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    Carotid Artery Disease Development after Traumatic Injury Inflicted by a Ram's Horn
    (FORUM MULTIMEDIA PUBLISHING, LLC, 2008) Haberal, I.; Kaplan, M.; Zorman, Y.; Aksoy, T.; Erturk, E.; Akyildiz, M.
    A 36-year-old man presented for treatment of headache, paresthesis, and weakness of his right arm and leg. Examination revealed an atherosclerotic plaque in the left common carotid artery, lying to the left internal carotid artery and resulting in 99% stenosis. The plaque was removed successfully by carotid endarterectomy. Pathological examination of the tissue confirmed the diagnosis of an atherosclerotic plaque. Detailed investigation of risk factors led to the conclusion that the stenosis of the carotid artery was due to blunt trauma caused by an injury that had occurred 30 years previously when the patient was gored by a ram's horn.
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    Endovascular Approach to Patients with Aortic Aneurysms and Dissections Unfit For Conventional Surgery; Report of One Year Study From a Single Center
    (JOHN WILEY & SONS LTD, 2010) Onar, C-L.; Akyildiz, M.; Aksoy, T.; Zorman, Y.; Erturk, E.; Erden, B.; Dagdeviren, B.; Arbatli, H.
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    PercuTwist: a new alternative to Griggs and Ciaglia's techniques
    (LIPPINCOTT WILLIAMS & WILKINS, 2007) Yurtseven, N.; Aydemir, B.; Karaca, P.; Aksoy, T.; Komurcu, G.; Kurt, M.; Ozkul, V.; Canik, S.
    Background and objective: Tracheostomy is one of the most common procedures in intensive care units worldwide. In this study we aimed to compare three different tracheostomy techniques with respect to duration of procedure and complications. Methods: One hundred and thirty patients requiring endotracheal intubation for more than 10 days due to acute respiratory distress syndrome, infections or cerebrovascular events were consecutively selected to undergo the percutaneous dilatational tracheostomy technique (PDT n = 44), the guide-wire dilating forceps technique group (GWDF n = 41) or the PercuTwist technique (n 45). The time taken to perform the procedure (skin incision to successful placement of tracheostomy tube) and complications were recorded. Results: The operating times were found to be 9.9 +/- 1.1, 6.2 +/- 1.4 and 5.4 +/- 1.2 min in PDT, GWDF and PercuTwist groups, respectively. The duration of the procedure was significantly shorter in the PercuTwist group as compared to the percutaneous dilatational tracheostomy (P < 0.01) and guide-wire dilating forceps (P < 0.05) groups. During postoperative bronchoscopy, eight cases of longitudinal tracheal abrasion (four in the PDT group, two in the GWDF group and two in the PercuTwist group), two cases of posterior tracheal wall injury (one in PDT and one in GWDF) and one case of tracheal ring rupture in the PDT group were seen. Conclusions: Percutaneous tracheostomy techniques have their own advantages and complications. PercuTwist, a new controlled rotating dilatation method, was associated with minimal complications, appears to be easy to perform and a practical alternative to percutaneous dilatational tracheostomy and guide-wire dilating forceps techniques.