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7. The relationship between sarcopenia and one-year mortality in patients with critical limb ischemia undergoing endovascular therapy below the knee

Author

Guler, Arda, primary, Gurbak, Ismail, additional, Aydin, Sinem, additional, Kahraman, Serkan, additional, Tasbulak, Omer, additional, Ucar, Servet U, additional, Dogan, Arda C, additional, Topel, Cagdas, additional, Panc, Cafer, additional, Cizgici, Ahmet Y, additional, Kalkan, Ali K, additional, Yalcin, Ahmet A, additional, and Erturk, Mehmet, additional

Published
2022
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8. The relationship between sarcopenia and one-year mortality in patients with critical limb ischemia undergoing endovascular therapy below the knee.

Author

Guler, Arda, Gurbak, Ismail, Aydin, Sinem, Kahraman, Serkan, Tasbulak, Omer, Ucar, Servet U, Dogan, Arda C, Topel, Cagdas, Panc, Cafer, Cizgici, Ahmet Y, Kalkan, Ali K, Yalcin, Ahmet A, and Erturk, Mehmet

Abstract

Objective: Critical limb ischemia (CLI) is a progressive form of peripheral artery disease (PAD). Patients with CLI have poor long-term prognosis. The aim of this study was to investigate the value of sarcopenia in terms of 1-year mortality in patients with below-the-knee lesions who underwent endovascular treatment for CLI. Methods: A total of 190 patients with critical limb ischemia who underwent endovascular treatment (EVT) for below-the-knee (BTK) lesions were enrolled in this study. Sarcopenia was defined using the psoas muscle index (PMI). PMI was obtained by calculating the average psoas muscle area (APMA) of the left and right psoas muscles at the third lumbar vertebra level and dividing by the square of the height (cm2/m2). The primary endpoint of the study was 1-year mortality and the secondary endpoint was 1-year amputation. Patients were divided into 2 groups according to presence of sarcopenia. Results: We detected sarcopenia in 64 patients. The mean age, height, and EF were higher in sarcopenia group. The psoas muscle area, weight, psoas muscle index, body-mass index, albumin level, and GFR were lower in sarcopenia group. The incidence of amputation (11.9% vs 29.7%, p = 0.003) and mortality (15.1% vs 35.9%, p = 0.001) were higher in patients with sarcopenia. Univariate and multivariate logistic regression analyses were used to determine the independent predictors of amputation and mortality. The survival curve for 1-year using the sarcopenia was analyzed using the Kaplan–Meier method, and statistical analysis was performed with the log-rank test. The presence of sarcopenia, glomerular filtration rate level, and low ejection fraction were found to be independent predictors of mortality. Conclusions: Sarcopenia was associated with 1-year mortality in patients with CLI undergoing EVT for BTK lesions. Also, patients with sacropenia had higher 1-year amputation rates. Sarcopenia may be a simple method to help patient selection, assessment, and intervention strategy for EVT and may improve patient outcomes. [ABSTRACT FROM AUTHOR]

Published
2023
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10. Clinical safety and efficacy of thrombolytic therapy with low-dose prolonged infusion of tissue type plasminogen activator in patients with intermediate-high risk pulmonary embolism

Author

Güner, Ahmet, primary, Kalçik, Macit, additional, Aykan, Ahmet Ç., additional, Gürsoy, Mustafa O., additional, Kalkan, Ali K., additional, Astarcioğlu, Mehmet A., additional, Ertürk, Mehmet, additional, Uzun, Fatih, additional, Güner, Ezgi G., additional, Yildiz, Mustafa, additional, and Özkan, Mehmet, additional

Published
2020
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14. Assessment of relationship between galectin-3 and ambulatory ECG-based microvolt T-wave alternans in sustained systolic-diastolic hypertension patients

Author

Pusuroglu, Hamdi, primary, Akgul, Ozgur, additional, Erturk, Mehmet, additional, Bolat, Ismail, additional, Tasbulak, Omer, additional, Ornek, Vesile, additional, Gul, Mehmet, additional, Ozyilmaz, Sinem O., additional, Yildirim, Hayriye A., additional, Kokturk, Uğur, additional, Yilmaz, Emre, additional, Kalkan, Ali K., additional, and Durmuş, Gunduz, additional

Published
2016
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