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Öğe National guidelines on the management of venous thromboembolism: Joint guideline of the Turkish Society of Cardiovascular Surgery, National Society of Vascular and Endovascular Surgery, and Phlebology Society(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2021) Bozkurt, Ahmet Kursat; Akay, Hakki Tankut; Calkavur, Ismet Tanzer; Sirlak, Mustafa; Balkanay, Ozan Onur; Uguz, Emrah; Doganci, SuatThese evidence-based guidelines from the Turkish Society of Cardiovascular Surgery, National Society of Vascular and Endovascular Surgery, and Phlebology Society intend to support clinicians in best decisions regarding the treatment of venous thromboembolism (VTE). The Editor was selected by the three national societies and was tasked with the recruitment of the recognized panel. All financial support was solely derived from the sponsoring societies without the direct involvement of industry or other external stakeholders. The panel prioritized clinical questions and outcomes according to their importance for clinicians in terms of VTE. The panel agreed on 42 recommendations under 15 headings for the diagnosis, initial management, secondary prevention of VTE, and treatment of recurrent VTE events. Important recommendations included the use of ultrasonography, preference for home treatment over hospital treatment for uncomplicated VTE, preference for direct oral anticoagulants (DOACs) over vitamin K antagonists for primary treatment of cancer and non-cancer-related VTE, extended or indefinite anticoagulation with DOACs in selected high-risk patients. Early catheter-directed thrombectomy was recommended in only young symptomatic patients with a diagnosis of fresh iliofemoral deep vein thrombosis.Öğe Superior mesenteric artery embolectomy and second-look laparoscopy technique in acute mesenteric ischemia: A case report(2021) Sezgin Uludag, Server; Sanli, Ahmet Necati; Balkanay, Ozan Onur; Zengin, Abdullah KaganAlthough acute mesenteric ischemia is not common, its incidence increases with aging and comorbidities. Early diagnosis and early intervention reduce mortality. Endovascular and open revascularization methods are used in the treatment of acute mesenteric ischemia. Intestinal viability should be evaluated, due to the possibility of ischemia-reperfusion injury in patients undergoing embolectomy. Therefore, planned relaparotomy is an important part of ischemia management. In this case, we aimed to describe the superior mesenteric artery embolectomy, the importance of second-look laparoscopy, and our subsequent treatment approach to the patient diagnosed with acute mesenteric ischemia.