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    The Effect of Periodic Examination Time Interval and Frequency After Percutaneous Coronary Intervention on Experiencing Second Acute Coronary Syndrome
    (Duzce Univ, Fac Medicine, 2022) Balaban, Yakup; Cosansu, Kahraman
    Objective: The aim of this study was to evaluate the effect of follow-ups of patients who underwent percutaneous coronary intervention (PCI) at short (<6 months) and long-term intervals and media on their experiencing attacks of acute coronary syndrome (ACS).Methods: The data of 281 patients who underwent twice PCI in our clinic were retrospectively analyzed. The patients were divided into two groups as those who came to the controls regularly at intervals of <= 6 months (Group 1, n: 157) and those who came irregularly or at intervals of more than 6 months (Group 2, n: 124). We investigated whether regular periodic controls have any positive effect on adequate statin use, experiencing acute coronary syndrome episodes and cardiac mortality.Results: In Group 2; frequency of ACS [87.8% versus 20.6%, p<0.001], insufficient use of statins [86.4% versus 16.7% p <0.001], and withdrawal of statins by media influence [64.0% versus 5.1% p <0.001] was higher than Group 1.Conclusions: Looking at the results of the study; it can be said that regular follow-up of patients with a cardiac event at 6-month intervals reduces the rate of acute coronary syndrome experience and treatment compliance is better in these people.
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    The Effect of Periodic Examination Time Interval and Frequency After “Percutaneous Coronary Intervention” on Experiencing Second "Acute Coronary Syndrome"
    (2022) Coşansu, Kahraman; Balaban, Yakup
    Objective: The aim of this study was to evaluate the effect of follow-ups of patients who underwent percutaneous coronary intervention (PCI) at short (<6 months) and long-term intervals and media on their experiencing attacks of acute coronary syndrome (ACS). Methods: The data of 281 patients who underwent twice PCI in our clinic were retrospectively analyzed. The patients were divided into two groups as those who came to the controls regularly at intervals of ? 6 months (Group 1, n: 157) and those who came irregularly or at intervals of more than 6 months (Group 2, n: 124). We investigated whether regular periodic controls have any positive effect on adequate statin use, experiencing acute coronary syndrome episodes and cardiac mortality. Results: In Group 2; frequency of ACS [87.8% versus 20.6%, p<0.001], insufficient use of statins [86.4% versus 16.7% p <0.001], and withdrawal of statins by media influence [64.0% versus 5.1% p <0.001] was higher than Group 1. Conclusions: Looking at the results of the study; it can be said that regular follow-up of patients with a cardiac event at 6-month intervals reduces the rate of acute coronary syndrome experience and treatment compliance is better in these people.
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    The effect of periodic examination time interval and frequency after “percutaneous coronary intervention” on experiencing second "acute coronary syndrome"
    (2022) Balaban, Yakup; Coşansu, Kahraman
    The Effect of Periodic Examination Time Interval and Frequency After “Percutaneous Coronary Intervention” on Experiencing Second "Acute Coronary Syndrome"
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    Successful retrograde visualization and recanalization of chronic ostial occlusion of the left main coronary artery via a saphenous vein graft with the drilled balloon technique
    (Sage Publications Ltd, 2019) Balaban, Yakup; Elevli, Murat Guclu
    We are representing a case of successful retrograde recanalization of a chronic ostial occlusive lesion of the left main coronary artery (LMCA) via a saphenous vein graft. A 70-year-old male patient, with a history of previous (3 years ago) coronary artery bypass surgery, was evaluated with coronary angiography because of his recent anginal symptoms. Left main coronary artery could not be visualized from the aortic root. It could be visualized with drilled balloon technique which was introduced retrogradely from a saphenous vein graft, and the chronic ostial lesion of the LMCA could be treated with balloon dilatation and stenting. Coronary occlusions can be treated retrogradely via the native collaterals and grafts. The coronaries that are not visualized with an antegrade fashion can be visualized with a retrograde way with the drilled balloon introduced through a patent graft. We could not find any publication about this technique on the web-based research. When encountered with a totally occluded ostial lesion of the LMCA, that cannot be visualized even from the aortic root, it may be tried to be visualized through a patent graft retrogradely. This is a safe and reliable method in patients with a total occlusion of the LMCA who also have a patent saphenous vein graft.