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2 results on '"Lütfi Öcal"'

1. A 28-year-old male with spontaneous coronary artery dissection complicated by apical thrombus and acute ischemic stroke: An interesting case

Author

Said Abdirahman Ahmed, MD, Mesut Karataş, MD, Lütfi Öcal, MD, Mohamed Abdullahi Mohamud, MD, Ishak Ahmed Abdi, MD, and Mohamed Omar Hassan, MD

Subjects
Spontaneous coronary artery dissection, ST-elevation myocardial infraction, Stroke, Electrocardiogram, Medical physics. Medical radiology. Nuclear medicine, R895-920
Abstract

Spontaneous coronary artery dissection is described as the intramural bleeding that separates the layers of an epicardial coronary artery wall, either with or without an intimal tear. Atherosclerosis, iatrogenic damage, or trauma are not linked to this syndrome. Here we present a 28-year-old male with 1 month history stroke but no any chronic disease as well family history of heart disease who presented with 2 days' duration of typical cardiac chest pain. Based on an emergency electrocardiogram that showed biphasic T-wave inversion with ST-elevation myocardial infarction, the patient was taken to the a catheterization laboratory(cath-lab), with the result of spontaneous coronary artery dissection of the left anterior dissenting artery with thrombolysis in myocardial infarction flow grade 0 and normal of other vessels. Then we successfully did angioplasty, and the patient was discharged with aspirin 100 mg 1 × 1, clopidogrel 75 mg 1 × 1, and rivaroxaban 20 mg 1 × 1.

Published
2023
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2. The Predictive Role of a Novel Risk Index in Patients Undergoing Carotid Artery Stenting: Systemic Immune-Inflammation Index

Author

Ayhan Kup, Sinan Cerşit, Mehmet Muhsin Türkmen, Cemalettin Yılmaz, Atilla Koyuncu, Adnan Kaya, Mehmet Celik, Muhammed Keskin, Lütfi Öcal, Selami Doğan, and [Belirlenecek]

Subjects
Male, Time Factors, Neutrophils, Carotid arteries, Myocardial Infarction, Lymphocyte Ratio, Risk Factors, Carotid Stenosis, Disease, Myocardial infarction, Hospital Mortality, Lymphocytes, Stroke, Transient Ischemic Attack, Rehabilitation, Endovascular Procedures, Platelet, Middle Aged, Treatment Outcome, Ischemic Attack, Transient, Cardiology, Female, Stents, medicine.symptom, Cardiology and Cardiovascular Medicine, Carotid artery stenting, Blood Platelets, medicine.medical_specialty, Inflammation, Endarterectomy, Outcomes, Risk Assessment, High Neutrophil, Myocardial-Infarction, Predictive Value of Tests, Risk index, Internal medicine, medicine, Humans, In patient, Lymphocyte Count, cardiovascular diseases, Mortality, Aged, Retrospective Studies, business.industry, Platelet Count, medicine.disease, Clinical Predictors, Stenosis, Surgery, Neurology (clinical), business, Mace
Abstract

Background: Inflammatory mechanisms play an important role in both atherosclerosis and stroke. There are several inflammatory peripheral blood count markers associated with carotid artery stenosis degree, symptomatic carotid artery lesions and carotid artery stent restenosis that reported in previous studies. However, the prognostic role of the blood cell counts and their ratios in predicting in-hospital and long-term outcomes in patients undergoing carotid artery stenting (CAS) has not been comprehensively investigated. Systemic immune-inflammation index (SII) proved its' efficiency in patients with solid tumors and its' role was rarely examined in cardiovascular disorders and stroke. The current study evaluated the effect of this novel risk index on in-hospital and long-term outcomes in a large patient population who underwent CAS. Method: A total of 732 patients with carotid artery stenosis who underwent CAS were enrolled to the study. SII was calculated using the following formula: neutrophil-to-lymphocyte ratio pound total platelet count in the peripheral blood (per mm3) and the patients were stratified accordingly: T1, T2 and T3. In-hospital and 5-year outcomes were compared between the tertiles of SII. Results: During the hospitalization, major stroke, ipsilateral stoke, myocardial infarction, death and major adverse cardiovascular events (MACE) rates were significantly higher in high SII level (T3) compared to SII levels (T1 and 2). In longterm outcomes, ipsilateral stroke, major stroke, transient ischemic attack, death, and MACE were significantly higher in the patients with higher SII level (T3). The 5-year Kaplan-Meier overall survival for T1, T2, and T3 were 97.5%, 96.7% and 86.0% respectively. In-hospital and 5-year regression analyses demonstrated that high SII was independently associated with MACE and mortality. Conclusion: SII was independently associated with in-hospital and long-term clinical outcomes in patients undergoing CAS. Immune and inflammation status, as assessed easily and quickly using SII, has a good discriminative value in these patients. WOS:000686903400007 2-s2.0-85109196298 PubMed: 34242858

Published
2021

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