Wos İndeksli Açık & Kapalı Erişimli Yayınlar

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search.filters.applied.f.language: search.filters.language.engSubject: search.filters.subject.endovascular treatment

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    Endovascular Treatment of Intracranial Aneursyms with Flow Diverter Stents
    (2020) Igus, Behlul; Selcuk, Hakan; Kara, Batuhan; Firat, Ali; Salik, Aysun Erbahceci; 0000-0003-4874-8141; AAN-1040-2021
    Objective: We aimed to present the treatment and follow-up results of 41 patients who were treated for intracranial aneurysm with flow diverter stents. Method: Forty-one patients (Age range 27-68 years) were treated with the flow- diverting devices during January 2010 and January 2014. Aneurysms ranged in size from small to large (1-30 mm) and include wide-necked aneurysms, multiple, saccular, blister, dissecan, fusiform and recurrent intracranial aneurysms. Control skull X-Ray Graphy was typically performed at 1, 3 and 6 months after treatment. A follow-up digital subtraction angiogram (DSA) was performed first day, 6 and 12 months after treatment. Conclusions: Complete angiographic occlusion was achieved in 36 patients (88%) at follow-up digital subtraction angiogram. Two transient morbidities and one permanent morbidity occurred due to stent thrombosis. There was no mortality observed. Flow diverter stents are an effective tool in the treatment of large wide neck, high growth rates, and technical problematic aneurysms to treat with conventional endovascular methods.
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    Long-term results of endovascular treatment for arteriovenous dialysis access thrombosis in 143 patients: A single center experience
    (2019) Yilmazsoy, Yunus; Ozyer, Umut; 31379248
    Objective: This study aimed to determine the long-term patency duration and rate of thrombosis of autologous arteriovenous fistulas and synthetic grafts treated with endovascular methods in a large patient population. Methods: A total of 144 arteriovenous accesses (37 radiocephalic, 51 brachiobasilic, 41 brachiocephalic, and 15 femorofemoral) from 143 patients were included in the study. A total of 304 endovascular thrombolytic treatment procedures were performed for 94 (65%) arteriovenous fistula and 50 (35%) arteriovenous graft accesses. Results: The procedural technical success rate was 98.7%. The mean follow-up duration was 32.5 (range, 3-132 months). The primary patency rates for arteriovenous fistulas and arteriovenous grafts were 78% and 78% at 6 months, 66% and 63% at 1 year, and 45% and 0% at 36 months, respectively. The assisted primary patency rates for arteriovenous fistulas and arteriovenous grafts were 82% and 84% at 6 months, 71% and 69% at 1 year, 51% and 29% at 36 months, and 30% and 1% at 60 months, respectively. The secondary patency rates for arteriovenous fistulas and arteriovenous grafts were 94% and 93% at 6 months, 85% and 85% at 1 year, 58% and 59% at 36 months, and 47% and 48% at 60 months, respectively. Conclusion: Although the primary patency durations for arteriovenous fistulas were better after endovascular thrombolytic treatment than those for arteriovenous grafts, the long-term outcomes of assisted primary and secondary patency durations after repeated procedures were similar for both types of arteriovenous accesses.
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    Ultrasound-guided popliteal sciatic nerve block: an effective alternative technique to control ischaemic severe rest pain during endovascular treatment of critical limb ischaemia
    (2019) Gedikoglu, Murat; Eker, Hatice E.; 32082452
    Purpose: There are challenges with pain management related to a severely ischaemic limb. Although opioid-based treatment has been the cornerstone of pain relief, the use of these drugs should be limited because of their side effects in such vulnerable patients. We evaluated the utility and efficiency of sciatic nerve block as an alternative method to relieve severe rest pain during endovascular treatment of critical limb ischaemia. Material and methods: We retrospectively investigated 10 patients who received ultrasound-guided popliteal sciatic nerve block for the relief of severe rest pain during endovascular treatment of critical limb ischaemia. The degree of pain relief was evaluated by using subjective criteria, from no relief of pain (=1) to complete relief of pain (=4). Details of endovascular treatment, time to perform the block, amount of local anaesthetics, duration of the block, need for supplemental analgesia, patient and operator satisfaction, and complications were recorded. Results: All blocks were technically successful, and all of the patients had complete resolution of the pain within five minutes. The degree of pain relief was 3 in two patients and 4 in eight patients. All patients were satisfied with the block anaesthesia, and no patient required additional analgesia during this period. Operator satisfaction was very good in all cases. Complications secondary to block did not occur in any patient. Conclusions: Ultrasound-guided popliteal sciatic nerve block provides effective pain control, which results in excellent patient and operator satisfaction during endovascular treatment of critical limb ischaemia with severe rest pain.