Browsing by Author "Değirmencioğlu, Aleks"

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    Contrast Induced Nephropathy can be Surpassed with Meticulous Attention Even in Patients with Severe Renal Dysfunction
    (Acıbadem Mehmet Ali Aydınlar Üniversitesi, 2013-07) Değirmencioğlu, Aleks; Karakuş, Gültekin; Zencirci, Ertuğrul; Akyol, Ahmet
    ABSTRACT Contrast induced nephropathy (CIN) is one of the most important complications of the percutaneous coronary intervention (PCI) and may lead to dialysis especially in the presence of baseline high creatinine level. Here we describe coronary angiography and subsequent successful PCI of proximal left anterior descending (LAD) artery lesion without developing CIN in patient who has medically refractory angina pectoris and baseline very high creatinine level (6.3 mg/dl). This case report illustrates the potential role of invasive approach in patients with coronary artery disease even in the presence of severe renal dysfunction by using preventive measures and close monitoring.
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    Reversal of Severe Vasospasm Causing Transradial Angiogram Catheter Entrapment by Low Dose Sedation
    (Acıbadem Mehmet Ali Aydınlar Üniversitesi, 2015-04-01) Zencirci, Ertuğrul; Değirmencioğlu, Aleks; Karakul, Gültekin
    ABSTRACT One of the major disadvantages of the transradial approach during cardiac interventions is radial artery spasm. Severe vasospasm of the radial artery causing catheter entrapment is less frequently encountered and its man agement has rarely been reported. Herein, a 72-year-old female patient who was scheduled for an elective left heart catheterization due to exer tional angina pectoris is reported. During transradial diagnostic coronary angiography, catheter entrapment occurred due to severe vasospasm of the radial artery. Reversal of severe vasospasm and release of entrapped cath eter was not possible until low dose sedation with intravenous midazolam was given. This case report demonstrates that low dose sedation with intra venous midazolam could be used effectively to reverse resistant vasopasm of the radial artery during transradial interventions.