Talal A Altuwaijri | King Saud University (original) (raw)

Papers by Talal A Altuwaijri

Research Square (Research Square), Feb 2, 2023

Background Trauma is considered a signi cant public health problem worldwide. Abdominal trauma is... more Background Trauma is considered a signi cant public health problem worldwide. Abdominal trauma is generally divided into blunt and penetrating. Blunt trauma could affect any organ, and the sequelae of such injury may not always be clinically apparent. Liver injury is one of abdominal trauma's most critical and fundamental complications. We aimed to investigate the mechanism, type, and extent of injuries for patients with liver trauma and compare the outcomes between operative and non-operative management. Methods This retrospective study analyzed data of patients with liver injuries who presented to King Khalid University Hospital, King Saud University from 2016 to 2022. Management included conservative, conservative to laparotomy, laparotomy, and interventional radiological procedures, including hepatic artery angioembolization and percutaneous transhepatic drainage. Injury severity was graded based on the American Association for the Surgery of Trauma (AAST) liver injury scale. Results We analyzed 45 liver injury patients, with mean age of 29.3 years and most of them being male (77.8%). The most common injury mechanism was blunt trauma (86.7%), whereas penetrating injuries accounted only for 8.9% of cases. The most dominant type of injury was laceration (95.6%), followed by contusion (28.9%). Regarding liver injury severity, the majority of patients (37.8%) had a grade 3 injury level as per AAST liver injury scale. Among all patients, 31 (68.9%) were hemodynamically stable, whereas 14 patients (31.1%) were unstable, with a mortality rate of 2.2%. Most patients (82.2%) underwent conservative management. Six patients (13.3%) require surgical laparotomy. Two patients (4.4%) who underwent conservative management rst needed surgical laparotomy. The complication rate was 24.4%, with delirium being the most common (6, 13.3%), followed by fever and sepsis (3, 6.7%) and acute renal failure, pneumonia, cardiac arrest, biliary leaks, meningitis/seizures, which were all reported in a subset of patients. Conclusions Liver trauma is considered a signi cant public health problem worldwide. The management of traumatic liver injuries has evolved signi cantly over the years, with the addition of interventional radiological modalities, a more inclined approach toward non-operative management.

Cureus, Sep 23, 2022

Background: There are limited data regarding potential triggering factors of pulmonary embolism (... more Background: There are limited data regarding potential triggering factors of pulmonary embolism (PE) in coronavirus disease 2019 (COVID-19) patients and its outcomes in comparison with non-infected PE patients. We aimed to identify the contribution of COVID-19 among patients diagnosed with PE and compare risk factors, laboratory results, and outcomes between COVID-19 PE patients and non-COVID-19 PE patients. Methods: This was a retrospective study of all PE patients between March 2020 and December 2020. The patients were segmented into two groups based on a COVID-19 nasopharyngeal swab result. Statistical analysis was used to determine the differences in risk factors, laboratory values, and outcomes. Results: A total of 58 patients were included. Females comprised 44.8% of the total sample. Overall, 16 patients (27.6%) were COVID-19 positive. Being non-Saudi was observed more in PE COVID-19 patients compared with non-COVID-19 patients (43.7% vs 4.8%, P = 0.001). Intensive care unit (ICU) admission occurred in 50% of COVID-19 PE patients. Conclusion: COVID-19 was associated with 27.6% of the PEs in our hospital. Being male or a foreign resident was observed to be associated with COVID-19 PE. Further studies with larger sample sizes are needed, but these results may help the medical community regarding the increased risk of PE among COVID-19 patients and provide evidence of some potentially predictive factors that can be used to identify COVID-19 in highrisk patients.

