Person: İNECİKLİ, MEHMET FATİH
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İNECİKLİ
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MEHMET FATİH
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Publication The implementation of trauma resuscitation procedures within a field hospital setting in turkey: An examination of a distinctive collaborative approach(Bmc, 2023-09-28) Hökenek, Nihat Mujdat; Barış, Alican; İNECİKLİ, MEHMET FATİH; Tıp Fakültesi; Radyoloji Ana Bilim Dalı; 0000-0001-6031-6777; R-3178-2016; AAK-5124-2020Publication Right- versus left-sided approach for transhepatic tunneled catheter placement: Is there a difference?(Springer, 2021-04-08) Nas, Ömer F.; Candan, Selman; Öztepe, Muhammed F.; Kandemirli, Sedat G.; Bilgin, Cem; İnecikli, Mehmet F.; Özkaya, Güven; Gökalp, Gökhan; Öngen, Gökhan; Erdoğan, Cüneyt; NAS, ÖMER FATİH; CANDAN, SELMAN; Öztepe, Muhammed F.; İNECİKLİ, MEHMET FATİH; ÖZKAYA, GÜVEN; GÖKALP, GÖKHAN; ÖNGEN, GÖKHAN; Tıp Fakültesi; Biyoistatistik Bilim Dalı; 0000-0003-0297-846X; 0000-0002-3682-2474; AAK-5124-2020; HHS-7433-2022; GVS-7682-2022; AAG-8561-2021; DLB-1623-2022; IVU-2672-2023; GMO-0473-2022; FQR-8472-2022Objective We aimed to compare the technical difficulties, complications, long-term efficacy, and risks between right- and left-sided approach transhepatic tunneled catheterization. Methods We retrospectively evaluated transhepatic tunneled catheter placement cases in our institution between May 2012 and November 2019. Demographic and procedural parameters were recorded. Statistical tests were used to compare the complication rates of right- and left-sided approach. Furthermore, Cox regression analyses were used to investigate the relationship between functional catheter days and included parameters. Results A total of 83 procedures were performed in 46 patients, with a female to male ratio of 1.88 and a mean age of 55.5 +/- 18.2 years. Indication for catheter placement was chronic renal insufficiency and loss of central venous access through traditional routes in all cases. Median functional catheter durations were 28 days (1-382) and 55.5 days (1-780) for right-sided and left-sided access, respectively. Complication rates were similar for both sides. There was no difference between primary and revision procedures in terms of safety and efficacy outcomes. In univariate Cox regression analysis, gender was the only variable which was found to be statistically significant (HR = 2.014 (1.004-4.038)) for functional catheter days. In multivariate Cox regression model, gender and access side were included which failed to reach statistical significance. Conclusions In our study, both right- and left-sided approaches provided similar safety and efficacy outcomes, suggesting that both techniques can be employed based on physician's preference.Publication Comparison of severity and complication rates of acute cholecystitis during pandemic and pre-pandemic periods?(Sage Publications Ltd, 2022-11-22) Candan, Selman; Dündar, Halit Ziya; Öngen, Gökhan; AKSOY, FUAT; Özpar, Rıfat; ERDEMLİ GÜRSEL, BAŞAK; ÖZPAR, RİFAT; NAS, ÖMER FATİH; İNECİKLİ, MEHMET FATİH; Gürsel, Başak Erdemli; TAŞAR, PINAR; Savcı, Gürsel; SAVCI, GÜRSEL; Nas, Ömer Fatih; Tıp Fakültesi; Genel Cerrahi Ana Bilim Dalı; AAG-8561-2021; AAH-6568-2021; AAK-5124-2020Background Cancellations of surgeries for elective cases and late admissions of symptomatic cases during the pandemic period might have increased the number of cases of acute cholecystitis and its complications. Purpose To compare the severity of acute cholecystitis and complication rates during the pandemic and pre-pandemic periods. Material and Methods We evaluated the computed tomography (CT) findings observed for the diagnosis of complications for both acute simple and acute complicated cholecystitis during both the pandemic and pre-pandemic periods. Patients admitted to the hospital between March 2020 and December 2020 made up the study group and the corresponding appropriate patients from one year earlier were studied as the control group. In addition to the CT findings, clinical and laboratory findings, co-morbidities such as diabetes, as well as the admission time to hospital from the onset of the initial symptoms to hospital admission were also evaluated. Results A total of 88 patients were evaluated (54 in the study group, 34 in the control group; mean age = 64.3 +/- 16.3 years). The male-to-female ratio was 51/37. The number of patients diagnosed with complicated cholecystitis were significantly higher