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Erek E, Yalçınbaş YK, Sarıosmanoğlu N, Özkan M, Yıldız O, Şenkaya I, Özdemir F, Biçer M, Sarıtaş AB, Atay Y, Seçici S, Kutsal A, Haydin S, Bilen C, Onan IS, Tuncer ON, Citoglu G, Doğan A, Turkoz R, Temur B, Koc M, Sarıoğlu CT. First Harvest of Pediatric and Congenital Heart Surgery Multicenter Database in Turkey: Novel Application of Real-Time Online Reporting. World J Pediatr Congenit Heart Surg 2021; 12:377-386. [PMID: 33942691 DOI: 10.1177/2150135121995474] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES A new congenital heart surgery database (CKCV) with real-time online reporting function was recently developed in Turkey. All standard international parameters were used, but Aristotle Comprehensive Complexity score was modified. In this study, the first analysis of the CKCV Database is reported. METHODS The CKCV Database included 2307 procedures from 12 centers between January 2018 and March 2020. All parameters, including 10 real-time online reports, which represent the number of centers, number and mortality rates of all procedures, number of extracorporeal membrane oxygenation (ECMO) and results, details of postoperative complications, age-group statistics, analysis for priority status, mean intensive care and hospital stay durations of the procedures, results of Aristotle Basic, Modified Aristotle Comprehensive (MACC) and Society of Thoracic Surgeons-European Association (STAT) Score Categories, comparison of centers were analyzed. RESULTS Most common 10 procedures were ventricular septal defect (VSD) repair (n = 273), tetralogy of Fallot (TOF) repair (n = 243), atrial septal defect (ASD) repair (n = 181), complete AVSD repair (n = 95), cavopulmonary anastomosis (n = 81), systemic to pulmonary shunt (n = 79), modified Fontan (n = 71), subaortic resection, (n = 66) PA banding (n = 66), and arterial switch operation (n = 66). Cardiopulmonary bypass was used in 84.6% of the procedures. Overall mortality rate was 6.0%. A total of 618 major and 570 minor complications were observed in 333 and 412 patients, respectively. According to six MACC categories, number of the patients and mortality rates were I (293; 0.3%); II (713; 1.4%); III (601; 3.3%); IV (607; 12%); V (84; 35.7%); and VI (9; 55.6%), respectively. Analysis of five STAT Categories showed 0.7, 3.8, 5.4, 14.9, and 54.7% mortality rates. CONCLUSIONS CKCV Database has a great potential for nationwide quality improvement studies. Users could instantly analyze and compare their results to national and international aggregate data using a real-time online reporting function. This is the first multicenter congenital database study in Turkey.
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Affiliation(s)
- Ersin Erek
- Acibadem Mehmet Ali Aydinlar University, School of Medicine, Atakent Hospital, Istanbul, Turkey.,Children Heart Foundation, Istanbul, Turkey
| | - Yusuf Kenan Yalçınbaş
- Children Heart Foundation, Istanbul, Turkey.,Acibadem Bakirkoy Hospital, Istanbul, Turkey
| | - Nejat Sarıosmanoğlu
- Health Sciences University, Dr. Behçet Uz Training and Research Hospital, Izmir
| | - Murat Özkan
- Başkent University, Ankara Hospital, Ankara, Turkey
| | - Okan Yıldız
- Health Sciences University, Istanbul Mehmet Akif Ersoy Training and Research Hospital, Istanbul, Turkey
| | | | - Fatih Özdemir
- Health Sciences University, Diyarbakır Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkey
| | - Mehmet Biçer
- Health Sciences University, Erzurum Training and Research Hospital, Erzurum, Turkey
| | | | | | | | - Ali Kutsal
- Health Sciences University, Dr. Sami Ulus Training and Research Hospital, Ankara, Turkey
| | - Sertac Haydin
- Health Sciences University, Istanbul Mehmet Akif Ersoy Training and Research Hospital, Istanbul, Turkey
| | - Cagatay Bilen
- Health Sciences University, Dr. Behçet Uz Training and Research Hospital, Izmir
| | - Ismihan Selen Onan
- Health Sciences University, Istanbul Mehmet Akif Ersoy Training and Research Hospital, Istanbul, Turkey
| | | | | | | | - Riza Turkoz
- Acibadem Bakirkoy Hospital, Istanbul, Turkey
| | - Bahar Temur
- Acibadem Mehmet Ali Aydinlar University, School of Medicine, Atakent Hospital, Istanbul, Turkey
| | - Murat Koc
- Health Sciences University, Dr. Sami Ulus Training and Research Hospital, Ankara, Turkey
| | - C Tayyar Sarıoğlu
- Acibadem Mehmet Ali Aydinlar University, School of Medicine, Atakent Hospital, Istanbul, Turkey.,Children Heart Foundation, Istanbul, Turkey.,Acibadem Bakirkoy Hospital, Istanbul, Turkey