Medicine, Oct 14, 2022

Carotid body tumors (CBTs) are rare and mostly benign. Research outcomes usually arise from singl... more Carotid body tumors (CBTs) are rare and mostly benign. Research outcomes usually arise from single-center data. We conducted this study to present the characteristics and outcomes of patients who underwent surgical resection of CBT at our hospital over the past 20 years. In this retrospective review, the records of CBTs in our hospital were reviewed between 1998 and 2021. All patients who underwent CBT resection were included. The follow-up period was 12 months. A total of 44 CBTs were treated in our hospital. The male-to-female ratio was 1:2.4. Only 4.5% of patients had Shamblin I tumors. Patients with Shamblin II and III tumors were 56.8% and 38.6%, respectively. Duplex scan was used to diagnose CBT in all of the patients. The majority of our patients (97.7%) did not receive any preoperative embolization despite an average tumor size of 4.9 cm. Cranial nerve injuries were observed in 29.5% of cases. Meanwhile, stroke was reported in only two cases (4.5%). No deaths were encountered. Surgery is the definitive treatment for CBT. Size and local extension appear to be the main reasons for adverse events rather than surgical techniques. Our results are consistent with those of previously published studies. Good outcomes are expected in high-volume centers with appropriate preoperative imaging.

World Neurosurgery, Feb 1, 2023

The association between coronavirus disease 2019 (COVID-19) pneumonia and venous thrombotic disor... more The association between coronavirus disease 2019 (COVID-19) pneumonia and venous thrombotic disorders is still unclear. We assessed the association between COVID-19 infection-related pneumonia and proximal deep-vein thrombosis (DVT) in a cohort of patients admitted to our hospital during the European outbreak in the front line of Cremona, Lombardy. In a single-center cross-sectional study, all patients hospitalized for more than 5 days in Internal Medicine Department with confirmed COVID-19 pneumonia received 2-point compressive ultrasound assessment (CUS) of the leg vein system during a single day. Ninety-four percent of patients received enoxaparin as standard pharmacological prophylaxis for venous thromboembolism. The presence of DVT was defined as incompressibility of popliteal or common femoral vein. Out of 121 patients with COVID-19 pneumonia (mean age 71.8, 66.3% males) hospitalized on March 31st, 70 stayed in hospital for over 5 days and 66 of them underwent CUS of deep venous system of the legs. The presence of asymptomatic DVT was found in 9 patients (13.6%). No symptomatic DVT was found. Patients with DVT showed mean age = 75.7 years, mean D-dimer levels = 4.02 ng/ml and all of them received enoxaparin for thromboprophylaxis, except one. Computed tomography pulmonary angiogram confirmed pulmonary embolism in five patients. One every seven patients with COVID-19-related pneumonia, hospitalized for more than 5 days, had asymptomatic proximal DVT and half of them had confirmed PE despite standard pharmacological thromboprophylaxis. This observational study suggests the need of an active surveillance through CUS in patients hospitalized with acute SARS-COV-2 and underline the need of a more intense thromboprophylaxis.

Anaesthesia, 2021

SummaryPeri‐operative SARS‐CoV‐2 infection increases postoperative mortality. The aim of this stu... more SummaryPeri‐operative SARS‐CoV‐2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS‐CoV‐2 infection. This international, multicentre, prospective cohort study included patients undergoing elective or emergency surgery during October 2020. Surgical patients with pre‐operative SARS‐CoV‐2 infection were compared with those without previous SARS‐CoV‐2 infection. The primary outcome measure was 30‐day postoperative mortality. Logistic regression models were used to calculate adjusted 30‐day mortality rates stratified by time from diagnosis of SARS‐CoV‐2 infection to surgery. Among 140,231 patients (116 countries), 3127 patients (2.2%) had a pre‐operative SARS‐CoV‐2 diagnosis. Adjusted 30‐day mortality in patients without SARS‐CoV‐2 infection was 1.5% (95%CI 1.4–1.5). In patients with a pre‐operative SARS‐CoV‐2 diagnosis, mortality was increased in patients having surgery wi...

