Browsing by Author "Besli, Feyzullah"
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Publication Comparison of pneumatic compression device and sand bag with respect to peripheral vascular complications in elective cardiac catheterization and percutaneous femoral artery interventions(Turkish Soc Cardiology, 2013-09-01) Besli, Feyzullah; Alışır, Mehmet Fethi; Keçebaş, Mesut; Serdar, Osman Akin; SERDAR, OSMAN AKIN; Güngören, Fatih; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Kardiyoloji Anabilim Dalı.; 0000-0002-6206-8700; 0000-0003-1744-8883; AAF-5116-2019; AAA-3163-2021Objectives: After coronary angiography (CAG) and percutaneous coronary intervention (PCI), the classic sand bag method and compression devices are widely used for control of bleeding and prevention of vascular complications on the intervention site. The purpose of our study was to assess the major peripheral vascular complications and compare the sand bag and a pneumatic compression device ("Close Pad") in terms of major peripheral vascular complications occurring after CAG, and PCI.Study design: Between June 2011 and November 2011, a total of 434 patients who were admitted to the Department of Cardiology of Uludag University Faculty of Medicine were included in the study. 396 patients underwent coronary angiography and 38 patients, PCI. Sand bag, and Close Pad were applied in 209, and 225 patients, respectively. Bleeding requiring transfusion, hematomas larger than 10 cm(2), pseudoaneurysm, and arteriovenous (AV) fistula were defined as the major local complications. Logistic regression analysis were used to evaluate the data.Results: Major vascular complications occurred in 2% of diagnostic angiography and in 13.2% of PCIs (p=0.003). The major vascular complications were significantly higher with the Close Pad device compared with sand bag (5.3% vs. 0.5%, p=0.007). Smoking, PCI, Close Pad application, use of clopidogrel, and anticoagulants were observed to have increased risk for major local complications. In the logistic regression analysis, only smoking and Close Pad usage were evaluated as independent variables that increased the risk of major vascular complications (p<0.05).Conclusion: Close Pad usage increases risk of vascular complications when compared with the sand bag in patients undergoing cardiac catheterizations. Especially after PCI, patients who will use Close Pad should be selected carefullyItem Mechanical valve thrombosis in a pregnant woman: A case report(Forum Multimedia Publishing, 2009-10) Özdemir, Bülent; Biçer, Murat; Şentürk, Tunay; Besli, Feyzullah; Yeşilbursa, Dilek; Uludağ Üniversitesi/Tıp Fakültesi/Kardiyoloji Anabilim Dalı.; Uludağ Üniversitesi/Tıp Fakültesi/Kalp Damar Cerrahisi Anabilim Dalı.; C-1517-2017; ABC-2231-2020; 7004168959; 6507770944; 8342098300; 35767335000; 36658194500We report a case of metallic prosthetic valve thrombosis in a 24-year-old woman at her 36th week of gestation. With the onset of gestation this patient had been prescribed enoxaparin at a once-daily dose of 0.6 mL, which was lower than the recommended dose. The patient's mitral valve gradient was increased. We gave her intravenous unfractionated heparin because she refused to give consent for thrombolytic therapy owing to its potential hazards for the fetus. After the patient gave birth we treated her with a thrombolytic agent and the thrombus completely dissolved. Pregnancy in patients with mechanical valve prosthesis requires close follow-up and patient adherence to the prescribed medications. In case of thrombus formation both the fetus and the mother are at risk for fatal complications.Publication Serum fetuin-a levels for the detection and evaluation of the left ventricular systolic heart failure(Elsevier, 2013-10-29) Keçebaş, Mesut; Güllülü, Sümeyye; Sağ, Saim; Açıkgöz, Ebru; Besli, Feyzullah; Şentürk, Tunay; Kaderli, Aysel Aydın; Özdemir, Bülent; Baran, İbrahim; Sarandöl, Emre; Aydınlar, Ali; Keçebaş, Mesut; GÜLLÜLÜ, NAZMİYE