Browsing by Author "Aytekin, Saide"
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Conference Object Citation Count: 0C-reactive protein as a pre-procedural predictor of early and late outcomes of coronary angioplasty and intracoronary stent placement(W.B. Saunders Co Ltd, 2001) Aytekin, Vedat; Aytekin, Saide; Çatakoğlu, Alp Burak; Kocazeybek, Bekir Sami; Demiroğlu, I. C. Cemşid; Demiroğlu, C[Abstract Not Available]Article Citation Count: 2C-reactive protein as a pre-procedural predictor of early and late outcomes of percutaneous coronary interventions(Springer New York, 2003) Aytekin, Saide; Çatakoğlu, Alp Burak; Aytekin, Vedat; Demiroğlu, Cemşid; Kocazeybek, Bekir SamiTo examine the predictive value of pre-procedural CRP level in patients undergoing percutaneous coronary intervention (PCI) regardless of having unstable or stable angina pectoris or myocardial infarction. Blood sampling for CRP measurement in patients undergoing PCI: 116 consecutive patients who underwent single vessel PCI were evaluated. Exclusion criteria were multilesion PCI, total occlusion, left ventricular ejection fraction < 30%, left bundle branch block and intercurrent inflammatory conditions known to be associated with an acute phase response. Major adverse coronary events (MACE) were defined as the occurrence of death, fatal or nonfatal myocardial infarction, and need for coronary artery revascularization with either bypass grafting or repeat angioplasty. End-points were assessed at hospital discharge, 30 days, 3 and 6 months following the index procedure. 62 (53%) patients had CRP levels < 0.5 mg/dl, and 54 (47%) had > 0.5 mg/dl. There were no significant difference in the occurrence of MACE in early in-hospital and 30 days follow up periods, between the two groups (0 vs. 5.5%) (p = ns) whereas the incidence of MACE after 3 months of the procedure was significantly different between the two groups (1.6 vs. 11%) (p < 0.05) and also after 6 months (9.5 vs 24.5%) (p < 0.05). The negative predictive value of CRP measurement is 98.4%. High levels of pre-procedural CRP show association with the higher incidence of MACE after 3 months of the follow-up period and negative CRP tests seems to have high predictive value to compare the patients who will be free of MACE after successful PCI. SciVal Topic ProminenceArticle Citation Count: 21Left versus bi-atrial intraoperative saline-irrigated radiofrequency modified maze procedure for atrial fibrillation(2003) Güden, Mustafa; Akpınar, Belhhan; Çaynak, Barış; Türkoğlu, Çavlan; Özyedek, Zeki; Sanisoğlu, İlhan; Sağbaş, Ertan; Aytekin, Saide; Oztekin, Seher DenizBackground: This study was conducted to evaluate the effectiveness of the saline-irrigated radiofrequency modified maze operation for the treatment of chronic atrial fibrillation (AF) and compare the results of the left and bi-atrial procedures. Material and method: During a period of two years 105 patients with chronic AF having concomitant cardiac surgery underwent the procedure. Patients underwent either a bi-atrial (n = 48) or left atrial (n = 57) maze procedure. The first twenty patients underwent a bi-atrial maze procedure regardless of the pathology. In the following patients we adopted the bi-atrial approach in patients with a history of atrial flutter and where the right atrium has to be opened. Otherwise the procedure is restricted to the left atrial side. Mean age was 52 ± 11 years in bi-atrial group and 54 ± 9 years in left atrial group. Results: Three patients died early postoperatively (2.9%). There were 4 revisions for bleeding (3.8%). Two patients in bi-atrial group received a permanent pacemaker (4.1%). Patients in both groups were free of AF at the end of the procedure. (Bi-atrial group: sinus: 79.2% pacemaker: 20.8%) (Left atrial group: sinus: 82.5% pacemaker: 17.5%) (p > 0.05). During the last follow-up sinus rhythm was maintained in 79.6% of cases in bi-atrial group while this rate was 75.6% in left atrial group (p > 0.05). Conclusion: Saline irrigated radiofrequency modified maze procedure was performed safely and efficiently. Both the left and bi-atrial procedures were successful in terms of restoring sinus rhythm. Our current policy is to adopt the bi-atrial approach in patients with a history of atrial flutter and where the right atrium has to be opened. Otherwise the procedure is restricted to the left atrial side. © 2003 Kluwer Academic Publishers.Article Citation Count: 18The role of posterior pericardiotomy on the incidence of atrial fibrillation after coronary revascularization(Edizioni Minerva Medica, 2003) Arbatlı, Harun; Demirsoy, Ergun; Aytekin, Saide; Rızaoğlu, E.; Ünal, M.; Yağan, N.; Sönmez, BingürAim. Pericardial effusion and atrial fibrillation (AF) are two common complications in coronary revascularization surgery. The aim of this study was to evaluate the efficiency of posterior pericardiotomy in pericardial. effusion and AF. Methods. This randomized prospective study includes 113 patients who underwent isolated CABG procedure between May 2000 and December 2000 in our hospital. Posterior pericardiotomy incision was done in Group I (n=54). Group II constituted the control group (n=59). Postoperative pericardial. effusion was assessed by echocardiography and rhythm follow-up was done by the same cardiologist. Results. There was no significant difference between study group and the control group considering the chest drainage (940.18 +/- 367.96 vs 894.92 +/- 360.65