Anaesthesia, 2021

SummarySARS‐CoV‐2 has been associated with an increased rate of venous thromboembolism in critica... more SummarySARS‐CoV‐2 has been associated with an increased rate of venous thromboembolism in critically ill patients. Since surgical patients are already at higher risk of venous thromboembolism than general populations, this study aimed to determine if patients with peri‐operative or prior SARS‐CoV‐2 were at further increased risk of venous thromboembolism. We conducted a planned sub‐study and analysis from an international, multicentre, prospective cohort study of elective and emergency patients undergoing surgery during October 2020. Patients from all surgical specialties were included. The primary outcome measure was venous thromboembolism (pulmonary embolism or deep vein thrombosis) within 30 days of surgery. SARS‐CoV‐2 diagnosis was defined as peri‐operative (7 days before to 30 days after surgery); recent (1–6 weeks before surgery); previous (≥7 weeks before surgery); or none. Information on prophylaxis regimens or pre‐operative anti‐coagulation for baseline comorbidities was no...

Saudi Medical Journal, Jul 1, 2022

All patients were diagnosed based on clinical presentation, imaging, and underwent surgical decom... more All patients were diagnosed based on clinical presentation, imaging, and underwent surgical decompression solely via the supraclavicular approach. The median follow-up period was 18 months)range: 4-36 months(. Results: A total of 90 limbs were diagnosed with vascular TOS in 69 patients. Females accounted for 69.6% of the patients and approximately 86.7% had ATOS. All patients were symptomatic and underwent Original Article plain thoracic inlet and cervical spine radiography, along with duplex scans in both rest and provocative positions. Total cervical rib resection was carried out in 60% of cases, while 2% had partial resection. First rib resection was carried out in 13.3% of cases and combined cervical and first rib resections were carried out in 23.3%. Vascular procedures were needed for arterial repair in 20% of cases, while venous repair were carried out in 2.2%. No recurrence or postoperative mortality had been reported. Post-operative complications were observed in 18.9% of cases. Conclusion: Careful patient selection and diagnosis using advanced, but less invasive radiological imaging coupled with adequate surgical treatment can improve the patient's outcome.

Saudi Journal of Kidney Diseases and Transplantation, Jan 18, 2023

Background Trauma is considered a significant public health problem worldwide. Abdominal trauma i... more Background Trauma is considered a significant public health problem worldwide. Abdominal trauma is generally divided into blunt and penetrating. Blunt trauma could affect any organ, and the sequelae of such injury may not always be clinically apparent. Liver injury is one of abdominal trauma's most critical and fundamental complications. We aimed to investigate the mechanism, type, and extent of injuries for patients with liver trauma and compare the outcomes between operative and non-operative management. Methods This retrospective study analyzed data of patients with liver injuries who presented to King Khalid University Hospital, King Saud University from 2016 to 2022. Management included conservative, conservative to laparotomy, laparotomy, and interventional radiological procedures, including hepatic artery angioembolization and percutaneous transhepatic drainage. Injury severity was graded based on the American Association for the Surgery of Trauma (AAST) liver injury scal...

Cureus

Background: There are limited data regarding potential triggering factors of pulmonary embolism (... more Background: There are limited data regarding potential triggering factors of pulmonary embolism (PE) in coronavirus disease 2019 (COVID-19) patients and its outcomes in comparison with non-infected PE patients. We aimed to identify the contribution of COVID-19 among patients diagnosed with PE and compare risk factors, laboratory results, and outcomes between COVID-19 PE patients and non-COVID-19 PE patients. Methods: This was a retrospective study of all PE patients between March 2020 and December 2020. The patients were segmented into two groups based on a COVID-19 nasopharyngeal swab result. Statistical analysis was used to determine the differences in risk factors, laboratory values, and outcomes. Results: A total of 58 patients were included. Females comprised 44.8% of the total sample. Overall, 16 patients (27.6%) were COVID-19 positive. Being non-Saudi was observed more in PE COVID-19 patients compared with non-COVID-19 patients (43.7% vs 4.8%, P = 0.001). Intensive care unit (ICU) admission occurred in 50% of COVID-19 PE patients. Conclusion: COVID-19 was associated with 27.6% of the PEs in our hospital. Being male or a foreign resident was observed to be associated with COVID-19 PE. Further studies with larger sample sizes are needed, but these results may help the medical community regarding the increased risk of PE among COVID-19 patients and provide evidence of some potentially predictive factors that can be used to identify COVID-19 in highrisk patients.

