Objective
We examined cardiac surgery patients who underwent monitoring of postoperative vital parameters using medical monitoring devices which transferred data to a mobile application and a web‐based software.
Methods
From November 2017 to November 2020, a total of 2340 patients were enrolled in the remote patient monitoring system after undergoing cardiac surgery. The medical devices recorded vital parameters, such as blood pressure, pulse rate, saturation, body temperature, blood glucose, and electrocardiography were measured via the Health Monitor DakikApp and Holter ECG DakikApp devices which reported data to web‐based software and a mobile application (DakikApp Mobile Systems, Remscheid, Germany). During the follow‐up period, patients were contacted daily through text and voice messages, and video conferences. Remote Medical Evaluations (RMEs) concerning patients' medical states were performed. Medication reminders, daily treatment were communicated to the patients with the DakikApp Mobile Systems Software.
Results
During a mean follow‐up period of 78.9 ± 107.1 (10–395) days, a total of 135,786 patient contacts were recorded (782 video conferences, 2805 voice messaging, and 132,199 text correspondence). The number of RMEs handled by the Telemedicine Team was 79,560. A total of 105,335 vital parameter measurements were performed and 5024 hospital application requests (6.3% per RME) were addressed successfully and hospitalization was avoided. A total of 144 (6.1%) potentially life‐threatening complications were found to have been diagnosed early using the Telemedicine System.
Conclusion
Remote Patient Monitoring Systems combined with professional medical devices are feasible, effective, and safe for the purpose of improving postoperative outcomes.
Objectives: The term, 'varicose veins' is used commonly to describe the enlargement and tortuosity of lower extremity veins. However varicose veins can occur elsewhere. The traditional surgical treatment has been vein stripping to remove the affected veins. In this article we aimed to present common anatomical variations of saphenofemoral junction encountered during surgical procedures in young adult patient population. Materials and Methods: Between January 2011 and January 2013, saphenofemoral junction compositions were investigated in 156 young adult patients who underwent great saphenous vein stripping with the diagnosis of superficial venous insufficiency. Data regarding the mean age of the patients, venous side branches draining to the saphenofemoral junction, the number of bifid saphenous vein and the distance between saphenous vein bifurcation to the saphenofemoral junction were recorded. Results: The age of patients were 21.64 ± 0.91(min:21, max: 25) and the number of side branches draining to the saphenofemoral junction was 4.9 ± 1.6 (min:1, max:8). Branches draining directly to the common femoral vein at the level of junction were detected in 4 cases (2.56%). Bifid saphenous vein was observed in 9 cases (5.7%), and three of them were draining to the junction as a common trunk. Conclusions: It should be kept in mind that the success rate of the surgical procedure may be relevant to anatomical variation. To be familiar with the anatomical variations may decrease the recurrence rates of disease.
C, et al. Is the second internal thoracic artery better than the radial artery in total arterial off pump coronary artery bypass grafting? A propensity score-matched follow-up study.
Myxoma is the most common benign tumor of the heart, but it is very rare for it to originate from the left atrial appendage. Distinguishing between a mass, a thrombus, and a tumor in the body of the left atrium with preoperative transthoracic or transesophageal echocardiography is very difficult, even more so in patients with mitral valve disease and chronic atrial fibrillation. A 50-year-old male patient was admitted for surgery with the diagnosis of mitral stenosis and chronic atrial fibrillation. Transesophageal echocardiography demonstrated a mass attached to the wall of the left atrial appendage. Histopathological examination of the mass showed an image compatible with a myxoma. We hereby describe a case of a left atrial appendage myxoma mimicking a left atrial appendage thrombus.
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