16 results on '"Yılmaz, Emine Hekim"'
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2. Effect of different dose regimens of everolimus in a series of neonates with giant cardiac rhabdomyomas.
- Author
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Babaoğlu, Kadir, Başar, Eviç Zeynep, Usta, Emre, Yılmaz, Emine Hekim, and Günlemez, Ayla
- Published
- 2023
- Full Text
- View/download PDF
3. A novel Fontan Y-graft for interrupted inferior vena cava and azygos continuation
- Author
-
Lashkarinia, S. Samaneh; Pekkan, Kerem (ORCID 0000-0001-7637-4445 & YÖK ID 161845); Rezaeimoghaddam, Mohammad; Rasooli, Reza, Çicek, Murat; Köse, Banu; Yılmaz, Emine Hekim; Aydemir, Numan Ali; Özkök, Serçin; Yurtseven, Nurgül; Erdem, Hasan; Sasmazel, Ahmet, Graduate School of Sciences and Engineering; College of Engineering, Department of Mechanical Engineering, Lashkarinia, S. Samaneh; Pekkan, Kerem (ORCID 0000-0001-7637-4445 & YÖK ID 161845); Rezaeimoghaddam, Mohammad; Rasooli, Reza, Çicek, Murat; Köse, Banu; Yılmaz, Emine Hekim; Aydemir, Numan Ali; Özkök, Serçin; Yurtseven, Nurgül; Erdem, Hasan; Sasmazel, Ahmet, Graduate School of Sciences and Engineering; College of Engineering, and Department of Mechanical Engineering
- Abstract
Objectives: to evaluate the hemodynamicdynamic advantage of a new Fontan surgical template that is intended for complex single-ventricle patients with interrupted inferior vena cava-azygos and hemi-azygos continuation. The new technique has emerged from a comprehensive pre-surgical simulation campaign conducted to facilitate a balanced hepatic flow and somatic Fontan pathway growth after Kawashima procedure. Methods: for 9 patients, aged 2 to 18 years, majority having poor preoperative oxygen saturation, a pre-surgical computational fluid dynamics customization is conducted. Both the traditional Fontan pathways and the proposed novel Y-graft templates are considered. Numerical model was validated against in vivo phase-contrast magnetic resonance imaging data and in vitro experiments. Results: the proposed template is selected and executed for 6 out of the 9 patients based on its predicted superior hemodynamic performance. Pre-surgical simulations performed for this cohort indicated that flow from the hepatic veins (HEP) do not reach to the desired lung. The novel Y-graft template, customized via a right- or left-sided displacement of the total cavopulmonary connection anastomosis location resulted a drastic increase in HEP flow to the desired lung. Orientation of HEP to azygos direct shunt is found to be important as it can alter the flow pattern from 38% in the caudally located direct shunt to 3% in the cranial configuration with significantly reversed flow. The postoperative measurements prove that oxygen saturation increased significantly (P-value = 0.00009) to normal levels in 1 year follow-up. Conclusions: the new Y-graft template, if customized for the individual patient, is a viable alternative to the traditional surgical pathways. This template addresses the competing hemodynamic design factors of low physiological venous pressure, high postoperative oxygen saturation, low energy loss and balanced hepatic growth factor distribution possibly assuring adequate, European Union (EU); Horizon 2020; European Research Council (ERC); Proof of Concept Grant; BloodTurbine; ERC Starting Grant; Scientific and Technological Research Council of Turkey (TÜBİTAK); 1003 Priority-Research Program Grant
- Published
- 2022
4. Outcomes of Norwood procedure with hypoplastic left heart syndrome: our 12-year single-center experience
- Author
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Biçer, Mehmet, Özdemir, Fatih; Korun, Oktay; Dedemoğlu, Mehmet; Çiçek, Murat; Yurdakok, Okan; Altın, Hüsnü Fırat; Yılmaz, Emine Hekim; Yurtseven, Nurgül; Aydemir, Numan Ali; Sasmazel, Ahmet, Koç University Hospital, Biçer, Mehmet, Özdemir, Fatih; Korun, Oktay; Dedemoğlu, Mehmet; Çiçek, Murat; Yurdakok, Okan; Altın, Hüsnü Fırat; Yılmaz, Emine Hekim; Yurtseven, Nurgül; Aydemir, Numan Ali; Sasmazel, Ahmet, and Koç University Hospital