The Japanese Journal of Phlebology, 2014

Journal of Infection, 2017

The Turkish Journal of Thoracic and Cardiovascular Surgery, 2020

Bu çalışmada iyatrojenik femoral arter psödoanevrizmalarının tedavisinde ultrason eşliğinde kompr... more Bu çalışmada iyatrojenik femoral arter psödoanevrizmalarının tedavisinde ultrason eşliğinde kompresyon onarımına kıyasla ultrason eşliğinde trombin enjeksiyonunun etkinliği değerlendirildi.

Seminars in Vascular Surgery, 2020

Renal artery aneurysm (RAA) is defined as a localized saccular or fusiform dilation of the renal ... more Renal artery aneurysm (RAA) is defined as a localized saccular or fusiform dilation of the renal vasculature that exceeds 50% of the adjacent artery diameter. RAAs are rare in the general population and account for <1% of all peripheral aneurysms. Incidental diagnosis of RAA has increased due to the widespread clinical application of visceral duplex ultrasound scanning and computed tomography imaging. While the diagnosis of RAA before or during pregnancy is rare, pregnancy increases the risk of rupture significantly during the third trimester, with associated high mortality rates for both mother and fetus. The rarity of pregnancy-related RAAs contributes to our limited knowledge of their natural history, morphologic features, criteria for intervention, and treatment options. This review compiles opinions of published articles to provide an updated overview of RAA in pregnancy and aid clinicians in the management of this rare but serious vascular condition. An RAA 1.5 cm in diameter requires open or endovascular treatment in a woman planning to become pregnant or who is pregnant.

The Journal of infection, Jan 9, 2017

Journal of Trauma and Acute Care Surgery, 2017

Research Square (Research Square), Feb 2, 2023

Background Trauma is considered a signi cant public health problem worldwide. Abdominal trauma is... more Background Trauma is considered a signi cant public health problem worldwide. Abdominal trauma is generally divided into blunt and penetrating. Blunt trauma could affect any organ, and the sequelae of such injury may not always be clinically apparent. Liver injury is one of abdominal trauma's most critical and fundamental complications. We aimed to investigate the mechanism, type, and extent of injuries for patients with liver trauma and compare the outcomes between operative and non-operative management. Methods This retrospective study analyzed data of patients with liver injuries who presented to King Khalid University Hospital, King Saud University from 2016 to 2022. Management included conservative, conservative to laparotomy, laparotomy, and interventional radiological procedures, including hepatic artery angioembolization and percutaneous transhepatic drainage. Injury severity was graded based on the American Association for the Surgery of Trauma (AAST) liver injury scale. Results We analyzed 45 liver injury patients, with mean age of 29.3 years and most of them being male (77.8%). The most common injury mechanism was blunt trauma (86.7%), whereas penetrating injuries accounted only for 8.9% of cases. The most dominant type of injury was laceration (95.6%), followed by contusion (28.9%). Regarding liver injury severity, the majority of patients (37.8%) had a grade 3 injury level as per AAST liver injury scale. Among all patients, 31 (68.9%) were hemodynamically stable, whereas 14 patients (31.1%) were unstable, with a mortality rate of 2.2%. Most patients (82.2%) underwent conservative management. Six patients (13.3%) require surgical laparotomy. Two patients (4.4%) who underwent conservative management rst needed surgical laparotomy. The complication rate was 24.4%, with delirium being the most common (6, 13.3%), followed by fever and sepsis (3, 6.7%) and acute renal failure, pneumonia, cardiac arrest, biliary leaks, meningitis/seizures, which were all reported in a subset of patients. Conclusions Liver trauma is considered a signi cant public health problem worldwide. The management of traumatic liver injuries has evolved signi cantly over the years, with the addition of interventional radiological modalities, a more inclined approach toward non-operative management.