SÜMEYYE; Sağ, Saim; Açıkgöz, Ebru; Besli, Feyzullah; ŞENTÜRK, TUNAY; Kaderli, Aysel Aydın; ÖZDEMİR, BÜLENT; Baran, İbrahim; SARANDÖL, EMRE; AYDINLAR, ALİ; Uludağ Üniversitesi/Tıp Fakültesi/Kardiyoloji Anabilim Dalı; Uludağ Üniversitesi/Tıp Fakültesi/Biyokimya Anabilim Dalı; 0000-0002-6206-8700; C-1517-2017; ABE-1716-2020; AAW-9185-2020; AAI-6632-2021; JKQ-3658-2023; JGR-6552-2023; CBS-6076-2022; DXE-4816-2022; CXL-7581-2022; JHE-3353-2023; CDA-1396-2022Publication Serum lectin-like oxidized ldl receptor-1 levels for the detection and evaluation of the left ventricular systolic heart failure(Elsevier Science Inc, 2013-10-29) Besli, Feyzullah; Güllülü, Mustafa; GÜLLÜLÜ, MUSTAFA; Sağ, Saim; Acikgöz, Ebru; Kecebaş, Mesut; Özdemir, Bülent; Kaderli, Aysel Aydin; Senturk, Tunay; Baran, Ibrahim; Sarandol, Emre; Aydinlar, Ali; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Kardiyoloji Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Biyokimya Anabilim Dalı.; 0000-0002-6206-8700; AAI-6632-2021; ABE-1716-2020; AAW-9185-2020; C-1517-2017Publication Untitled(Turkish Soc Cardiology, 2013-07-01) Besli, Feyzullah; Keçebaş, Mesut; Alışır, Mehmet Fethi; Güngören, Fatih; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Kardiyoloji Anabilim Dalı.; 0000-0002-6206-8700; AAA-3163-2021Item The utility of inferior vena cava diameter and the degree of inspiratory collapse in patients with systolic heart failure(Elsevier, 2015-05-01) Besli, Feyzullah; Kecebas, Mesut; Turker, Yasin; Calişkan, Serhat; Dereli, Seckin; Baran, Ibrahim; Uludağ Üniversitesi/Tıp Fakültesi/Kardiyoloji Anabilim Dalı.; 0000-0002-0260-5463; 0000-0003-0090-3835; ERK-8925-2022; AAB-5861-2021; CDA-1396-2022; 57197111554; 56521545200; 35572557400Introduction: Both inferior vena cava (IVC) diameter and the degree of inspiratory collapse are used in the estimation of right atrial pressure. Aim: The purpose of this study is to evaluate the utility of IVC diameter, using echocardiography as a marker of volume overload and the relationship between these parameters and N-terminal pro-B natriuretic peptide (NT-proBNP) in patients with systolic heart failure (HF). Methods: We included 136 consecutive patients with systolic HF (left ventricular ejection fraction, <50%), including 80 patients with acutely decompensated HF and 56 patients with compensated HF as well as 50 subjects without a diagnosis of HF. All patients underwent transthoracic echocardiography to assess both their IVC diameters and the degree of inspiratory collapse (>= 50%, <50%, and no change [absence] groups); NT-proBNP levels were measured, and these data were compared between the 2 groups. Results: Inferior vena cava diameter and NT-proBNP were significantly higher among the patients with HF than among the control subjects (21.7 +/- 2.6 vs 14.5 +/- 1.6 mm, P < .001 and 4789 [330-35000] vs 171 [21-476], P < .001). The mean IVC diameter was higher among the patients with decompensated HF than among the patients with compensated HF (23.2 +/- 2.1 vs 19.7 +/- 1.9 mm, P < .001). The values of NT-proBNP were associated with different collapsibility of IVC subgroups among HF patients. The NT-proBNP levels were 2760 (330-27336), 5400 (665-27210), and 16806 (1786-35000), regarding the collapsibility of the IVC subgroups: greater than or equal to 50%, less than 50%, and absence groups, P < .001, respectively, among HF patients. There was a significant positive correlation between IVC diameter and NT-proBNP (r = 0.884, P < .001). A cut off value of an IVC diameter greater than or equal to 20.5 mm predicted a diagnosis of compensated HF with a sensitivity of 90% and a specificity of 73%. Conclusions: Inferior vena cava diameter correlated significantly with NT-proBNP in patients with HF. Inferior vena cava diameter may be a useful variable in determining a patient's volume status in the setting of HF and may also enable clinicians to distinguish patients with decompensated HF from those with compensated HF.