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Yüksel A, Kan II, Yolgösteren A, Velioğlu Y, Çayır MÇ, Gürbüz O, Kumtepe G, Akarsu S, Biçer M, Tok M, Şenkaya I. Are the Early Postoperative Outcomes of Coronary Artery Bypass Grafting Surgery in Elderly Women Worse Compared to Men's? Braz J Cardiovasc Surg 2017; 32:191-196. [PMID: 28832797 PMCID: PMC5570389 DOI: 10.21470/1678-9741-2016-0071] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2016] [Accepted: 04/06/2017] [Indexed: 11/13/2022] Open
Abstract
Objective To investigate the impact of gender difference in early postoperative
outcomes in elderly patients (aged 70 or older) undergoing coronary artery
bypass grafting surgery. Methods Between October 2009 and December 2013, a total of 223 elderly patients (aged
70 or older) undergoing isolated primary coronary artery bypass grafting
surgery were included in this retrospective observational cohort study.
Patients were divided into two groups according to their gender. The
patients' medical records were collected, their baseline preoperative
characteristics, operative data, and postoperative outcomes were
retrospectively reviewed, and the effect of gender difference in the early
postoperative outcomes was analyzed. Results Group 1 (female patients) and Group 2 (male patients) consisted of 71 and 152
patients, respectively. Mean age of patients was 74.4±3.6 years
(range: 70-84 years). The level of EuroSCORE I, the incidence of
hypertension and hyperlipidemia were significantly higher in Group 1, while
the rate of smoking was significantly higher in Group 2. Mean postoperative
intubation time, length of intensive care unit and hospital stay were longer
in female patients than in male patients, but these differences were not
statistically significant. No statistically significant difference between
two groups in terms of the transfusion of blood products was observed. The
rates of in-hospital mortality and major postoperative complications were
statistically similar between the two groups. Conclusion In conclusion, the female gender was not associated with worse early
postoperative outcomes in elderly patients undergoing coronary artery bypass
grafting surgery.
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Affiliation(s)
- Ahmet Yüksel
- Department of Cardiovascular Surgery of Bursa State Hospital, Bursa, Turkey
| | - Irem Iris Kan
- Department of Cardiovascular Surgery of Uludag University Faculty of Medicine, Bursa, Turkey
| | - Atıf Yolgösteren
- Department of Cardiovascular Surgery of Uludag University Faculty of Medicine, Bursa, Turkey
| | - Yusuf Velioğlu
- Department of Cardiovascular Surgery of Abant Izzet Baysal University Faculty of Medicine, Bolu, Turkey
| | | | - Orçun Gürbüz
- Department of Cardiovascular Surgery of Balıkesir University Faculty of Medicine, Balıkesir, Turkey
| | - Gencehan Kumtepe
- Department of Cardiovascular Surgery of Balıkesir University Faculty of Medicine, Balıkesir, Turkey
| | - Serkan Akarsu
- Department of Cardiovascular Surgery of Uludag University Faculty of Medicine, Bursa, Turkey
| | - Murat Biçer
- Department of Cardiovascular Surgery of Uludag University Faculty of Medicine, Bursa, Turkey
| | - Mustafa Tok
- Department of Cardiovascular Surgery of Uludag University Faculty of Medicine, Bursa, Turkey
| | - Işık Şenkaya
- Department of Cardiovascular Surgery of Uludag University Faculty of Medicine, Bursa, Turkey
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Biçer M, Özdemir B, Kan İ, Yüksel A, Tok M, Şenkaya I. Long-term outcomes of pericardiectomy for constrictive pericarditis. J Cardiothorac Surg 2015; 10:177. [PMID: 26613929 PMCID: PMC4662820 DOI: 10.1186/s13019-015-0385-8] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2015] [Accepted: 11/18/2015] [Indexed: 11/10/2022] Open
Abstract