Cureus, Sep 23, 2022

Background: There are limited data regarding potential triggering factors of pulmonary embolism (... more Background: There are limited data regarding potential triggering factors of pulmonary embolism (PE) in coronavirus disease 2019 (COVID-19) patients and its outcomes in comparison with non-infected PE patients. We aimed to identify the contribution of COVID-19 among patients diagnosed with PE and compare risk factors, laboratory results, and outcomes between COVID-19 PE patients and non-COVID-19 PE patients. Methods: This was a retrospective study of all PE patients between March 2020 and December 2020. The patients were segmented into two groups based on a COVID-19 nasopharyngeal swab result. Statistical analysis was used to determine the differences in risk factors, laboratory values, and outcomes. Results: A total of 58 patients were included. Females comprised 44.8% of the total sample. Overall, 16 patients (27.6%) were COVID-19 positive. Being non-Saudi was observed more in PE COVID-19 patients compared with non-COVID-19 patients (43.7% vs 4.8%, P = 0.001). Intensive care unit (ICU) admission occurred in 50% of COVID-19 PE patients. Conclusion: COVID-19 was associated with 27.6% of the PEs in our hospital. Being male or a foreign resident was observed to be associated with COVID-19 PE. Further studies with larger sample sizes are needed, but these results may help the medical community regarding the increased risk of PE among COVID-19 patients and provide evidence of some potentially predictive factors that can be used to identify COVID-19 in highrisk patients.

Medicine, Oct 14, 2022

Carotid body tumors (CBTs) are rare and mostly benign. Research outcomes usually arise from singl... more Carotid body tumors (CBTs) are rare and mostly benign. Research outcomes usually arise from single-center data. We conducted this study to present the characteristics and outcomes of patients who underwent surgical resection of CBT at our hospital over the past 20 years. In this retrospective review, the records of CBTs in our hospital were reviewed between 1998 and 2021. All patients who underwent CBT resection were included. The follow-up period was 12 months. A total of 44 CBTs were treated in our hospital. The male-to-female ratio was 1:2.4. Only 4.5% of patients had Shamblin I tumors. Patients with Shamblin II and III tumors were 56.8% and 38.6%, respectively. Duplex scan was used to diagnose CBT in all of the patients. The majority of our patients (97.7%) did not receive any preoperative embolization despite an average tumor size of 4.9 cm. Cranial nerve injuries were observed in 29.5% of cases. Meanwhile, stroke was reported in only two cases (4.5%). No deaths were encountered. Surgery is the definitive treatment for CBT. Size and local extension appear to be the main reasons for adverse events rather than surgical techniques. Our results are consistent with those of previously published studies. Good outcomes are expected in high-volume centers with appropriate preoperative imaging.

World Neurosurgery, Feb 1, 2023

The association between coronavirus disease 2019 (COVID-19) pneumonia and venous thrombotic disor... more The association between coronavirus disease 2019 (COVID-19) pneumonia and venous thrombotic disorders is still unclear. We assessed the association between COVID-19 infection-related pneumonia and proximal deep-vein thrombosis (DVT) in a cohort of patients admitted to our hospital during the European outbreak in the front line of Cremona, Lombardy. In a single-center cross-sectional study, all patients hospitalized for more than 5 days in Internal Medicine Department with confirmed COVID-19 pneumonia received 2-point compressive ultrasound assessment (CUS) of the leg vein system during a single day. Ninety-four percent of patients received enoxaparin as standard pharmacological prophylaxis for venous thromboembolism. The presence of DVT was defined as incompressibility of popliteal or common femoral vein. Out of 121 patients with COVID-19 pneumonia (mean age 71.8, 66.3% males) hospitalized on March 31st, 70 stayed in hospital for over 5 days and 66 of them underwent CUS of deep venous system of the legs. The presence of asymptomatic DVT was found in 9 patients (13.6%). No symptomatic DVT was found. Patients with DVT showed mean age = 75.7 years, mean D-dimer levels = 4.02 ng/ml and all of them received enoxaparin for thromboprophylaxis, except one. Computed tomography pulmonary angiogram confirmed pulmonary embolism in five patients. One every seven patients with COVID-19-related pneumonia, hospitalized for more than 5 days, had asymptomatic proximal DVT and half of them had confirmed PE despite standard pharmacological thromboprophylaxis. This observational study suggests the need of an active surveillance through CUS in patients hospitalized with acute SARS-COV-2 and underline the need of a more intense thromboprophylaxis.

