Yazar "Kutlu, Ramazan" seçeneğine göre listele
Listeleniyor 1 - 20 / 149
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Abdominal aort anevrizması olan üç olgunun spiral bt anjiografisi(İnönü Üniversitesi Tıp Fakültesi Dergisi, 1997) Kutlu, Ramazan; Saraç, Kaya; Baysal, Tamer; Türköz, Rıza; Gülcüler, Metin; Gülcan, ÖnerAbdominal aort anevrizması operasyonlarının planlanmasında, cerrahi öncesi komşu vasküler yapılarla ilişkisinin belirlenmesi önemlidir. Bu yazıda abdominal aort anevrizması tespit edilen üç olgunun, cerrahi öncesi spiral bilgisayarlı tomografik anjiografi (SBTA) ile elde edilen görüntülerini ve SBTA’nın bu tip olgulardaki değerini irdeledik. SBTA'nın abdominal aort anevrizmalarında, anevrizmaların teşhisinden öte lokalizasyon ve diğer damarlarla ilişkisini saptamada oldukça önemli olduğunu düşünmekteyiz.Öğe Abdominal pain, nausea, vomiting, and ascites in a 14-year-old girl with systemic lupus erythematosus: Answers(Springer, 2019) Elmas, Ahmet Taner; Tabel, YilmazYilmaz; Selimoglu, Ayse; Kenc, Senay; Kutlu, Ramazan[Abstract Not Available]Öğe Abdominal pain, nausea, vomiting, and ascites in a 14-year-old girl with systemic lupus erythematosus: Questions(Springer, 2019) Elmas, Ahmet Taner; Tabel, Yilmaz; Selimoglu, Ayse; Kenc, Senay; Kutlu, Ramazan[Abstract Not Available]Öğe Aberrant right subclavian artery and axillary artery cannulation in type a aortic dissection repair(Ann Thorac Surg, 2013) Battaloğlu, Bektaş; Seçici, Serkan; Çolak, Cengiz; Dişli, Olcay Murat; Erdil, Nevzat; Kutlu, RamazanCurrently, right axillary artery cannulation and unilateral antegrade cerebral perfusion through the same cannula are preferred choices for acute type A aortic dissection repair. However, the existence of an aberrant right subclavian artery can jeopardize cerebral perfusion through the right axillary artery cannula. In this study, we intended to explain the repair of acute type A aortic dissection using right axillary artery cannulation in a patient with aberrant right subclavian artery.Öğe Aberrant Right Subclavian Artery and Axillary Artery Cannulation in Type A Aortic Dissection Repair(Elsevier Science Inc, 2013) Battaloglu, Bektas; Secici, Serkan; Colak, Cengiz; Disli, Olcay M.; Erdil, Nevzat; Kutlu, RamazanCurrently, right axillary artery cannulation and unilateral antegrade cerebral perfusion through the same cannula are preferred choices for acute type A aortic dissection repair. However, the existence of an aberrant right subclavian artery can jeopardize cerebral perfusion through the right axillary artery cannula. In this study, we intended to explain the repair of acute type A aortic dissection using right axillary artery cannulation in a patient with aberrant right subclavian artery. (C) 2013 by The Society of Thoracic SurgeonsÖğe ABO incompatible liver transplantation in acute and acute on chronic liver failure(Hepato-gastroenterology, 2013) Yılmaz, Sezai; Aydın, Cemalettin; Işık, Burak; Kayaalp, Cüneyt; Yılmaz, Mehmet; Ara, Cengiz; Kutlu, Ramazan; Bayındır, Yaşar; Ersan, VeyselABO-incompatible (ABO-I) liver transplantation (LTx) is an inevitable problem in emergency conditions such as acute liver failure or acute-on-chronic liver failure when deceased donor (DD) is not available or living donor (LD) selection is limited. This study spesifically addressed the problem of emergency ABO-I LTx in critically ill adult patients having acute liver failure or severely decompensated end stage liver disease. Methodology: This series included 16 patients, of which 10 underwent ABO-I LD LTx and 6 patients underwent 7 ABO-I DD LTx. Two patients underwent ABO-compatible LD LT before ABO-I DD LT, because of hepatic artery thrombosis. Multiple sessions of plasmapheresis were used to reduce isoaglutinin titres to 1/16 or below