- Abstract
Background: in this study, we aimed to analyze the predictors and risk factors of mortality in patients who underwent Norwood I procedure with the diagnosis of hypoplastic left heart syndrome. Methods: between January 2009 and December 2020, a total of 139 patients (95 males, 44 females) who underwent Norwood I procedure with the diagnosis of hypoplastic left heart syndrome in our center were retrospectively analyzed. Results: the median birth weight was 3,200 (range, 3,000 to 3,350) g and the median age at the time of operation was seven (range, 5 to 10) days. Pulmonary flow was achieved with a Sano shunt in the majority (72%) of patients. Survival rate was 41% after the first stage. Reoperation for bleeding (p=0.017), reoperation for residual lesion (p=0.011), and postoperative peak lactate level (p=0.029), were associated with in-hospital mortality. Nineteen (33%) of 57 patients died before the second stage. Thirty-three (58%) patients underwent second stage, and survival after the second stage was 94%. Thirteen patients underwent third stage, and survival after the third stage was 85%. Estimated probability of survival at six months, and one, two, three, and four years were 33%, 33%, 25%, 25%, and 22% respectively. Conclusion: hospital and inter-stage mortality rates are still high and this seems to be the most challenging period in term of survival efforts of the patients with hypoplastic left heart syndrome. Early recognition and reintervention of anatomical residual defects, close follow-up in the inter-stage period, and the accumulation of multidisciplinary experience may help to improve the results to acceptable limits. / Amaç: bu çalışmada, hipoplastik sol kalp sendromu tanısıyla Norwood I işlemi uygulanan hastalarda mortalitenin öngörücüleri ve risk faktörleri incelendi. Ça¬lış¬ma pla¬nı: Ocak 2009 ve Aralık 2020 tarihleri arasında merkezimizde hipoplastik sol kalp sendromu tanısıyla Norwood I işlemi uygulanan toplam 139 hasta (95 erkek, 44 kadın) retrosp, NA
- Published
- 2022
5. A novel Fontan Y-graft for interrupted inferior vena cava and azygos continuation
- Author
-
Lashkarinia, S Samaneh, primary, Cicek, Murat, additional, Kose, Banu, additional, Rezaeimoghaddam, Mohammad, additional, Yılmaz, Emine Hekim, additional, Aydemir, Numan Ali, additional, Rasooli, Reza, additional, Ozkok, Sercin, additional, Yurtseven, Nurgul, additional, Erdem, Hasan, additional, Pekkan, Kerem, additional, and Sasmazel, Ahmet, additional
- Published
- 2022
- Full Text
- View/download PDF
6. novel Fontan Y-graft for interrupted inferior vena cava and azygos continuation.
- Author
-
Lashkarinia, S Samaneh, Cicek, Murat, Kose, Banu, Rezaeimoghaddam, Mohammad, Yılmaz, Emine Hekim, Aydemir, Numan Ali, Rasooli, Reza, Ozkok, Sercin, Yurtseven, Nurgul, Erdem, Hasan, Pekkan, Kerem, and Sasmazel, Ahmet
- Published
- 2022
- Full Text
- View/download PDF
7. Single-Stage Fontan Operation in a Patient With Coronary Sinus Ostium Atresia
- Author
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Korun, Oktay, primary, Altın, Hüsnü Fırat, additional, Yurdakök, Okan, additional, Çiçek, Murat, additional, Kılıç, Yiğit, additional, Selçuk, Arif, additional, Altuntaş, Yasemin, additional, Yılmaz, Emine Hekim, additional, Aydemir, Numan Ali, additional, and Şaşmazel, Ahmet, additional
- Published
- 2020
- Full Text
- View/download PDF
8. Systolic dysfunction of systemic ventricle in patients who underwent a fontan operation
- Author
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Öner, Taliha, primary, Ballı, Şevket, additional, Yılmaz, Emine Hekim, additional, Bulut, Mustafa Orhan, additional, Şaşmazel, Ahmet, additional, and Çelebi, Ahmet, additional
- Published
- 2019
- Full Text
- View/download PDF
9. Pediyatrik Kardiyak Cerrahi Sonrası Ekstrakorporeal Membran Oksijenasyonu Uygulanan Hastalarda Organ Disfonksiyonu ve Mortalite İlişkisi.
