gunes, Fahri; Cinar, Celal; Bozkaya, Halil; Bas, Sercin; Akbal, Erdem; Uysal, Fatma
    [Anstract Not Available]
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    Endovascular treatment of delayed hemorrhage developing after the pancreaticoduodenectomy procedure
    (Springer Wien, 2014) Adam, Gurhan; Tas, Sukru; Cinar, Celal; Bozkaya, Halil; Adam, Fusun; Uysal, Fatma; Resorlu, Mustafa
    Delayed hemorrhage after pancreaticoduodenectomy (PD) is still one of the most common causes of mortality. However, the case series regarding interventional treatment of delayed hemorrhage after PD are limited. In this retrospective study, we aimed to evaluate functional outcomes of interventional treatment of late hemorrhages developing after PD. We retrospectively evaluated 16 patients who received endovascular treatment for delayed arterial hemorrhage after PD procedure. Postsurgical nonhemorrhagic complications, time of hemorrhage, site of hemorrhage, endovascular treatment technique, postprocedural complications, and mortality rates were obtained. Mean duration of delayed hemorrhage after PD was 18 days. Computed tomography angiography images for the hemorrhage period were available for 15 patients. We observed extravasation alone in seven patients and pseudoaneurysm alone in five. Pushable coil was used in 15 patients and covered stent in 1. Two patients died due to hepatic failure, and one patient died because of multiple organ dysfunction syndrome (MODS). Delayed hemorrhage after PD is difficult to identify, but accurate and early diagnosis is of vital importance. To date, most appropriate management of this complication remains unclear. Although endovascular treatment techniques may vary for every patient, it is a reliable and effective method for halting hemorrhage. Therefore, interventional procedures must be primarily considered rather than surgical interventions.
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    Ergotamine-induced vasospastic ischemia mimicking arterial embolism: unusual case
    (Turkish Assoc Trauma Emergency Surgery, 2014) Adam, Gurhan; Kurt, Tolga; Cinar, Celal; Sariyildirim, Abdullah; Resorlu, Mustafa; Uysal, Fatma; Yener, Ali Umit
    Ergotamine toxicity is an important and rare condition, including tachycardia, arterial spasm which occurring as a result of accidental overdosing or drug interactions. We assessed the consequences of delayed diagnosis of peripheral arterial vasoconstriction occurring after simultaneous macrolide use by a 35-year-old woman using an ergot-derived drug for migraine. Diagnosis of ergotamine intoxication begins with suspicion. Interventional radiologists and surgeons should be aware of this acute dangerous condition.
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    Evaluation of Platelet Distribution Width and Mean Platelet Volume in Patients With Carotid Artery Stenosis
    (Sage Publications Inc, 2015) Adam, Gurhan; Kocak, Erdem; Ozkan, Adile; Resorlu, Mustafa; Cinar, Celal; Bozkaya, Halil; Kurt, Tolga
    Platelets contribute to the pathogenesis of atherosclerosis. Platelet activation has been linked with increased mean platelet volume (MPV) and platelet distribution width (PDW). We investigated the association between PDW, MPW, and the degree of carotid artery stenosis (CS). Patients (n = 229) were divided into 3 groups according to the North American Symptomatic Carotid Endarterectomy Trial criteria. Demographic and clinical features were collected retrospectively. Correlation analysis showed a positive association between PDW and the degree of CS. However, there was no significant correlation between CS and MPV. Moreover, we observed that PDW and low-density lipoprotein cholesterol were independent predictors of the degree of CS. This study showed that PDW, not MPV, is related to the degree of CS. Platelet distribution width could be a useful biomarker for CS. Whether targeting PDW will be of clinical benefit remains to be established.
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    Symptomatic Spinal Migration of Subarachnoid Hemorrhage due to Ruptured Intradural Vertebral Artery Aneurysm
    (Wiley-Blackwell, 2015) Ovali, Gulgun Yilmaz; Adam, Gurhan; Cinar, Celal; Bozkaya, Halil; Calli, Cem; Kitis, Omer; Oran, Ismail
    A 55-year-old patient was admitted to the hospital with severe acute back pain. Thoracolumbar magnetic resonance (MR) imaging showed hemorrhage in subarachnoidal-subdural space. On cranial MR imaging and MR angiography, an aneurysm was suspected in the V4 segment of the right vertebral artery. Angiography showed a fusiform dissecting aneurysm in the V4 segment of right vertebral artery. The final diagnosis was ruptured V4 segment aneurysm with subsequent symptomatic migration of hemorrhage into the spinal subarachnoidal-subdural space. The patient was treated endovascularly by coil occlusion of both the aneurysm and vertebral artery. This rare cause and possible mechanisms for spinal migration of intracranial hemorrhage after aneurysmal rupture is discussed.