Background Constrictive pericarditis is a rare and disabling disease that can result in chronic fibrous thickening of the pericardium. The purpose of this study was to evaluate the long-term outcomes following treatment of constrictive pericarditis by pericardiectomy. Methods Between September 1992 and May 2014, 47 patients who underwent pericardiectomy for constrictive pericarditis were retrospectively examined. Demographic, pre-, intra- and postoperative data and long-term outcomes were analyzed. Results Thirty of the patients were male, the mean age was 45.8 ± 16.7. Aetiology of constrictive pericarditis was tuberculosis in 22 (46.8 %) patients, idiopathic in 15 (31.9 %), malignancy in 3 (6.4 %), prior cardiac surgery in 2 (4.3 %), non-tuberculosis bacterial infections in 2 (4.3 %), radiotherapy in 1 (2.1 %), uraemia in 1 (2.1 %) and post-traumatic in 1 (2.1 %). The surgical approach was achieved via a median sternotomy in all patients except only 1 patient. The mean operative time was 156.4 ± 45.7 min. Improvement in functional status in 80 % of patients’ at least one New York Heart Association (NYHA) functional class was observed. In-hospital mortality rate was 2.1 % (1 of 47 patients). The cause of death was pneumonia leading to progressive respiratory failure. The late mortality rate was 23.4 % (11 of 47 patients). The mean follow-up time was 61.2 ± 66 months. The actuarial survival rates were 91 %, 85 % and 81 % at 1, 5 and 10 years, respectively. Recurrence requiring a repeat pericardiectomy was developed in no patient during follow-up. Conclusion Pericardiectomy is associated with high morbidity and mortality rates. Cases with neoplastic diseases, diminished cardiac output, cases in need of reoperation are expected to have high mortality rates and less chance of functional recovery.
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Affiliation(s)
- Murat Biçer
- Department of Cardiovascular Surgery, Uludağ University Medical Faculty, Bursa, Turkey.
| | - Bülent Özdemir
- Department of Cardiology, Uludağ University Medical Faculty, Görükle Kampüsü, Nilüfer, Bursa, 16000, Turkey.
| | - İris Kan
- Department of Cardiovascular Surgery, Uludağ University Medical Faculty, Bursa, Turkey.
| | - Ahmet Yüksel
- Department of Cardiovascular Surgery, Uludağ University Medical Faculty, Bursa, Turkey.
| | - Mustafa Tok
- Department of Cardiovascular Surgery, Uludağ University Medical Faculty, Bursa, Turkey.
| | - Işık Şenkaya
- Department of Cardiovascular Surgery, Uludağ University Medical Faculty, Bursa, Turkey.
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Biçer M, Bayram AS, Gürbüz O, Şenkaya I, Yerci Ö, Tok M, Anğ E, Moğol EB, Saba D. Assessment of the Efficacy of the Bio-Absorbable Oxidized Regenerated Cellulose for Prevention of Post-Operative Pericardial Adhesion in the Rabbit Model. J Int Med Res 2008; 36:1311-8. [DOI: 10.1177/147323000803600619] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Pericardial adhesions complicate re-operative cardiac surgery and several attempts have been made to reduce adhesion formation. The efficacy of bio-absorbable oxidized regenerated cellulose in preventing post-operative pericardial adhesions was evaluated in the present study. Forty New Zealand white rabbits were divided into four groups of 10. In all rabbits an area of pericardium (2 × 2 cm) was excised. The wound was left open in groups 1 and 2 but replaced with bio-absorbable oxidized regenerated cellulose in groups 3 and 4. Rabbits in groups 1 and 3 were killed 3 weeks after surgery and those in groups 2 and 4 were killed at 6 weeks. Groups 1 and 2 showed more severe pericardial adhesions, more fibrous reaction and increased visibility of coronary vessels than groups 3 and 4, although there was no difference in inflammation. Light microscopy showed a mesothelium-like cell layer in groups 3 and 4. It is concluded that bio-absorbable oxidized regenerated cellulose may be suitable in patients receiving staged cardiac surgery and in those with a high probability of re-operation.
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Affiliation(s)
- M Biçer
- Department of Cardiovascular Surgery, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - AS Bayram
- Department of Thoracic Surgery, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - O Gürbüz
- Department of Cardiovascular Surgery, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - I Şenkaya
- Department of Cardiovascular Surgery, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - Ö Yerci
- Department of Pathology, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - M Tok
- Department of Cardiovascular Surgery, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - E Anğ
- Department of Cardiovascular Surgery, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - EB Moğol
- Department of Anaesthesiology, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - D Saba
- Department of Cardiovascular Surgery, Faculty of Medicine, Uludağ University, Bursa, Turkey
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