VİSSERAL ADİPOZİTE İNDEKSİ İLE KORONER ARTER HASTALIĞI ARASINDAKİ İLİŞKİ The Relationship Between Visceral Adiposity Index And Coronary Artery Disease

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Anahtar Kelimeler:

VİSSERAL ADİPOZİTE İNDEKSİ İLE KORONER ARTER HASTALIĞI ARASINDAKİ İLİŞKİ The Relationship Between Visceral Adiposity Index And Coronary Artery Disease

Traumatic Popliteal and Infrapopliteal Arterial Injuries (Findings, Risk Factors and Treatment)

Objective: Limb loss following popliteal and infrapopliteal traumatic arterial injury has serious implicationson the patient’s life and functionality. The objective of this study is to review popliteal and infrapoplitealarterial injuries treated in our clinic retrospectively.Material and Methods: Between January 2012 and November 2018; 30 patients whom underwentemergency surgery due to traumatic popliteal and infrapopliteal arterial injuries were analyzed.Results: There were 27 (90%) males and 3 (10%) females. The mechanism of injuries was stab wounds in43% of the cases (Group 1), gunshot wounds in 23,3% (Group 2) and blunt trauma in 33.3% (Group 3). Themean MESS score was 3.90 in all cases, while it was 3.15±1.57 in Group 1, 4±0.82 in Group 2 and 4.8±1.32in Group 3. All 3 cases of amputation were resulted from blunt trauma. A shorter length of hospitalizationwas observed in patients with stab wounds compared to other injury types (p<0.001). Primary repair wasperformed in 8 (20.5%), reverse saphenous vein interposition in 20 (51.2%), and ligation was in 11 cases(28.2%). Compartment syndrome was developed in one patient in Group 1, 4 patients in Group 2 and 1 inGroup 3. Three patients were undergone in group 3.Conclusion: It is important to provide accurate and rapid diagnosis by physical examination, appropriateimaging methods and providing revascularization with appropriate methods and performing fasciotomy,when necessary, in order to save the patient and related extremity

Keywords:

Trauma, Arterial injury, Popliteal artery Infrapopliteal arteries,

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1. Hennekens CH. Increasing burden of cardiovascular disease: current knowledge and future directions for research on risk factors. Circulation. 1998;97(11):1095-102. 2. Lennon RP, Claussen KA, Kuersteiner KA. State of the Heart: An Overview of the Disease Burden of Cardiovascular Disease from an Epidemiologic Perspective. Primary care. 2018;45(1):1-15. 3. Poirier P, Giles TD, Bray GA, Hong Y, Stern JS, Pi-Sunyer FX, et al. Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss. Arteriosclerosis, thrombosis, and vascular biology. 2006;26(5):968-76. 4. Roberson LL, Aneni EC, Maziak W, Agatston A, Feldman T, Rouseff M, et al. Beyond BMI: The "Metabolically healthy obese" phenotype & its association with clinical/subclinical cardiovascular disease and all-cause mortality -- a systematic review. BMC public health. 2014;14:14. 5. Amato MC, Giordano C, Galia M, Criscimanna A, Vitabile S, Midiri M, et al. Visceral Adiposity Index: a reliable indicator of visceral fat function associated with cardiometabolic risk. Diabetes care. 2010;33(4):920-2. 6. Sianos G, Morel MA, Kappetein AP, Morice MC, Colombo A, Dawkins K, et al. The SYNTAX Score: an angiographic tool grading the complexity of coronary artery disease. EuroIntervention: journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology. 2005;1(2):219-27. 7. Davidson MH. Cardiovascular risk factors in a patient with diabetes mellitus and coronary artery disease: therapeutic approaches to improve outcomes: perspectives of a preventive cardiologist. The American journal of cardiology. 2012;110(9 Suppl):43b-9b. 8. Hanna-Moussa A, Gardner MJ, Kurukulasuriya LR, Sowers JR. Dysglycemia/prediabetes and cardiovascular risk factors. Reviews in cardiovascular medicine. 2009;10(4):202-8. 9. Schinner S, Futh R, Kempf K, Martin S, Willenberg HS, Schott M, et al. A progressive increase in cardiovascular risk assessed by coronary angiography in non-diabetic patients at sub-diabetic glucose levels. Cardiovascular diabetology. 2011;10:56. 10. Shimabukuro M, Kozuka C, Taira S, Yabiku K, Dagvasumberel M, Ishida M, et al. Ectopic fat deposition and global cardiometabolic risk: new paradigm in cardiovascular medicine. The journal of medical investigation : JMI. 2013;60(1-2):1-14.