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Öğe Abdominal revascularization patency outcomes of thoracoabdominal aortic aneurysm and mesenteric ischaemia(Turkish National Vascular and Endovascular Surgery Society, 2023) Kursunlu, Z.; Balcioglu, O.; Posacioglu, H.Aim: Thoracoabdominal aortic aneurysm (TAAA) and Mesenteric ischemia (MI) are multifactorial and hereditary diseases which also have associations with systemic atherosclerosis and genetic factors. As it is known, mortality and morbidity rates are very high for open surgery; therefore, hybrid approach, with better outcomes, has become more popular as a new alternative treatment option for TAAA patients. The aim of the study was to compare the graft patencies of all patients who underwent visceral revascularization with different aetiology. Material and Methods: 34 patients who underwent visceral revascularization, either for MI (n:16) or TAAA hybrid procedure(n:18) were included in this study. All data was collected retrospectively and was analysed with SPSS 21.0 software program. Chi-square and Fischer tests were used in the analysis of qualitative data; and results with a p value below 0.05 were considered as statistically significant. Results: There was no significant difference between two patient groups in terms of graft patency rates. All type 2 endoleaks were resolved spontaneously in control CT angiography and no migration was observed in patients. Conclusion: In line with the results obtained, it has been revealed that visceral revascularization surgery can be used not only for the final treatment of MI, but also as a step in the hybrid approaches of TAA. © 2023 Turkish National Vascular and Endovascular Surgery Society. All rights reserved. and @Author(s).Öğe Chimney technique for a solitary pelvic kidney(NLM (Medline), 2023) Ertugay, S.; Posacioglu, H.; Bozkaya, H.; Parildar, M.The combination of a solitary pelvic kidney and an abdominal aortic aneurysm is extremely rare. We demonstrate a chimney graft implant in a patient with a solitary pelvic kidney. A 63-year-old man was diagnosed with an abdominal aortic aneurysm found incidentally. Preoperative computed tomography illustrated a fusiform abdominal aortic aneurysm accompanying a solitary ectopic kidney in the pelvis with an aberrant renal artery. A bifurcated endograft was implanted, and a covered stent graft was placed into the renal artery using the chimney technique. Good patency of the chimney graft was documented with early postoperative and first month scans. To the best of our knowledge, this is the first report of the chimney technique used for a solitary pelvic kidney. © The Author 2023. Published by MMCTS on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.Öğe Chimney technique for solitary pelvic kidney(NLM (Medline), 2020) Ertugay, S.; Posacioglu, H.; Bozkaya, H.; Parildar, M.The combination of solitary pelvic kidney and abdominal aortic aneurysm is extremely rare. In this report, we present chimney graft implantation in a patient with solitary pelvic kidney. A 63-year-old man had the diagnosis of infrarenal abdominal aortic aneurysm made incidentally. Preoperative computed tomography illustrated a fusiform abdominal aortic aneurysm accompanying a solitary ectopic kidney in the pelvis with aberrant renal artery. A bifurcated endograft was implanted, and a covered stent graft was placed into the renal artery by use of the chimney technique. Good patency of the chimney graft was documented with early postoperative and first month scans. To the best of our knowledge, this is the first report of the chimney technique used in a solitary pelvic kidney. © The Author(s) 2020. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.Öğe Comparison of outcomes between endovascular treatment and bypass surgery in Takayasu arteritis: comment on the article by Lee et al(Informa Healthcare, 2014) Besir, F. H.; Bozkaya, H.; Cinar, C.; Oguz, E.; Parildar, M.; Posacioglu, H.Öğe Postoperative objective and subjective voice analysis in patients who underwent carotid endarterectomy and carotid body tumor resection(Turkish National Vascular and Endovascular Surgery Society, 2023) Kahraman, U.; Balcioglu, O.; Ertugay, S.; Oguz, E.; Posacioglu, H.Aim: This study aimed to compare voice changes after Carotid endarterectomy (CEA) and Glomus body tumor resection with objective instrumental and acoustic assessments. Material and Methods: A total of 14 patients underwent CEA or glomus carotid tumor resection at our institution between 2009 and 2013. Among the 14 patients, two patients were excluded due to vocal cord paralysis. This study was applied to 12 patients. Patients were called retrospectively, and objective and subjective voice parameters were measured and compared. Voice handicap index was used to measure subjective voice parameters. Objective voice analysis was performed for patients by using Multi-dimensional voice programming (MDVP), a computer-aided program. Results: A total of 12 patients were included in the study. Five patients underwent carotid endarterectomy. Glomus tumor resection was performed on seven patients. Of the patients who underwent carotid endarterectomy, four were male and one was female. Three of the patients who underwent glomus tumor resection were male and four were female. Voice handicap index (VHI) showed that two patients who underwent glomus tumor resection experienced moderate problems and the patients who underwent CEA had no obvious problems. Patients who underwent glomus carotid tumor resection obtained higher values in all MDVP parameters than those who underwent CEA. Conclusion: Despite the small number of patients, it can be said that glomus tumor resection in neck surgery, that is, tumor surgery, causes more voice changes than carotid endarterectomy operations. The elevated objective sound parameters found in this study necessitate that patients should be informed regarding the potential of developing postoperative dysphonia, especially those who rely on their voice as their profession (e.g. sound artists, teachers, politicians). © Author(s).