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3 results on '"Çağrı Kafkas"'

2. Treatment delays and in-hospital outcomes in acute myocardial infarction during the COVID-19 pandemic: A nationwide study

Author

Mustafa Kemal Erol, Meral Kayıkçıoğlu, Mustafa Kılıçkap, Arda Güler, Abdullah Yıldırım, Fatih Kahraman, Veysi Can, Sinan Inci, Sadettin Selçuk Baysal, Okan Er, Utku Zeybey, Çağrı Kafkas, Çağrı Yayla, Can Baba Arin, Ibrahim Aktaş, Ahmet Arif Yalçın, and Ömer Genç

Subjects
acute myocardial infarction, covid-19, pandemic, total ischemic time, treatment delay, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Objective: Delayed admission of myocardial infarction (MI) patients is an important prognostic factor. In the present nationwide registry (TURKMI-2), we evaluated the treatment delays and outcomes of patients with acute MI during the Covid-19 pandemic and compaired with a recentpre-pandemic registry (TURKMI-1). Methods: The pandemic and pre-pandemic studies were conducted prospectively as 15-day snapshot registries in the same 48 centers. The inclusion criteria for both registries were aged ≥18 years and a final diagnosis of acute MI (AMI) with positive troponin levels. The only difference between the 2 registries was that the pre-pandemic (TURKMI-1) registry (n=1872) included only patients presenting within the first 48 hours after symptom-onset. TURKMI-2 enrolled all consecutive patients (n=1113) presenting with AMI during the pandemic period. Results: A comparison of the patients with acute MI presenting within the 48-hour of symptom-onset in the pre-pandemic and pandemic registries revealed an overall 47.1% decrease in acute MI admissions during the pandemic. Median time from symptom-onset to hospital-arrival increased from 150 min to 185 min in patients with ST elevation MI (STEMI) and 295 min to 419 min in patients presenting with non-STEMI (NSTEMI) (p-values

Published
2020
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3. Primary patency and amputation free survival after endovascular management of infrarenal aorta total occlusions

Author

Çağrı Kafkas, Munevver Sari, Cevat Kirma, Ali Karagöz, Zeki Şimşek, Şeyhmus Külahçıoğlu, İbrahim Akın İzgi, Çetin Geçmen, and Ender Özgün Çakmak

Subjects
Male, medicine.medical_specialty, Infrarenal aorta, Technical success, Endovascular therapy, Lesion, Peripheral Arterial Disease, Restenosis, Ischemia, Risk Factors, medicine, Diseases of the circulatory (Cardiovascular) system, Humans, Aorta, Vascular Patency, Aged, Retrospective Studies, Original Investigation, business.industry, Endovascular Procedures, Outcome measures, Critical limb ischemia, Middle Aged, medicine.disease, Limb Salvage, Surgery, Amputation free survival, Treatment Outcome, RC666-701, Female, Stents, medicine.symptom, Cardiology and Cardiovascular Medicine, business, Angioplasty, Balloon
Abstract

OBJECTIVE: Endovascular therapy (EVT) has increasingly been used even after the development of new techniques and technologies. EVT has displayed durable early and mid-term outcomes for infrarenal aorta occlusions (IAO). Nonetheless, little is known regarding their long-term outcomes and predictors of restenosis. METHODS: A total of 55 consecutive patients (age, 58.8±6.97 years; 67.2% male; 42% critical limb ischemia) from a single-center database, undergoing EVT for IAO disease between January 2011 and March 2019 were retrospectively analyzed. The outcome measures were primary patency rate and amputation free survival calculated by the Kaplan–Meier method. Independent predictors of restenosis were assessed by Cox proportional hazard regression model. RESULTS: In 49 patients (89.1%), technical success was achieved. In total, 190 stents (65 self-expandable stents, 60 balloon-expandable stents) were implanted. During the follow up of 34.5±28 months, 7 patients experienced loss of patency. Primary patency rates were 96%, 82%, and 75% at 1, 3, and 5 years, respectively, and amputation free survival rates were 100%, 90%, and 82% at 1, 3, and 5 years, respectively. CONCLUSION: In this study, five-year outcomes of primary patency and amputation free survival for EVT of infrarenal aorta total occlusive lesions were favorable. None of the demographic, lesion, and device factors were independently associated with loss of primary patency.

Published
2021

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