- Author
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Erese, Nihal Sirakaya, Yurtseven, Nurgül, Yılmaz, Emine Hekim, Yurdakök, Okan, and Yaka, Suna
- Subjects
BLOOD urea nitrogen ,CONGENITAL heart disease ,ASPARTATE aminotransferase ,ALANINE aminotransferase ,PEDIATRIC surgery - Abstract
Copyright of Journal of the Society of Thoracic Carido-Vascular Anaesthesia & Intensive Care is the property of Gogus Kalp Damar Anestezi ve Yogun Bakim Dernegi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
- Full Text
- View/download PDF
10. Use of covered stents in simultaneous management of coarctation of the aorta and patent ductus arteriosus.
- Author
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Yılmaz, Emine Hekim, Bulut, Mustafa Orhan, Küçük, Mehmet, Yücel, İlker Kemal, Erdem, Abdullah, and Çelebi, Ahmet
- Subjects
- *
AORTIC coarctation , *CARDIAC surgery , *AORTA abnormalities , *ECHOCARDIOGRAPHY , *DUCTUS arteriosus , *THERAPEUTICS - Abstract
Objective: To report clinical and procedural characteristics of twelve patients who received a covered stent for the treatment of aortic coarctation and concurrent patent ductus arteriosus (PDA). Methods: A single center database was retrospectively evaluated to obtain data of patients with combined aortic coarctation and PDA. We selected patients in whom a covered stent was used for the treatment of both pathologies. The stent length was chosen so as to cover the entire length of the lesion from healthy to healthy tissue and also cover the ampulla of PDA. Results: The median age of the patients was 15 (range, 6.5-35) years. The diameter of the coarctated segment increased from a median of 8.4 (range, 2.6-10.8) mm to 16 (range, 9-24) mm (p<0.005), whereas the pressure gradient decreased from a median of 43 (range, 10-71) mm Hg to 0 (range, 0-8) mm Hg (p<0.005). Fourteen covered stents were used for 12 patients. Following deployment, seven stents were flared with larger and low-pressure balloons because of the gap between the distal end of the stent and the poststenotic dilated segment of the aorta, which caused residual PDA shunts and/or instability of the stent. After the procedure, no residual PDA shunt was present in any patient. Conclusion: To the best of our knowledge, this study includes the largest series of patients reported in literature in whom covered CP stents were used for simultaneous percutaneous treatment of coarctation and PDA. The procedure was successful and stable results were obtained during follow-up in all cases. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
11. Midterm evaluation of echocardiographic examination, cardiac catheterization findings and surgical results of patients with congenitally corrected transposition of great arteries: A single center experience.
- Author
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BULUT, Mustafa Orhan, YÜCEL, İlker Kemal, BALLı, Şevket, HEKİM YıLMAZ, Emine Hekİm, Çevİk, Ayhan, and ÇELEBİ, Ahmet
- Subjects
CARDIAC catheterization ,MEDICAL records ,EBSTEIN'S anomaly - Abstract
Copyright of Journal of Dr. Behcet Uz Children's Hospital is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2017
- Full Text
- View/download PDF
12. Pulmoner Kapak Yokluğu Sendromu ile Beraber Olan Fallot Teralojisi'nde Nadir Görülen Kardiyak Anomali.
- Author
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Akgün, Gökmen, Ergin, Selma Oktay, Yılmaz, Emine Hekim, Öner, Taliha, and Çelebi, Ahmet
- Subjects
CARDIOVASCULAR system abnormalities ,CONGENITAL heart disease ,PATENT ductus arteriosus ,PULMONARY artery ,TETRALOGY of Fallot ,PULMONARY valve ,PULMONARY valve diseases ,DISEASE complications ,DISEASE risk factors - Abstract
Copyright of Medical Bulletin of Haseki / Haseki Tip Bulteni is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
- Full Text
- View/download PDF
13. A different approach to treatment of failing Fontan: Transcatheter covered stent implantation.
- Author
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Yücel, İlker Kemal, Ballı, Şevket, Yılmaz, Emine Hekim, and Çelebi, Ahmet
- Abstract
Copyright of Archives of the Turkish Society of Cardiology / Türk Kardiyoloji Derneği Arşivi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
