Publications by authors named "Erdal Taşçı"

10 Publications

  • Page 1 of 1

Lung Transplantation for Cystic Fibrosis in Turkey: First Report.

Exp Clin Transplant 2021 Feb 17. Epub 2021 Feb 17.

From the Department of Thoracic Surgery, Kartal Kosuyolu Training and Research Hospital, Istanbul, Turkey.

Objectives: Lung transplant is the most important treatment approach that improves the life expectancy and quality of life for patients with cystic fibrosis with end-stage lung disease. In this study, we retros-pectively analyzed patients with cystic fibrosis who were referred to our lung transplant program in Turkey.

Materials And Methods: We evaluated 14 patients with cystic fibrosis who were referred to our lung transplant clinic between December 2016 and December 2019. The characteristics of the patients at the time of referral to our lung transplant clinic, survival, and lung transplant results were recorded.

Results: Four patients died on the wait list, 3 patients were not eligible for lung transplant, and lung transplant was performed in 7 patients. The mean age of all patients was 22.8 years (range, 11-41 years), and the mean age for patients who underwent lung transplant was 27.5 years (range, 21-41 years). The mean time of suitable donor offer or survival life was 140 days in the patients who were referred for lung transplant. The 1-year mortality rate was 28.6% (2 of 7 patients) after lung transplant. One patient died of chronic lung allograft dysfunction at the 25th month after lung transplant. Four patients were alive without any problems.

Conclusions: Lung transplant is the final treatment method for patients with cystic fibrosis with terminal period lung disease. To provide the best benefit, patients should be evaluated for transplant early. Cystic fibrosis care clinics and lung transplant clinics should work in coordination in order to increase the number of lung transplants and improve outcomes.
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http://dx.doi.org/10.6002/ect.2020.0282DOI Listing
February 2021

Extracorporeal membrane oxygenation as a bridge to lung transplantation in a Turkish lung transplantation program: our initial experience.

J Artif Organs 2021 Mar 27;24(1):36-43. Epub 2020 Aug 27.

Thoracic Surgery, Kartal Kosuyolu Training and Research Hospital, K Blok Cevizli, Kartal, Istanbul, Turkey.

Lung transplantation is a life-saving treatment for patients with end-stage lung disease. Although the number of lung transplants has increased over the years, the number of available donor lungs has not increased at the same rate, leading to the death of transplant candidates on waiting lists. In this paper, we presented our initial experience with the use of extracorporeal membrane oxygenation (ECMO) as a bridge to lung transplantation. Between December 2016 and August 2018, we retrospectively reviewed the use of ECMO as a bridge to lung transplantation. Thirteen patients underwent preparative ECMO for bridging to lung transplantation, and seven patients successfully underwent bridging to lung transplantation. The average age of the patients was 45.7 years (range, 19-62 years). The ECMO support period lasted 3-55 days (mean, 18.7 days; median, 13 days). In seven patients, bridging to lung transplantation was performed successfully. The mean age of patients was 49.8 years (range 42-62). Bridging time was 3-55 days (mean, 19 days; median, 13 days). Two patients died in the early postoperative period. Five patients survived until discharge from the hospital. One-year survival was achieved in four patients. ECMO can be used safely for a long time to meet the physiological needs of critically ill patients. The use of ECMO as a bridge to lung transplantation is an acceptable treatment option to reduce the number of deaths on the waiting list. Despite the successful results achieved, this approach still involves risks and complications.
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http://dx.doi.org/10.1007/s10047-020-01204-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7450232PMC
March 2021

Anticoagulant-induced breast hematoma.

Ulus Travma Acil Cerrahi Derg 2017 Jan;23(1):72-73

Department of Gastroenterology Surgery, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, İstanbul-Turkey.

Warfarin is the most commonly used oral anticoagulant and is widely prescribed to prevent thromboembolic events. Warfarin-dependent spontaneous breast hematoma is a very rare complication. Presently described is rare case of warfarin-induced breast hematoma.
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http://dx.doi.org/10.5505/tjtes.2016.01657DOI Listing
January 2017

Lung transplantation in Turkey: lessons from surgeons and pulmonologists.

Turk J Med Sci 2016 Nov 17;46(5):1434-1442. Epub 2016 Nov 17.

Cardiopulmonary Transplant Unit, Freeman Hospital and University of Northumbria, Newcastle, United Kingdom.

Background/aim: In order to actualize an efficient lung transplantation program, it is necessary to determine priorities and set up strategies. This study aimed to estimate the present situation in Turkey by determining the level of interest and knowledge of pulmonologists and thoracic surgeons regarding lung transplantation.

Materials And Methods: A questionnaire was prepared to establish the level of interest and knowledge of physicians on lung transplantation. It was sent to 2131 pulmonologists and thoracic surgeons, and 130 physicians completed the questionnaire.

Results: Of the 130 physicians who responded, 42 were thoracic surgeons and 88 were pulmonologists. There was no significant difference between the two groups regarding the availability of lung transplantation at their hospitals. The rates of correct answers to the questions and responses supporting the transplant initiative were higher in the thoracic surgeon group than in the pulmonologist group.

Conclusion: The establishment of a successful system for lung transplantation in Turkey requires an increase in interest, knowledge, and dedication of physicians, coupled with adequate and continuous training. There also needs to be sufficient equipment and financing in addition to disciplined multidisciplinary teams and cooperation. This survey shows there is still much work to be done to achieve success in lung transplantation in Turkey.
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http://dx.doi.org/10.3906/sag-1506-51DOI Listing
November 2016

Shape and texture based novel features for automated juxtapleural nodule detection in lung CTs.