before and after the transplantation. Splenectomy was carried out after the graft reperfusion in the last 7 cases. In the first 9 patients splenic artery ligation was performed. Data were prospectively collected and retrospectively analysed. Results: The follow-up period ranged from 1 to 38 months. The mean follw-up period was 10.37 months. Median age of patients was 50 years (17-63 years). The MELD scores ranged from 17 to 30 (median 22.5). Median survival of patients was 9 months and mean survival was 19.5 months. Hospital mortality consisted of 3 patients (18.7 %). Two patients died due to small for size graft syndrome and cerebrovascular bleeding respectively. Hepatic artery thrombosis developed in 3 patients. Two of them died at postoperative 4th and 9th months. Third patient is stil living with hepatic necrosis problem. Conclusion: ABO-I LTx remains an important and unavoidable therapeutic option in adult patients with acute or acute-on-chronic liver failure awaiting an emergency procedure and in the context of living donor liver transplantation. This option should be offered to all patients in cases of immediate need for an allograft without the possibility to allocate a blood group compatible liver graft.Öğe ABO incompatible liver transplantation in acute and acute on chronic liver failure(Hepatogastroenterology, 2013) Yılmaz, Sezai; Aydın, Cemalettin; Işık, Burak; Kayaalp, Cüneyt; Yılmaz, Mehmet; Ara, Cengiz; Kutlu, Ramazan; Bayındır, Yaşar; Ersan, VeyselAbstract BACKGROUND/AIMS: ABO-incompatible (ABO-I) liver transplantation (LTx) may be mandatory in urgent conditions such as acute liver failure (ALF) or acute-on-chronic liver failure (ACLF) when deceased donor (DD) is unavailable or living donor (LD) selection is limited. This study specifically addresses the problem of urgent ABO-I LTx in critically ill adult patients having ALF or severely decompensated end-stage liver disease. METHODOLOGY: This series included 16 patients, 10 underwent ABO-I LD LTx and 6 underwent 7 ABO-I DD LTx. Multiple sessions of plasmapheresis reduced isoaglutinin titres to 1/16 or below, before and after LTx. RESULTS: Mean follow-up period was 10.37 months (1 to 38). Median for MELD scores was 22.5 (17 to 30). Median survival was 9 months and mean survival was 19.5 months. Hospital mortality was 3 (18.7%). Two patients died due to small for size graft syndrome and cerebrovascular bleeding respectively. Hepatic artery thrombosis developed in 3 patients. Two of them died at postoperative 4th and 9th months. Third patient is still alive with hepatic necrosis problem. CONCLUSIONS: ABO-I LTx remains an important and unavoidable therapeutic option in adult patients with ALF or ACLF and urgent need for an allograft without the possibility to allocate a blood group compatible liver graft.Öğe ABO incompatible liver transplantation in acute and acute on chronic liver failure(Hepato-gastroenterology, 2013) Yılmaz, Sezai; Aydın, Cemalettin; Işık, Burak; Kayaalp, Cüneyt; Yılmaz, Mehmet; Ara, Cengiz; Kutlu, Ramazan; Bayındır, Yaşar; Ersan, VeyselBACKGROUND/AIMS: ABO-incompatible (ABO-I) liver transplantation (LTx) may be mandatory in urgent conditions such as acute liver failure (ALF) or acute-on-chronic liver failure (ACLF) when deceased donor (DD) is unavailable or living donor (LD) selection is limited. This study specifically addresses the problem of urgent ABO-I LTx in critically ill adult patients having ALF or severely decompensated end-stage liver disease. METHODOLOGY: This series included 16 patients, 10 underwent ABO-I LD LTx and 6 underwent 7 ABO-I DD LTx. Multiple sessions of plasmapheresis reduced isoaglutinin titres to 1/16 or below, before and after LTx. RESULTS: Mean follow-up period was 10.37 months (1 to 38). Median for MELD scores was 22.5 (17 to 30). Median survival was 9 months and mean survival was 19.5 months. Hospital mortality was 3 (18.7%). Two patients died due to small for size graft syndrome and cerebrovascular bleeding respectively. Hepatic artery thrombosis developed in 3 patients. Two of them died at postoperative 4th and 9th months. Third patient is still alive with hepatic necrosis problem. CONCLUSIONS: ABO-I LTx remains an important and unavoidable therapeutic option in adult patients with ALF or ACLF and urgent need for an allograft without the possibility to allocate a blood group compatible liver graft.Öğe Abo-Incompatible Liver Transplantation in Acute and Acute-On-Chronic Liver Failure(H G E Update Medical Publishing S A, 2013) Yilmaz, Sezai; Aydin, Cemalettin; BurakIsik; Kayaalp, Cuneyt; Yilmaz, Mehmet; Ara, Cengiz; Kutlu, RamazanBackground/Aims: ABO-incompatible (ABO-I) liver transplantation (LTx) may be mandatory in urgent conditions such as acute liver failure (ALF) or acute-on-chronic liver failure (ACLF) when deceased donor (DD) is unavailable or living donor (LD) selection is limited. This study specifically addresses the problem of urgent ABO-I LTx in critically ill adult patients having ALF or severely decompensated end-stage liver disease. Methodology: This series included 16 patients, 10 underwent ABO-I LD LTx and 6 underwent 7 ABO-I DD LTx. Multiple sessions of plasmapheresis reduced isoaglutinin titres to 1/16 or below, before and after LTx. Results: Mean follow-up period was 10.37 months (1 to 38). Median for MELD scores was 22.5 (17 to 30). Median survival was 9 months and mean survival was 19.5 months. Hospital mortality was 3 (18.7%). Two patients died due to small for size graft syndrome and cerebrovascular bleeding respectively. Hepatic artery thrombosis developed in 3 patients. Two of them died at postoperative 4th and 9th months. Third patient is still alive with hepatic necrosis problem. Conclusions: ABO-I LTx remains an important and unavoidable therapeutic option in adult patients with ALF or ACLF and urgent need for an allograft without the possibility to allocate a blood group compatible liver graft.Öğe Acil serviste göğüs ağrısının nadir bir nedeni: Subklavian çalma sendromu(2010) Turtay, Muhammet Gökhan; Çolak, Cengiz; Doğan, Metin; Oğuztürk, Hakan; Çelik, Emrah; Akgün, Feride Sinem; Kutlu, RamazanAcil servislere başvuru nedenlerinin önemli bir kısmını sol kol ve göğüs ağrısı oluşturmaktadır. Göğüs ağrısı, sol kolunu aşırı kullandığında sol kolda ağrısı olan ve bu şikâyetlerle birlikte koroner arter hastalığı için risk faktörü taşıyan hastaların ayırıcı tanısında subklavian çalma sendromu düşünülmelidir. Bu hastalarda nabız ve kan basıncı değerlendirmeleri tanı açısından en önemli muayene bulgularıdır.Öğe Acil Serviste Göğüs Ağrısının Nadir Bir Nedeni: Subklavian Çalma Sendromu(İnönü Üniversitesi Tıp Fakültesi Dergisi, 2010) Turtay, Muhammet Gökhan; Çolak, Cengiz; Doğan, Metin; Oğuztürk, Hakan; Çelik, Emrah; Akgün, Sinem; Kutlu, RamazanAcil servislere başvuru nedenlerinin önemli bir kısmını sol kol ve göğüs ağrısı oluşturmaktadır. Göğüs ağrısı, sol kolunu aşırı kullandığında sol kolda ağrısı olan ve bu şikâyetlerle birlikte koroner arter hastalığı için risk faktörü taşıyan hastaların ayırıcı tanısında subklavian çalma sendromu düşünülmelidir. Bu hastalarda nabız ve kan basıncı değerlendirmeleri tanı açısından en önemli muayene bulgularıdır.