Anaesthesia, 2021

SummaryPeri‐operative SARS‐CoV‐2 infection increases postoperative mortality. The aim of this stu... more SummaryPeri‐operative SARS‐CoV‐2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS‐CoV‐2 infection. This international, multicentre, prospective cohort study included patients undergoing elective or emergency surgery during October 2020. Surgical patients with pre‐operative SARS‐CoV‐2 infection were compared with those without previous SARS‐CoV‐2 infection. The primary outcome measure was 30‐day postoperative mortality. Logistic regression models were used to calculate adjusted 30‐day mortality rates stratified by time from diagnosis of SARS‐CoV‐2 infection to surgery. Among 140,231 patients (116 countries), 3127 patients (2.2%) had a pre‐operative SARS‐CoV‐2 diagnosis. Adjusted 30‐day mortality in patients without SARS‐CoV‐2 infection was 1.5% (95%CI 1.4–1.5). In patients with a pre‐operative SARS‐CoV‐2 diagnosis, mortality was increased in patients having surgery wi...

Anaesthesia, 2021

SummarySARS‐CoV‐2 has been associated with an increased rate of venous thromboembolism in critica... more SummarySARS‐CoV‐2 has been associated with an increased rate of venous thromboembolism in critically ill patients. Since surgical patients are already at higher risk of venous thromboembolism than general populations, this study aimed to determine if patients with peri‐operative or prior SARS‐CoV‐2 were at further increased risk of venous thromboembolism. We conducted a planned sub‐study and analysis from an international, multicentre, prospective cohort study of elective and emergency patients undergoing surgery during October 2020. Patients from all surgical specialties were included. The primary outcome measure was venous thromboembolism (pulmonary embolism or deep vein thrombosis) within 30 days of surgery. SARS‐CoV‐2 diagnosis was defined as peri‐operative (7 days before to 30 days after surgery); recent (1–6 weeks before surgery); previous (≥7 weeks before surgery); or none. Information on prophylaxis regimens or pre‐operative anti‐coagulation for baseline comorbidities was no...

Saudi Medical Journal, Jul 1, 2022

All patients were diagnosed based on clinical presentation, imaging, and underwent surgical decom... more All patients were diagnosed based on clinical presentation, imaging, and underwent surgical decompression solely via the supraclavicular approach. The median follow-up period was 18 months)range: 4-36 months(. Results: A total of 90 limbs were diagnosed with vascular TOS in 69 patients. Females accounted for 69.6% of the patients and approximately 86.7% had ATOS. All patients were symptomatic and underwent Original Article plain thoracic inlet and cervical spine radiography, along with duplex scans in both rest and provocative positions. Total cervical rib resection was carried out in 60% of cases, while 2% had partial resection. First rib resection was carried out in 13.3% of cases and combined cervical and first rib resections were carried out in 23.3%. Vascular procedures were needed for arterial repair in 20% of cases, while venous repair were carried out in 2.2%. No recurrence or postoperative mortality had been reported. Post-operative complications were observed in 18.9% of cases. Conclusion: Careful patient selection and diagnosis using advanced, but less invasive radiological imaging coupled with adequate surgical treatment can improve the patient's outcome.