in the study group (P = 0.03). Murphy finding and diabetes status were similar between the two groups (P = 0.086 and P = 0.308, respectively). Admission time to the hospital was significantly different for study and control groups in simple cholecystitis patients (P = 0.045); with no significant difference in cases of complicated cholecystitis (P = 0.499). Conclusion Our study reveals the course of acute cholecystitis during the pandemic period was much more serious with higher complications.Publication The effectiveness of enterprise stent use on the treatment of intracranial atherosclerosis disease(Sage Publications Inc, 2022-04-07) Arı, Oğuz; Nas, Ömer F.; İnecikli, Mehmet F.; Hakyemez, Bahattin; NAS, ÖMER FATİH; İNECİKLİ, MEHMET FATİH; HAKYEMEZ, BAHATTİN; Tıp Fakültesi; Radyoloji Ana Bilim Dalı; AAK-5124-2020; AAI-2318-2021; AAG-8561-2021Objective: To examine the clinical outcome of Enterprise stent in patients with severe and symptomatic intracranial atherosclerosis.Material and method: Twenty-five patients who underwent Enterprise stenting between January 2012 and March 2019 were included in this study. Exclusion criteria were previous intracranial stenting and inadequate follow-up. Technical success rates of the procedures were recorded. Clinical outcome was evaluated with pre- and post-treatment modified Rankin Scale scores. The patients were monitored for 18 months clinically and for 14.3 months radiologically.Results: The mean age of the 15 males and 10 females was 61.6 +/- 8.19. Of these 25 patients, 6 (24%) were in the anterior system and 19 (76%) were in posterior system. The mean degree of pre-treatment stenosis was 86.4% +/- 7 with the mean lesion length of 12.5 +/- 7.5 mm. The residual stenosis rate was 23.8% +/- 8.81. Technical success rate was 100%. There were two major complications within the first 30 days (8%). Late major complications (after 30 days) occurred in one case (4%). Stent restenosis was detected in two patients (8%). No intracranial bleeding or mortality was observed.Conclusion: In this single-center study, we achieved high technical success and tolerable complication rates. Enterprise stent may be a good treatment alternative for severe intracranial stenosis especially in patients resistant to medical treatment when correct patient selection is made. However, further randomized controlled studies, including more cases should be carried out.Publication Diagnostic utility of superb microvascular imaging in depiction of corkscrew collaterals in Buerger's disease(Wiley, 2020-05-27) Nas, Ömer Fatih; Kandemirli, Sedat Giray; Erdemli Gürsel, Başak; Bilgin, Cem; Korkmaz, Barış; Yolgösteren, Atıf; İnecikli, Mehmet Fatih; NAS, ÖMER FATİH; Kandemirli, Sedat Giray; ERDEMLİ GÜRSEL, BAŞAK; BİLGİN, CEM; KORKMAZ, BARIŞ; YOLGÖSTEREN, ATIF; İNECİKLİ, MEHMET FATİH; Tıp Fakültesi; Kalp ve Damar Cerrahisi Ana Bilim Dalı; 0000-0002-4467-3915; AAG-2372-2021; HHS-7433-2022; AAK-5124-2020; AAG-8561-2021; AAH-6568-2021; A-1409-2017; FHT-9776-2022Purpose To evaluate the corkscrew collaterals in Buerger's disease by superb microvascular imaging (SMI) and power Doppler ultrasonography (PDU). Methods We evaluated with SMI and PDU 14 patients with Buerger's disease in whom corkscrew collaterals had been identified on digital subtraction angiography (DSA). Corkscrew collaterals were classified on DSA and PDU based on their size and morphology. Results A total of 17 vascular regions of collateral vessel formation were assessed. Based on DSA classification, there were three cases of type I collaterals (arterial diameter of >2 mm with large helical pattern), seven cases of type III collaterals (arterial diameter of 1-1.5 mm with small helical pattern), and seven cases of type IV collaterals (arterial diameter of <1 mm with tiny helical pattern). On PDU, all type I collaterals on DSA appeared as "large snake" images, all type III collaterals on DSA appeared as "small snake" images, and all type IV collaterals on DSA appeared as dots. SMI imaging, both in color and monochrome mode, provided superior demonstration of the continuity of the vessel of large or small "snake" images. In cases appearing as dot pattern on PDU, color SMI was able to show continuity of the flow signal as a helical pattern. Discussion SMI is a promising new Doppler imaging technique that is superior to conventional power Doppler imaging in depiction and identification of corkscrew collaterals in Buerger's disease.Publication Arterial transit artifacts observed on arterial spin labeling perfusion imaging of carotid artery stenosis patients: What are counterparts on symptomatology, dynamic susceptibility contrast perfusion, and digital subtraction angiography?