Öğe Adrenolökodistrofi: Tek voksel MR spektroskopi bulguları(Tanısal ve Girişimsel Radyoloji (Yeni Adı: Dİagnostic & Intervent. Radiol), 2004) Alkan, Alpay; Kutlu, Ramazan; Aslan, Mehmet; Yakıncı, CengizÖz: Adrenolökodistrofi (ALD), santral sinir sistemi ve adrenal kortekste çok uzun zincirli yağ asitlerinin birikimine bağlı olarak ortaya çıkan metabolik bir hastalıktır. Nöropatolojisinde serebral beyaz cevherde demyelinasyon, aksonal kayıp ve inflamasyonlu bölgelerde IgG ve sitokin birikimi bildirilmiştir [1-4]. Manyetik rezonans spektroskopi (MRS), değişik hastalıklarda hücresel düzeyde metabolit değişikliklerini gösterebilen bir görüntüleme yöntemidir [1,4-6]. Bu çalışmada, ALD’li bir olguda tutulum alanlarında ve normal görünen beyaz cevherde metabolit değişikliklerin olup olmadı ğının MRS ile ortaya konması amaçlanmıştır.Öğe Advantages of early intervention with arterial embolization for intra-abdominal solid organ injuries in children(2019) Demircan, Mehmet; Gürünlüoğlu, Kubilay; Gözükara Bağ, Harika; Sığırcı, Ahmet; Saraç, Kaya; Kutlu, Ramazan; Yıldırım, İsmail OkanAbstract: PURPOSE Active bleeding due to abdominal trauma is an important cause of mortality in childhood. The aim of this study is to demonstrate the advantages of early percutaneous transcatheter arterial embolization (PTAE) procedures in children with intra-abdominal hemorrhage due to blunt trauma. METHODS Children with blunt abdominal trauma were retrospectively included. Two groups were identified for inclusion: patients with early embolization (EE group, n=10) and patients with late embolization (LE group, n=11). Both groups were investigated retrospectively and statistically analyzed with regard to lengths of stay in the intensive care unit and in the hospital, first enteral feeding after trauma, blood transfusion requirements, and cost. RESULTS The duration of stay in the intensive care unit was greater in the LE group than in the EE group (4 days vs. 2 days, respectively). The duration of hospital stay was greater in the LE group than in the EE group (14 days vs. 6 days, respectively). Blood transfusion requirements (15 cc/kg of RBC packs) were greater in the LE group than in the EE group (3 vs. 1, respectively). The total hospital cost was higher in the LE group than in the EE group (4502 USD vs. 1371.5 USD, respectively). The time before starting enteral feeding after first admission was higher in the LE group than in the EE group (4 days vs. 1 day, respectively). CONCLUSION Early embolization with PTAE results in shorter intensive care and hospitalization stays, earlier enteral feeding, and lower hospital costs for pediatric patients with intra-abdominal hemorrhage due to blunt trauma.Öğe Air within the aneurysm sac following endovascular management of abdominal aortic aneurysm in a patient with acute pancreatitis(Turkish Soc Radiology, 2009) Kutlu, Ramazan; Nisanoglu, VedatA 44-year-old man with an abdominal aortic aneurysm presented with acute pancreatitis with abundant peripancreatic fluid and was successfully treated with endovascular stent graft. Early post-procedural radiological examinations showed air inside the aneurysm sac. Due to the possible infection from pancreatitis, antibiotic treatment was initiated, and he was closely monitored. Serial radiological examinations showed gradual decrease and eventual resolution of air at the end of one month. Follow-up computed tomography 10 months post-implantation revealed no problems. presence of air inside the aneurysm sac could be a sign of graft infection. Although the air usually resolves spontaneously, close surveillance is necessary for cases with higher risk of infection.Öğe Arteriyovenöz fistüllü hemodiyaliz hastasının yaşam kalitesinde multidisipliner yaklaşımın önemi(Türk Göğüs Kalp Damar Cerrahisi Dergisi, 2006) Alat, İlker; Akpınar, Mehmet Beşir; Bahçeci, Funda; Taşkapan, Hülya; Kutlu, Ramazan; Saraç, Kaya; Battaloğlu, Bektaş; Nisanoğlu, VedatÖz: Arteriyovenöz fistüllerin, uzun dönem başarısını etkileyen faktörler beş olguda hemodiyaliz amaçlı olarak incelendi. Arteriyovenöz fistüllerin oluşturulmasında kalp ve damar cerrahı için "dolaşım yeterliliğinin tespiti" önemlidir. Hastanın ameliyata girmeden önce geçirdiği aşamalar da ameliyatın stratejisini değiştirecektir. Ameliyattan sonraki dönemde fistülün başarısına etki eden en önemli faktör ise hemodiyaliz personelinin eğitimidir. Kalp ve damar cerrahının fistülde başarı elde edebilmesinde en büyük yardımcıları aynı zamanda invaziv radyologlardır. Arteriyovenöz fistül cerrahisinin hastaya bir hayat sunduğu unutulmamalıdır. Bu konuda başarılı olmada multidisipliner yaklaşımın önemi vurgulandı.