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11 results on '"Okşul, Metin"'

1. Long-term follow-up outcomes in a real-world study cohort after percutaneous patent foramen ovale closure.

Author

Ateş AH, Yorgun H, Canpolat U, Şener YZ, Okşul M, Kaya EB, Şahiner ML, Topcuoğlu MA, Arsava EM, and Aytemir K

Subjects
Adult, Brain Ischemia epidemiology, Cohort Studies, Echocardiography, Embolism, Paradoxical, Female, Follow-Up Studies, Foramen Ovale, Patent diagnostic imaging, Humans, Intraoperative Complications epidemiology, Ischemic Attack, Transient epidemiology, Ischemic Stroke epidemiology, Male, Operative Time, Prosthesis Implantation, Recurrence, Risk Factors, Time Factors, Treatment Outcome, Ultrasonography, Interventional, Foramen Ovale, Patent surgery, Septal Occluder Device adverse effects
Abstract

Objective: In recent years, percutaneous closure of a patent foramen ovale (PFO) has gained widespread use. This study is an evaluation of the safety and efficacy of the Figulla and Amplatzer devices for PFO closure, including long-term follow-up results., Methods: A total of 305 patients (43.6% male; mean age: 43.25±10.98 years) who underwent percutaneous PFO closure between 2003 and 2019 were enrolled. The Risk of Paradoxical Embolism (RoPE) score was calculated to predict the recurrence risk of cerebrovascular events due to PFO. Transthoracic echocardiography was used during the procedure., Results: The devices were successfully implanted in all patients. The in-hospital periprocedural complications recorded were atrial fibrillation in 1 patient (0.3%), supraventricular tachycardia in 1 patient (0.3%), and femoral hematoma in 3 patients (1%). The procedure time and fluoroscopy time was 21.92±2.93 minutes and 2.19±0.24 minutes, respectively. Recurrent ischemic stroke or transient ischemic attack (TIA) was observed in 7 (2.2%) patients during the median 85.77 months (25th-75th percentile: 10.21-108.00 months) follow-up. The RoPE score was significantly lower in patients with recurrent ischemic cerebral event (stroke or TIA) compared with asymptomatic patients (p<0.001). Kaplan-Meier curve analysis revealed that there was no significant difference between PFO device types (Amplatzer: 2.4% vs. Figulla: 3.3%) in terms of recurrent ischemic cerebral events during follow-up (log-rank; p=0.642)., Conclusion: Percutaneous PFO closure was safe, feasible, and effective. Our study confirmed the efficacy and safety of transthoracic echocardiogram guidance during percutaneous closure of PFO, which shortens the procedure time. A lower RoPE score was related to the recurrence risk of ischemic cerebrovascular events.

Published
2021
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2. Pulmonary balloon valvuloplasty in a pregnant woman with severe pulmonary stenosis.

Author

Şener YZ, Şahiner L, Okşul M, Kaya EB, and Aytemir K

Subjects
Balloon Valvuloplasty, Diagnosis, Differential, Echocardiography, Electrocardiography, Female, Humans, Pregnancy, Pregnancy Complications, Cardiovascular physiopathology, Pregnancy Complications, Cardiovascular therapy, Pulmonary Valve Stenosis physiopathology, Pulmonary Valve Stenosis therapy, Severity of Illness Index, Video Recording, Young Adult, Pregnancy Complications, Cardiovascular diagnosis, Prenatal Diagnosis, Pulmonary Valve Stenosis diagnosis
Abstract

Pulmonary valvular stenosis is a rare valvular disease; it accounts for 7% to 12% of all patients with congenital heart disease. Patients with mild or moderate pulmonary stenosis (PS) are usually asymptomatic and the stenosis is often detected incidentally with echocardiography performed for another reason. Severe PS typically presents with symptoms related to increased right ventricular pressure and right heart failure. Valvular heart diseases are associated with increased morbidity and mortality in pregnancy due to cardiovascular alterations that occur during the gestational period, such as increased extracellular volume, a faster heart rate, and decreased venous return due to compression of the vena cava inferior by the enlarged uterus. While mild or moderate PS can be well tolerated in pregnancy, severe PS can lead to maternal and fetal perinatal complications. Presently described is the case of a pregnant patient with severe PS who successfully underwent balloon valvuloplasty in the third trimester.

Published
2019
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11. [Echocardiographic changes in the elderly population].

Author

Okşul M and Özer N

Subjects
Adult, Age Factors, Aged, Aged, 80 and over, Aging physiology, Humans, Middle Aged, Young Adult, Cardiovascular Diseases diagnostic imaging, Cardiovascular System diagnostic imaging, Echocardiography
Abstract

Elderly population rate rises all around the world. Increased life time due to improvements in the treatment of diseases which have high mortality rates, getting easier to reach healthcare services and getting widespread of the antibiotic use is the main cause underlying the increase of geriatric population. Cardiovascular diseases are the most common cause of morbidity and mortality in the overall population. It is well known that the incidence of cardiovascular diseases increases with ageing. Anatomic and functional changes occur in the cardiovascular system as well as all other organ systems with senescence and only some of these changes can be detected clinically while others stay in the subclinical course. Echocardiography is an important option owing to be able to detect most of these changes.

Published
2017
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