- Full Text
- View/download PDF
14. LOKAL ANESTEZİĞE BAĞLI METHEMOGLOBİNEMİ TEDAVİSİNDE ASKORBİK ASİT KULLANIMI.
- Author
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Baş, Hilal, Kul, Berrin, Akgün, Gökmen, Yılmaz, Emine Hekim, and Yurtseven, Nurgül
- Abstract
Copyright of Journal of Pediatric Emergency & Intensive Care Medicine / Çocuk Acil ve Voğun Bakım Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
15. Outcomes of Norwood procedure with hypoplastic left heart syndrome: Our 12-year single-center experience
- Author
-
Fatih Özdemir, Oktay Korun, Mehmet Dedemoğlu, Murat Çiçek, Mehmet Biçer, Okan Yurdakök, Hüsnü Fırat Altın, Emine Hekim Yılmaz, Nurgül Yurtseven, Numan Ali Aydemir, Ahmet Şaşmazel, Biçer, Mehmet, Özdemir, Fatih, Korun, Oktay, Dedemoğlu, Mehmet, Çiçek, Murat, Yurdakok, Okan, Altın, Hüsnü Fırat, Yılmaz, Emine Hekim, Yurtseven, Nurgül, Aydemir, Numan Ali, Sasmazel, Ahmet, and Koç University Hospital
- Subjects
Pulmonary and Respiratory Medicine ,Hypoplastic left heart syndrome ,Inter-stage mortality ,Norwood procedure ,Surgery ,Cardiology and Cardiovascular Medicine - Abstract
Background: in this study, we aimed to analyze the predictors and risk factors of mortality in patients who underwent Norwood I procedure with the diagnosis of hypoplastic left heart syndrome. Methods: between January 2009 and December 2020, a total of 139 patients (95 males, 44 females) who underwent Norwood I procedure with the diagnosis of hypoplastic left heart syndrome in our center were retrospectively analyzed. Results: the median birth weight was 3,200 (range, 3,000 to 3,350) g and the median age at the time of operation was seven (range, 5 to 10) days. Pulmonary flow was achieved with a Sano shunt in the majority (72%) of patients. Survival rate was 41% after the first stage. Reoperation for bleeding (p=0.017), reoperation for residual lesion (p=0.011), and postoperative peak lactate level (p=0.029), were associated with in-hospital mortality. Nineteen (33%) of 57 patients died before the second stage. Thirty-three (58%) patients underwent second stage, and survival after the second stage was 94%. Thirteen patients underwent third stage, and survival after the third stage was 85%. Estimated probability of survival at six months, and one, two, three, and four years were 33%, 33%, 25%, 25%, and 22% respectively. Conclusion: hospital and inter-stage mortality rates are still high and this seems to be the most challenging period in term of survival efforts of the patients with hypoplastic left heart syndrome. Early recognition and reintervention of anatomical residual defects, close follow-up in the inter-stage period, and the accumulation of multidisciplinary experience may help to improve the results to acceptable limits. / Amaç: bu çalışmada, hipoplastik sol kalp sendromu tanısıyla Norwood I işlemi uygulanan hastalarda mortalitenin öngörücüleri ve risk faktörleri incelendi. Ça¬lış¬ma pla¬nı: Ocak 2009 ve Aralık 2020 tarihleri arasında merkezimizde hipoplastik sol kalp sendromu tanısıyla Norwood I işlemi uygulanan toplam 139 hasta (95 erkek, 44 kadın) retrospektif olarak incelendi. Bulgular: medyan doğum ağırlığı 3200 (dağılım, 3000-3350) g ve ameliyat sırasında medyan yaş yedi (dağılım, 5-10) gün idi. Hastaların büyük kısmında (%72) pulmoner akım, Sano şant ile sağlandı. İlk aşama sonrası sağkalım %41 idi. Kanama nedeniyle tekrar ameliyat (p=0.017), rezidü anatomik lezyon nedeniyle tekrar ameliyat (p=0.011) ve ameliyat sonrası birinci gün pik laktat seviyesi (p=0.029) hastane mortalitesi ile ilişkili idi. Taburcu edilen 57 hastanın 19’u (%33) ikinci aşamaya ulaşamadan kaybedildi. Otuz üç (%58) hastaya ikinci aşama ameliyatı uygulandı ve ikinci aşama sonrası sağkalım %94 idi. On üç hastaya üçüncü aşama ameliyatı uygulandı ve üçüncü aşama sonrası sağkalım %85 idi. Altı ay ve birinci, ikinci, üçüncü ve dördüncü yılda tahmini sağkalım olasılığı sırasıyla %33, %33, %25, %25 ve %22 idi. So¬nuç: hastane ve aşamalar arası mortalite oranları halen yüksek olup, hipoplastik sol kalp sendromu tanılı hastaların sağkalma çabalarındaki en zorlayıcı zaman dilimi olarak görünmektedir. Anatomik rezidü defektlerin erken tanılanması ve erken yeniden girişim yapılması, aşamalar arası dönemde yakın takip ve multidisipliner birikim ve tecrübe sonuçların kabul edilebilir seviyelere ulaşmasına yardım edebilir., NA