J Med Syst 2015 May 3;39(5):46. Epub 2015 Mar 3.

Department of Computer Engineering, Ege University, Izmir, Turkey,

Lung cancer is one of the types of cancer with highest mortality rate in the world. In case of early detection and diagnosis, the survival rate of patients significantly increases. In this study, a novel method and system that provides automatic detection of juxtapleural nodule pattern have been developed from cross-sectional images of lung CT (Computerized Tomography). Shape-based and both shape and texture based 7 features are contributed to the literature for lung nodules. System that we developed consists of six main stages called preprocessing, lung segmentation, detection of nodule candidate regions, feature extraction, feature selection (with five feature ranking criteria) and classification. LIDC dataset containing cross-sectional images of lung CT has been utilized, 1410 nodule candidate regions and 40 features have been extracted from 138 cross-sectional images for 24 patients. Experimental results for 10 classifiers are obtained and presented. Adding our derived features to known 33 features has increased nodule recognition performance from 0.9639 to 0.9679 AUC value on generalized linear model regression (GLMR) for 22 selected features and being reached one of the most successful results in the literature.
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http://dx.doi.org/10.1007/s10916-015-0231-5DOI Listing
May 2015

Unusual presentation of hydatid cyst: diagnosis with bronchoscopy.

J Infect Dev Ctries 2010 Jun 3;4(5):352-4. Epub 2010 Jun 3.

Department of Pediatric Pulmonology, Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital, Istanbul, Turkey.

Hydatid disease is one of the major health problems in countries where hydatidosis is endemic. Atypical radiological findings may lead to misdiagnosis or delay in diagnosis in these patients. A 13-year-old boy was presented who admitted to the hospital with a history of cough and hemoptysis for six months. He had a non-resolving pneumonia. Bronchoscopy showed endobronchial lesion and the diagnosis of hydatid disease was confirmed by pathological examination.
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http://dx.doi.org/10.3855/jidc.658DOI Listing
June 2010

Management of bilateral pneumothoraces after talc pleurodesis and unilateral lung volume reduction surgery.

Interact Cardiovasc Thorac Surg 2010 May 1;10(5):830-2. Epub 2010 Feb 1.

Sureyyapasa Chest Diseases and Thoracic Surgery Teaching and Research Hospital, Istanbul, Turkey.

Lung volume reduction surgery (LVRS) is one of the surgical options in the treatment of advanced emphysema and may also be considered as a 'bridge' operation to lung transplantation in selected patients. Although its long-term effects are still debatable, some patients significantly benefit from this operation. Secondary spontaneous pneumothorax is one of the commonest complications of severe emphysema that necessitates an emergency drainage procedure. However, there is no satisfactory information regarding the management of this complication occurring after LVRS in the literature. This paper reports a case of bilateral pneumothorax three months after a unilateral LVRS that was performed following a contra-lateral talc pleurodesis for recurrent pneumothorax.
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http://dx.doi.org/10.1510/icvts.2009.224931DOI Listing
May 2010

The role of integrated positron emission tomography and computed tomography in the assessment of nodal spread in cases with non-small cell lung cancer.

Interact Cardiovasc Thorac Surg 2010 Feb 19;10(2):200-3. Epub 2009 Nov 19.

Department of Thoracic Surgery, Sureyyapasa Chest Disease and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.

Integrated positron emission tomography and computed tomography (PET/CT) scanning has become the standard for oncologic imaging. We sought to determine the role of PET/CT in mediastinal non-small cell lung cancer staging. One hundred and twenty-seven consecutive patients were enrolled in the study where PET/CT was performed due to pathologically defined non-small cell carcinoma from a single center. They all underwent complete resection with a thoracotomy and systemic lymph node dissection (SLND) between October 2005 and January 2007. Postoperative pathology results of lymph node stations regarding the nodal spread and stage were compared with clinical stage obtained by PET/CT. The sensitivity, specificity, accuracy, negative predictive value (NPV) and positive predictive value (PPV) of PET/CT in N2 cases were determined to be 72.0%, 94.4%, 92.7%, 97.7% and 49.2%, respectively. Maximum standard uptake (SUV(max)) cut-off value for mediastinal N2 involvement in PET/CT was obtained by applying 'receiver operating characteristic' (ROC) analysis that was set to 5.2. Correct stage with PET/CT was established in 76.3% of cases. Staging of non-small cell lung cancer (NSCLC), according to the PET/CT for which we determined 97.79% NPV, we consider that thoracotomy without preoperative mediastinal invasive staging in cases of negative mediastinal involvement in PET/CT can be certainly performed.
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http://dx.doi.org/10.1510/icvts.2009.220392DOI Listing
February 2010

Latero-lateral slide tracheoplasty for upper airway stenosis: an 8-year follow-up.

J Thorac Cardiovasc Surg 2009 Jan 2;137(1):e44-6. Epub 2008 Jun 2.

Department of Thoracic Surgery, Sureyyapasa Chest Diseases and Chest Surgery Teaching and Research Hospital, Istanbul, Turkey.

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http://dx.doi.org/10.1016/j.jtcvs.2008.03.041DOI Listing
January 2009

End-to-side bronchial anastomosis using the continuous suture technique.

J Thorac Cardiovasc Surg 2008 Mar;135(3):708-9

Department of Thoracic Surgery, Sureyyapasa Chest Diseases and Thoracic Surgery Teaching and Research Hospital, Istanbul, Turkey.

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http://dx.doi.org/10.1016/j.jtcvs.2007.11.015DOI Listing
March 2008