Öğe Arteryal karaciğer kanamalarında acil transkateteryal arteryal embolizasyonun yararlılığı(Zeynep Kamil Tıp Bülteni, 2005) Demirbilek, Savaş; Kutlu, RamazanÖz: Abdominal künt multipl travmaya maruz kalan hastalarda karaciğer hasarı gelişme şansı %1 ila %8 olarak bildirilmiştir. Ciddi karaciğer yaralanmalarında mortalite oranları cerrahi ile %50-80 gibi yüksek değerlere ulaşabildiğinden, ideal tedavi seçeneği halen araştırılmaktadır. Noncerrahi tedavi hemodinamik olarak stabil hastalarda standart tedavi seçeneği iken, stabil olmayan hastalarda tedavi konusunda tam bir görüş birliği bulunmamaktadır. Bu raporda künt karın travması sonrasında evre IV karaciğer hasarlı, hemodinamik olarak stabil durumda olmayan çocuk hastamızda uygulanan acil transkateteryel sağ hepatik arter embolizasyonu sunulmuştur. Acil transkateteryel hepatik arter embolizasyonun ciddi karaciğer hasarlı olgularda ilk tedavi seçeneklerinden biri olabileceği düşünülmüştür. Başlık (İngilizce): Usefulness of emergency transcatheter arterial embolization in the arterial liver hemorrhages Öz (İngilizce): The prevalence of liver injury in patients who sustained blund multipl trauma was reported to range from 18%. Because previous mortality rates were as high as 50-80% for severe hepatic injury, the choice of treatment was under investigation. Whereas nonsurgical treatment fort he hemodinamically stable patient, there is no consensus on how to treat hemodinamically unstable patients. This report details the case of a patient who sustained blunt abdomianal trauma, resulting grade IV liver injury. Patient was hemodinamically unstable and emergency transcatheter arterial embolization was done to left hepatic arteria. We proposed that emergency transcatheter arterial embolization should be considered initial treatment for severe blunt hepatic injury in childrenÖğe Atlanto axial subluxation associated with rubinstein taybi syndrome(Eur J Radiol Extra, 2003) Sığırcı, Ahmet; Yakıncı, Mehmet Cengiz; Alkan, Alpay; Aslan, Mehmet; Sığırcı, Aykut; Kutlu, RamazanA case of atlanto-axial subluxation in a 5-year-old boy with Rubinstein /Taybi syndrome (RTS) is presented and the imaging findings are evaluated. To the best of our knowledge, atlanto-axial subluxation has not been reported in association with this syndromeÖğe Autologous Peritoneum Graft Repair of a Superior Mesenteric Vein Defect During Pancreaticoduodenectomy(Springernature, 2015) Kayaalp, Cuneyt; Sumer, Fatih; Polat, Yilmaz; Kutlu, RamazanPancreatic cancers frequently invade the portomesenteric veins. Venous resection during pancreaticoduodenectomy with curative intent is more common now than it was in the past. Most venous resections can be repaired primarily, but some require vascular grafts. Here, we describe the use of an autologous parietal peritoneum graft instead of vascular grafts for repairing a superior mesenteric vein (SMV) defect. Pylorus-preserving pancreaticoduodenectomy combined with en bloc resection of the SMV lateral wall was performed in a 70-year-old woman with cancer of the pancreatic head. The SMV defect was 2 cm long and its width was half the SMV circumference. The defect was covered with a 3 x 2 cm parietal autologous peritoneum graft obtained from the left subcostal area and using running 6/0 polypropylene suture. Tension-free patching was performed, and we retained slight bulging of the graft. Her postoperative course was uneventful. She was discharged on Day 11 after computed tomography confirmed the patency of the SMV, despite slight narrowing. She was well after 10 months of follow-up. Autologous parietal peritoneum grafts can be used for repairing partial venous defects during pancreaticoduodenectomy. They are effective and are easy, fast, and cheap to obtain.