Saudi Journal of Kidney Diseases and Transplantation, Jan 18, 2023

Background Trauma is considered a significant public health problem worldwide. Abdominal trauma i... more Background Trauma is considered a significant public health problem worldwide. Abdominal trauma is generally divided into blunt and penetrating. Blunt trauma could affect any organ, and the sequelae of such injury may not always be clinically apparent. Liver injury is one of abdominal trauma's most critical and fundamental complications. We aimed to investigate the mechanism, type, and extent of injuries for patients with liver trauma and compare the outcomes between operative and non-operative management. Methods This retrospective study analyzed data of patients with liver injuries who presented to King Khalid University Hospital, King Saud University from 2016 to 2022. Management included conservative, conservative to laparotomy, laparotomy, and interventional radiological procedures, including hepatic artery angioembolization and percutaneous transhepatic drainage. Injury severity was graded based on the American Association for the Surgery of Trauma (AAST) liver injury scal...

Cureus

Background: There are limited data regarding potential triggering factors of pulmonary embolism (... more Background: There are limited data regarding potential triggering factors of pulmonary embolism (PE) in coronavirus disease 2019 (COVID-19) patients and its outcomes in comparison with non-infected PE patients. We aimed to identify the contribution of COVID-19 among patients diagnosed with PE and compare risk factors, laboratory results, and outcomes between COVID-19 PE patients and non-COVID-19 PE patients. Methods: This was a retrospective study of all PE patients between March 2020 and December 2020. The patients were segmented into two groups based on a COVID-19 nasopharyngeal swab result. Statistical analysis was used to determine the differences in risk factors, laboratory values, and outcomes. Results: A total of 58 patients were included. Females comprised 44.8% of the total sample. Overall, 16 patients (27.6%) were COVID-19 positive. Being non-Saudi was observed more in PE COVID-19 patients compared with non-COVID-19 patients (43.7% vs 4.8%, P = 0.001). Intensive care unit (ICU) admission occurred in 50% of COVID-19 PE patients. Conclusion: COVID-19 was associated with 27.6% of the PEs in our hospital. Being male or a foreign resident was observed to be associated with COVID-19 PE. Further studies with larger sample sizes are needed, but these results may help the medical community regarding the increased risk of PE among COVID-19 patients and provide evidence of some potentially predictive factors that can be used to identify COVID-19 in highrisk patients.

The Japanese Journal of Phlebology, 2014

Journal of Infection, 2017

The Turkish Journal of Thoracic and Cardiovascular Surgery, 2020

Bu çalışmada iyatrojenik femoral arter psödoanevrizmalarının tedavisinde ultrason eşliğinde kompr... more Bu çalışmada iyatrojenik femoral arter psödoanevrizmalarının tedavisinde ultrason eşliğinde kompresyon onarımına kıyasla ultrason eşliğinde trombin enjeksiyonunun etkinliği değerlendirildi.

Seminars in Vascular Surgery, 2020

Renal artery aneurysm (RAA) is defined as a localized saccular or fusiform dilation of the renal ... more Renal artery aneurysm (RAA) is defined as a localized saccular or fusiform dilation of the renal vasculature that exceeds 50% of the adjacent artery diameter. RAAs are rare in the general population and account for <1% of all peripheral aneurysms. Incidental diagnosis of RAA has increased due to the widespread clinical application of visceral duplex ultrasound scanning and computed tomography imaging. While the diagnosis of RAA before or during pregnancy is rare, pregnancy increases the risk of rupture significantly during the third trimester, with associated high mortality rates for both mother and fetus. The rarity of pregnancy-related RAAs contributes to our limited knowledge of their natural history, morphologic features, criteria for intervention, and treatment options. This review compiles opinions of published articles to provide an updated overview of RAA in pregnancy and aid clinicians in the management of this rare but serious vascular condition. An RAA 1.5 cm in diameter requires open or endovascular treatment in a woman planning to become pregnant or who is pregnant.

The Journal of infection, Jan 9, 2017

Journal of Trauma and Acute Care Surgery, 2017