The Relationship Between Coronary Collateral Circulation and Serum Endocan Levels in Patients with Coronary Chronic Total Occlusions

2019 ◽  
Vol 22 (1) ◽  
pp. 25-29
Author(s):  
Ahmet Seyfeddin Gürbüz ◽  
Yakup Alsancak ◽  
Semi Öztürk ◽  
Süleyman Çağan Efe ◽  
Ali Yaman ◽  
...  
Medicina ◽  
2020 ◽  
Vol 56 (3) ◽  
pp. 99
Author(s):  
Tarik Yildirim ◽  
Birol Ozkan ◽  
Gokhan Alici ◽  
Seda Elcim Yildirim ◽  
Onursal Bugra ◽  
...  

Background: The aim of this study was to investigate whether there is a relationship between coronary collateral circulation (CCC) and contrast associated nephropathy (CAN) in very elderly patients. Methods: Patients aged 90 years or older with at least one major occlusion of the coronary artery proximal or mid-section were included in the study. CCC was graded according to the Rentrop classification. CAN was defined as an increase in blood creatinine value of 25% or more on the second day after coronary angiography. Results: Thirty-six patients who met the study criteria were included in the study. In the study group, CAN developed in 12 patients (CAN (+) group), 24 patients did not develop CAN (CAN (−) group). The creatinine levels before coronary angiography were 1.05 ± 0.12 in the CAN (−) group and 1.22 ± 0.14 in the CAN (+) group. Baseline creatinine values were significantly higher in the CAN (+) group (p = 0.001). The contrast agent used in the CAN (+) group was significantly higher (p = 0.001). In the CAN (+) group, nine patients (43%) had poor collateral circulation, whereas only three patients (20%) had well-developed collateral circulation. In a logistic regression analysis, the collateral class was not a risk factor for CAN, whereas contrast agent volume and basal creatinine were independent predictors of CAN. Conclusion: We found that CCC grade was not associated with the development of CAN in very old patients, but the amount of contrast agent and pre-procedure creatinine values were independent variables in the development of CAN.


2013 ◽  
Vol 21 (4) ◽  
pp. 329-333 ◽  
Author(s):  
Onur Kadir Uysal ◽  
Caner Turkoglu ◽  
Durmus Yildiray Sahin ◽  
Mustafa Duran ◽  
Arafat Yıldırım ◽  
...  

2017 ◽  
pp. 370-375 ◽  
Author(s):  
Murat Gök ◽  
Harun Kundi ◽  
Emrullah Kızıltunç ◽  
Canan Topcuoglu ◽  
Ender Ornek

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