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Karotis endarterektomi yapılan hastalarda kardiyopulmoner baypas ile oluşturulan sistemik hipotermi serebral korumaya yardımcı olabilir mi?

Year 2015, Issue: 1, 67 - 70, 01.04.2015

Abstract

Karotis arter stenozu (KAS) bulunan koroner arter hastalarında (KAH) öncelikle hangi hastalığın tedavi edileceği ve cerrahi girişimin ne zaman olması gerektiği konusu tartışmalıdır. Koroner baypas cerrahisi uygulanacak hastalarda karotis arter hastalığı varsa serebrovasküler olay gelişme riski yüksek kabul edilir. Karotis arter cerrahisi yapılacak hastalarda ciddi koroner lezyonlar varsa işlem sırasında miyokard enfarktüsü gelişme riski fazladır. Bu nedenlerle bu iki hastalık aynı operasyonda tedavi edilmektedir. Bu hastalarda hangi cerrahi stratejinin uygulanacağı mortalite ve morbiditeyi azaltmada esastır. Biz 3 olguda hafif sistemik hipotermi ve kardiyopulmoner baypas altında karotis endarterektomi (KEA) + koroner arter baypas (CABG) uyguladık. Herhangi bir nörolojik komplikasyonla karşılaşmadık.

Can systemic hypothermia under by cardiopulmonary bypass be helpfull in patients with performed carotid endarterectomy?

Year 2015, Issue: 1, 67 - 70, 01.04.2015

Abstract

In the cases of coronary artery disease (CAD) concomittant with carotid artery stenosis (CAS), which to manage first is still a controversial subject. Patients with CAS and who will undergo coronary artery bypass grafting are considered to be under a high risk of cerebrovascular accident. On the other hand patients with CAD and who will undergo surgery for CAS are under high risk of having myocardial infarction during the procedure especially when they have serious coronary artery lesions. For this reason its better to treat both diseaes in same operation. In such surgery the cornerstone is to find the best strategy that can reduce morbidity and mortality. We had 3 cases of CAD and CAS and we had operated them under systemic hypothermia and cardiopulmonary bypass by carotid endareterctomy (CEA) and coronary artery bypass grafting (CABG). We had not any neurological complication.

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Details

Other ID JA45ED87BT
Journal Section Research Article
Authors

İhsan Alur This is me

Mohammad Alşalaldeh This is me

Fırat Durna This is me

Bilgin Emrecan This is me

Publication Date April 1, 2015
Submission Date April 1, 2015
Published in Issue Year 2015 Issue: 1

Cite

APA Alur, İ., Alşalaldeh, M., Durna, F., Emrecan, B. (2015). Can systemic hypothermia under by cardiopulmonary bypass be helpfull in patients with performed carotid endarterectomy?. Pamukkale Medical Journal(1), 67-70.
AMA Alur İ, Alşalaldeh M, Durna F, Emrecan B. Can systemic hypothermia under by cardiopulmonary bypass be helpfull in patients with performed carotid endarterectomy?. Pam Med J. April 2015;(1):67-70.
Chicago Alur, İhsan, Mohammad Alşalaldeh, Fırat Durna, and Bilgin Emrecan. “Can Systemic Hypothermia under by Cardiopulmonary Bypass Be Helpfull in Patients With Performed Carotid Endarterectomy?”. Pamukkale Medical Journal, no. 1 (April 2015): 67-70.
EndNote Alur İ, Alşalaldeh M, Durna F, Emrecan B (April 1, 2015) Can systemic hypothermia under by cardiopulmonary bypass be helpfull in patients with performed carotid endarterectomy?. Pamukkale Medical Journal 1 67–70.
IEEE İ. Alur, M. Alşalaldeh, F. Durna, and B. Emrecan, “Can systemic hypothermia under by cardiopulmonary bypass be helpfull in patients with performed carotid endarterectomy?”, Pam Med J, no. 1, pp. 67–70, April 2015.
ISNAD Alur, İhsan et al. “Can Systemic Hypothermia under by Cardiopulmonary Bypass Be Helpfull in Patients With Performed Carotid Endarterectomy?”. Pamukkale Medical Journal 1 (April 2015), 67-70.
JAMA Alur İ, Alşalaldeh M, Durna F, Emrecan B. Can systemic hypothermia under by cardiopulmonary bypass be helpfull in patients with performed carotid endarterectomy?. Pam Med J. 2015;:67–70.
MLA Alur, İhsan et al. “Can Systemic Hypothermia under by Cardiopulmonary Bypass Be Helpfull in Patients With Performed Carotid Endarterectomy?”. Pamukkale Medical Journal, no. 1, 2015, pp. 67-70.
Vancouver Alur İ, Alşalaldeh M, Durna F, Emrecan B. Can systemic hypothermia under by cardiopulmonary bypass be helpfull in patients with performed carotid endarterectomy?. Pam Med J. 2015(1):67-70.

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