(Masson Editeur, 2023-05-23) Özpar, Rıfat; ÖZPAR, RİFAT; Dinç, Yasemin; DİNÇ, YASEMİN; Nas, Ömer Fatih; NAS, ÖMER FATİH; İnecikli, Mehmet Fatih; İNECİKLİ, MEHMET FATİH; Parlak, Müfit; PARLAK, MÜFİT; Hakyemez, Bahattin; HAKYEMEZ, BAHATTİN; Tıp Fakültesi; Radyoloji Ana Bilim Dalı; 0000-0001-6649-9287; AAK-5124-2020; IUQ-6999-2023Purpose: To investigate possible relationships between the presence and location of arterial transit artifacts (ATA) and clinical symptoms, digital subtraction angiography (DSA), and dynamic susceptibility contrast (DSC) perfusion imaging abnormalities in patients with carotid artery stenosis (CAS).Methods: Forty-seven patients who underwent arterial spin labeling (ASL) and DSC perfusion imaging in the same period diagnosed with > 50% unilateral internal carotid artery (ICA) stenosis by DSA performed 24 h after perfusion imaging were included. The presence of ATA, localization and hypoperfusion were evaluated using ASL interpretation. Maps derived from DSC perfusion, symptomatology, stenosis rates, and collateralization findings observed in DSA were investigated. Probable relationships were evaluated.Results: ATA on ASL were detected in 68.1% (32/47); 40.6% (13/32) of ATAs were observed in the distal middle cerebral artery (MCA) trace, 50% (16/32) in the intracranial ICA and MCA traces, and 9.4% (3/32) in the intracranial ICA trace. When classifications based on the ATA presence and localization was made, qualitative and quantitative CBF, MTT, and TTP abnormalities, symptomatology, stenosis rates, and collateralization findings significantly differed between groups (p < 0.05).Conclusion: The presence and localization of ATA in patients with CAS may provide essential insights into cerebral hemodynamics and the CAS severity. ATAs observed only in the distal MCA trace may represent early-stage perfusion abnormalities and a moderate level of stenosis. ATA in the ICA trace may related to a more advanced level of perfusion abnormalities, critical stenosis rates, symptom or collateralization presence.Publication The efficacy and safety of lumbar accessed catheter-assisted epidural blood patch in cervical and thoracic cerebrospinal fluid leakage(Elsevier Science Inc, 2022-12-13) Nas, Ömer F.; Öztepe, Muhammed F.; Kandemirli, Sedat G.; Demir, Aylin Bican; Bilgin, Cem; İnecikli, Mehmet F.; Hakyemez, Bahattin; NAS, ÖMER FATİH; Öztepe, Muhammed F.; BİCAN DEMİR, AYLİN; İNECİKLİ, MEHMET FATİH; HAKYEMEZ, BAHATTİN; Tıp Fakültesi; Nöroloji Ana Bilim Dalı; 0000-0001-6739-8605; 0000-0002-1027-0915; 0000-0002-9796-8223; 0000-0002-3425-0740; AAG-8561-2021; DLB-1623-2022; KHB-9765-2024; AAK-5124-2020; AAI-2318-2021OBJECTIVE: To evaluate the clinical and radiological results of lumbar accessed catheter-assisted epidural blood patch (LACA-EBP) technique in treatment of sponta-neous intracranial hypotension secondary to cervico-thoracic cerebrospinal fluid leakage.METHODS: Patients presenting with spontaneous intra-cranial hypotension where magnetic resonance imaging cisternography confirmed and localized the cerebrospinal fluid leakage at cervicothoracic levels were treated with LACA-EBP. Visual analog scale (VAS) score for headache at baseline, third day after treatment, and during long-term follow-up was used to assess the treatment response. Posttreatment VAS score 53 on the third day defined treatment success, and VAS score double dagger 4 indicated treatment failure.RESULTS: LACA-EBP was performed in 10 patients (7 females, 3 males) with a mean age of 38.4 +/- 10.5 years. Orthostatic headache was the most common presenting symptom (10/10; 100%) followed by nausea (5/10; 50%). Pi-tuitary gland enlargement was the most commonly observed finding on pretreatment cranial magnetic reso-nance imaging (9/10; 90%). On magnetic resonance imaging cisternography, 8 patients had cervical and/or thoracic fistulas, whereas 2 patients had multiple-level fistulas. LACA-EBP was successful in all patients with no compli-cations. All patients showed a treatment response with a 72-hour VAS score 53. Follow-up VAS scores were avail-able for 8 patients with a clinical follow-up duration of 1- 74 months (median 7.5 months). During clinical follow-up, headache recurred in 2 patients.CONCLUSIONS: In our study cohort, LACA-EBP was a safe and efficacious technique in treatment of cerebro-spinal fluid leakage at cervical and thoracic levels.