Öğe Bare stent implantation in iatrogenic dissecting pseudoaneurysm of the superior mesenteric artery(Cardiovasc Intervent Radiol, 2007) Kutlu, Ramazan; Ara, Cengiz; Saraç, KayaLatrogenic arterial dissection leading to the development of dissecting pseudoaneurysms of the superior mesenteric artery (SMA) is a rare complication of angiography. Surgical and endovascular treatment options exist for this important condition. We report a case of bare stent implantation in dissecting pseudoaneurysm of the SMA that developed after angiography in a patient with acute mesenteric ischemia. Although it is rarely published, iatrogenic arterial dissection causing pseudoaneurysm can occur after diagnostic and interventional angiography. Bare stent implantation in dissecting pseudoaneurysm of the SMA could be an advantageous endovascular treatment option in selected cases due its to potential preservation of important side branches of the SMA.Öğe Başlangıçta negatif bulgulu veya palpe edilemeyen benign meme lezyonlu kadınlarda yaş gruplarına göre takip protokolu: mamografik ve ultrasonografik bi-rads değerlendirmesi ve ultrasonografi eşliğinde ince iğne aspirasyon biyopsisi(Meme Sağlığı Dergisi, 2007) Doğan, Reşat; Söğütlü, Gökhan; Kutlu, Ramazan; Gürses, İclal; Çakır, İsmail; Barut, Bora; Deniz, SümerÖz: AMAÇ: Benign karakterli nonpalpabl meme lezyonlarının ve başlangıçta negatif mamografik ve/veya ultrasonografik (US) bulgularla karakterize olguların zaman içerisindeki doğal seyrini ve optimal takip protokollerini, US ve/veya mamografi ile değerlendirerek ortaya koymak. GEREÇ VE YÖNTEM: 1998-2004 yılları arasında, belirli bir zaman periyodunda, kliniğimizce takip edilen 167 hasta bu çalışmanın materyalini oluşturdu. Ortalama yaş 44.8 ± 9.3 idi. İlk başvuruda hastalar fizik muayene, diagnostik mamografi (35 yaş üzeri) ve US (tüm hastalar) ile değerlendirildiler. İlk başvuruda ve takipte toplam 66 hastaya (%39.5) biyopsi uygulandı. Hastalar, mamografik ve/veya utrasonografik olarak BI-RADS (Breast imaging reporting and data system)’a göre sınıflandırılarak belirli bir izlem protokolüne tabi tutuldular. BULGULAR: İlk başvuruda kitle saptanan %25.2 olgunun son değerlendirmede %22’sinin kitlelerinin rezolve olduğu, %65’inin değişmeden kaldığı ve %13 oranında ise boyutlarında artış olduğu gözlendi. İlk başvuruda, benign kalsifikasyon saptanan olguların (%10.8) %91.6’sında kalsifikasyonlarında bir değişiklik gözlenmedi. %0.6’sında kalsifikasyonlar yok oldu. İlk başvurudan sonra, BI-RADS progresyonunu, pozitif aile hikayesi,menopoz, oral kontraseptif ve hormon replasman tedavisinin istatistiksel olarak etkilemediği gözlendi. BI-RADS 2 (n=58) ve 3 (n=6) grubunda uygulanan, US eşliğinde ince iğne aspirasyon biyopsilerinin %100’ünde benign bulgular saptandı. SONUÇLAR: Negatif veya nonpalpabl benign mamografik ve/veya ultrasonografik bulgular içeren hastaların çoğunluğunda takipte aynı bulgular devam etmektedir. Bu anlamda, mamografik ve/veya ultrasonografik bulgular BI-RADS‘a göre değerlendirilerek, başlangıçta benign bulgulara sahip hastaların, rutin takiplerinin (biyopsi yapılmaksızın) güvenilir bir yol olduğu ortaya çıkmaktadır. Bununla birlikte, olguların yaklaşık yarısı herhangi bir takip süresinde biyopsiye maruz kalmaktadırlar. Bu açıdan da, US eşliğinde ince iğne biyopsisinin güvenilir olduğu düşüncesindeyiz.
