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    Popliteal artery and vein occlusion following cerclage wiring of the distal femur: a case report
    (EDIZIONI MINERVA MEDICA, 2008) Narin, C.; Ege, E.; Onoglu, R.; Yeniterzi, M.
    Vascular complications in orthopedic surgery are not frequent, but they can be severe and occasionally limb-threatening. While spontaneous complications are not directly dependent on the surgical procedure, iatrogenic complications are those actively caused by surgical maneuvers or by instrumentation. Although vascular injury during placement of a cerclage wire is feared by all surgeons, its occurrence is rare and we have been able to find only one reported case describing an injury to the femoral artery and vein. This case report describes the surgical management of occlusions of the popliteal artery and vein following a cerclage wiring procedure of the distal femur during a total knee replacement procedure. Surgical treatment was accomplished by resection of the entrapped artery and vein segments and reattachment with end to end anastomosis. The orthopedic surgeon must be aware of prevalent risk of vascular injury during knee surgery and be diligent and methodological about performing preoperative and postoperative vascular examination in these patients.
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    Pre-operative Atorvastatin Therapy to Decrease the Systemic Inflammatory Response after Coronary Artery Bypass Grafting
    (SAGE PUBLICATIONS LTD, 2008) Dereli, Y.; Ege, E.; Kurban, S.; Narin, C.; Sarigul, A.; Yeniterzi, M.
    The effect of pre-operative atorvastatin on systemic inflammatory response syndrome (SIRS), often seen after coronary artery bypass grafting (CABG) was evaluated in 40 patients undergoing elective CABG. Patients were divided into two groups: group I (pre-operative LDL cholesterol 100 mg/dl; n = 20) received 20 mg/day atorvastatin for at least 15 days pre-operatively; group II (pre-operative LDL cholesterol < 100 mg/dl; n = 20) did not receive antihyperlipidaemic agents. All patients underwent CABG with cardiopulmonary bypass. Blood samples were taken pre-operatively and 24 h post-operatively. There were no significant differences between the two groups in terms of demographic, pre-operative or operative parameters. At 24 h post-operatively, median high-sensitivity C-reactive protein and mean interleukin-6 levels were significantly lower in group I compared with group II. There were no other significant differences in postoperative parameters between the two groups, except for duration of stay in the intensive care unit, which was shorter in group I patients. In conclusion, pre-operative atorvastatin treatment in patients undergoing elective CABG decreased inflammation parameters and could be effective in preventing SIRS.