Relationship between the Severity of Coronary Artery Disease and Catheter-Associated Urethral Stricture in Patients with Acute Coronary Syndrome
Yazarlar (8)
İbrahim Yıldız
Doç. Dr. Fatih Gökalp Hatay Mustafa Kemal Üniversitesi, Türkiye
Cengiz Burak Kafkas Üniversitesi, Türkiye
Sinan Karazindiyanoğlu
Pınar Özmen Yıldız
Prof. Dr. İbrahim RENCÜZOĞULLARI Kafkas Üniversitesi, Türkiye
Prof. Dr. Yavuz KARABAĞ Kafkas Üniversitesi, Türkiye
Metin Çağdaş
Kafkas Üniversitesi, Türkiye
Kafkas Üniversitesi, Türkiye
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Özgün Makale
(SCOPUS dergilerinde yayınlanan tam makale)
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| Dergi Adı | The Journal of Tehran University Heart Center | ||
| Dergi ISSN | 2008-2371 Dergi Bilgileri (2020) | ||
| Dergi Tarandığı Indeksler | EBSCO, Index Medicus | ||
| Makale Dili | İngilizce | Basım Tarihi | 09-2020 |
| Kabul Tarihi | – | Yayınlanma Tarihi | 20-09-2020 |
| Cilt / Sayı / Sayfa | 15 / 3 / 113–118 | DOI | 10.18502/jthc.v15i3.4221 |
| Makale Linki | https://publish.kne-publishing.com/index.php/JTHC/article/view/4221 | ||
| UAK Araştırma Alanları |
Kardiyoloji
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| Özet |
| Background: Different arterial segments throughout the vascular system develop similar grades of atherosclerosis concomitantly. Urethral ischemia has been proposed as a cause of urethral stricture. Therefore, we aimed to investigate the relationship between coronary artery disease severity using a SYNTAX score and urethral stricture occurrence after urethral catheterization in patients with non–ST-segment-elevation acute coronary syndrome (ACS). Methods: This retrospective study consisted of 306 men with urethral catheters that were diagnosed with ACS and underwent coronary angiography between January 2016 and January 2018 in Kars Kafkas University and Osmaniye Government Hospital, Turkey. Hospital records were reviewed to collect the follow-up data of the patients regarding the occurrence of urethral stricture after urethral catheterization. The study population was divided into 2 groups according to urethral stricture development, and both groups were compared statistically. Results: SYNTAX scores were significantly higher in patients with urethral stricture than in those without urethral stricture (14.86±7.11 vs. 29.25±9.79; P<0.001). The SYNTAX score (OR=1.27; 95% CI: 1.16–1.39; P<0.001), diabetes, and serum albumin were found to be the independent predictors of urethral stricture. The receiver operating characteristic curve analysis showed that the cutoff value of the SYNTAX score for urethral stricture prediction was greater than 22.5, with 76.7% sensitivity and 85.1% specificity (AUC=0.88, 95% CI: 0.84–0.91; P<0.001). Results: SYNTAX scores were significantly higher in patients with urethral stricture than in those without urethral stricture (14.86±7.11 vs. 29.25±9.79; P<0.001). The SYNTAX score (OR=1.27; 95% CI: 1.16–1.39; P<0.001), diabetes, and serum albumin were found to be the independent predictors of urethral stricture. The receiver operating characteristic curve analysis showed that the cutoff value of the SYNTAX score for urethral stricture prediction was greater than 22.5, with 76.7% sensitivity and 85.1% specificity (AUC=0.88, 95% CI: 0.84–0.91; P<0.001). |
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BM Sürdürülebilir Kalkınma Amaçları
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