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All Journal The New Ropanasuri Journal of Surgery
Utama, Alexander J
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology

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Outcome of Endovascular Procedure in Chronic Limb Ischemia Femoropopliteal Lesion: A Literature Review Utama, Alexander J; Thio, Robby E
The New Ropanasuri Journal of Surgery Vol. 8, No. 3
Publisher : UI Scholars Hub

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Introduction. Angioplasty and stenting are the two main endovascular treatments for femoropopliteal lesions associated with chronic limb ischemia. To summarize the research in this area, this article examines the state of these treatments today, diving into clinical subtleties and new trends. The objectives was to thoroughly analyze the body of research, combining knowledge about the results of endovascular angioplasty and stenting. Methods: Literature was searched in some databases (Cochrane, PubMed, and EBSCO) from June to July 2021. Results: Five articles that met the inclusion and exclusion criteria were identified. There were two randomized control trials and three cohort studies. There was no difference in primary patency of balloon angioplasty and nitinol stenting on follow-up for five years. Amputation-free survival rates in the coated balloon and plain balloon groups were not different. Revascularization was also not significantly different in both groups. There was no complication reported in either group. Mortality rates in both groups were also not different after follow-up in 30 days. Conclusions: There were no notable variations in the results of endovascular angioplasty and stenting for femoropopliteal lesions associated with chronic limb ischemia
Open Sympathectomy Effectiveness on Buerger's Disease’s Pain: An Evidence–Based Case Report Prawiro, Rangga S.; Utama, Alexander J
The New Ropanasuri Journal of Surgery Vol. 8, No. 3
Publisher : UI Scholars Hub

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Introduction. Thromboangiitis obliterans, often referred to as Buerger's disease, is a vascular disease that causes chronic inflammatory conditions, edema, and vascular obstruction due to blood clots. In Cipto Mangunkusumo General Hospital (CMGH), sympathectomy is a rarely done procedure. This evidence–based case report aimed to prove the effectiveness of sympathectomy for Buerger's Disease to reduce pain. Method. We reported a case of 44–year–old male with progressive pain and a history of darkened fingers of left limbs six months before admission. The patient underwent a lumbar sympathectomy, and there was no recurrence of symptoms after one year of follow–up. A systematic literature search proceeded, looking for evidence supporting the effectiveness of such a procedure on some databases and critically appraised. The discussion was elaborated using this evidence. Results. Two eligible articles proceeded with critical appraisal; validity, importance, and applicability were met in these articles. A cohort study from Yazid et al. reported significant improvement in ulcer areas in the intervention and control groups (p Conclusion. The study, supported by high–quality evidence, showed that open sympathectomy surgery effectively reduces the pain in Buerger's disease.
Long-Term Patency of Stent Angioplasty for Aortoiliac Occlusive Disease: A Literature Review Siagian, Ira H; Utama, Alexander J
The New Ropanasuri Journal of Surgery Vol. 9, No. 1
Publisher : UI Scholars Hub

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Introduction. Surgical revascularization remains a definitive therapy for aortoiliac occlusive disease. Revascularization could be achieved via endovascular treatment using angioplasty or open surgery. A limited number of studies currently assess the long-term patency of stent angioplasty of aortiliac occlusive disease. This study aims to evaluate or find recent evidence regarding the evaluation of the long-term patency of stent angioplasty for the treatment of aortoiliac occlusive disease. Method. Literature searching was conducted through several online databases, including Cochrane, PubMed, and EBSCOHost. Several cohort and randomized controlled studies assessing long-term patency of stent angioplasty ranging from bare metal stent to balloon angioplasty published from 2010 to 2022 were included. Critical appraisal was conducted using the Oxford Centre of Evidence-Based Medicine checklist. Results. Initial database searching yielded 26 published titles, of which 21 were excluded based on our inclusion-exclusion criteria and being a duplicate. Five studies, consisting of five cohort studies and one systematic review, were included. Long-term primary, assisted-primary, and secondary patency data were acquired in each study. Conclusion. We found heterogeneous data regarding long-term patency in each study. We found that 60-month primary patency ranges from 74.7% - 83.9%, assisted primary patency ranges from 83.7% - 95.8%, and secondary patency ranges from 92.8% - 99%. Overall, endovascular therapy by angioplasty has proven satisfactory long-term patency over five years.
Co-Authors Prawiro, Rangga S. Siagian, Ira H Thio, Robby E