- Published
- 2022
16. A novel fontan Y-graft for interrupted inferior vena cava and azygos continuation
- Author
-
S Samaneh Lashkarinia, Murat Cicek, Banu Kose, Mohammad Rezaeimoghaddam, Emine Hekim Yılmaz, Numan Ali Aydemir, Reza Rasooli, Sercin Ozkok, Nurgul Yurtseven, Hasan Erdem, Kerem Pekkan, Ahmet Sasmazel, Lashkarinia, S. Samaneh, Pekkan, Kerem (ORCID 0000-0001-7637-4445 & YÖK ID 161845), Rezaeimoghaddam, Mohammad, Rasooli, Reza, Çicek, Murat, Köse, Banu, Yılmaz, Emine Hekim, Aydemir, Numan Ali, Özkök, Serçin, Yurtseven, Nurgül, Erdem, Hasan, Sasmazel, Ahmet, Graduate School of Sciences and Engineering, College of Engineering, and Department of Mechanical Engineering
- Subjects
Pulmonary and Respiratory Medicine ,Heart Defects, Congenital ,Intratrial ,Y-Graft ,1004 Medical Biotechnology ,Respiratory System ,Hemodynamics ,Single Ventricle ,1103 Clinical Sciences ,Vena Cava, Inferior ,Computational Fluid Dynamics ,Pulmonary Artery ,Extracardiac ,Fontan Procedure ,Total Cavopulmonary Connection ,Cardiac and cardiovascular systems ,Respiratory system ,Surgery ,Patient-Specific Analysis ,Pre-Surgical Planning ,Humans ,Total cavopulmonary connection ,Computational fluid dynamics ,Y-graft ,Fontan procedure ,Pre-surgical planning ,Single ventricle ,Patient-specific analysis ,Cardiology and Cardiovascular Medicine - Abstract
Objectives: to evaluate the hemodynamicdynamic advantage of a new Fontan surgical template that is intended for complex single-ventricle patients with interrupted inferior vena cava-azygos and hemi-azygos continuation. The new technique has emerged from a comprehensive pre-surgical simulation campaign conducted to facilitate a balanced hepatic flow and somatic Fontan pathway growth after Kawashima procedure. Methods: for 9 patients, aged 2 to 18 years, majority having poor preoperative oxygen saturation, a pre-surgical computational fluid dynamics customization is conducted. Both the traditional Fontan pathways and the proposed novel Y-graft templates are considered. Numerical model was validated against in vivo phase-contrast magnetic resonance imaging data and in vitro experiments. Results: the proposed template is selected and executed for 6 out of the 9 patients based on its predicted superior hemodynamic performance. Pre-surgical simulations performed for this cohort indicated that flow from the hepatic veins (HEP) do not reach to the desired lung. The novel Y-graft template, customized via a right- or left-sided displacement of the total cavopulmonary connection anastomosis location resulted a drastic increase in HEP flow to the desired lung. Orientation of HEP to azygos direct shunt is found to be important as it can alter the flow pattern from 38% in the caudally located direct shunt to 3% in the cranial configuration with significantly reversed flow. The postoperative measurements prove that oxygen saturation increased significantly (P-value = 0.00009) to normal levels in 1 year follow-up. Conclusions: the new Y-graft template, if customized for the individual patient, is a viable alternative to the traditional surgical pathways. This template addresses the competing hemodynamic design factors of low physiological venous pressure, high postoperative oxygen saturation, low energy loss and balanced hepatic growth factor distribution possibly assuring adequate lung development., European Union (EU); Horizon 2020; European Research Council (ERC); Proof of Concept Grant; BloodTurbine; ERC Starting Grant; Scientific and Technological Research Council of Turkey (TÜBİTAK); 1003 Priority-Research Program Grant
- Published
- 2022
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