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All Journal Eduvest - Journal of Universal Studies
Wawan Mulyawan
Universitas Indonesia
Aerospace Engineering Computer Science & IT Health Professions Neuroscience Social Sciences

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The Effect of Cephalic Arch Stenosis Location on Angioplasty Success and Patency at 3 and 6 Months in Patients with Brachiocephalic Fistula Peri Handayani; Patrianef Patrianef; Wawan Mulyawan
Eduvest - Journal of Universal Studies Vol. 6 No. 5 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i5.53119

Abstract

Failure of maturation and stenosis are major obstacles to arteriovenous fistula patency in hemodialysis patients. The cephalic arch commonly develops vascular dysfunction and can be divided into four domains. However, no study in Indonesia has evaluated the effect of cephalic arch stenosis location on angioplasty outcomes. This study aimed to determine the relationship between the location of cephalic arch stenosis and angioplasty success, as well as 3- and 6-month patency in patients with brachiocephalic fistulas, and to identify influencing factors. This retrospective cohort study included 68 patients with cephalic arch stenosis and brachiocephalic fistulas treated in outpatient clinics or inpatient wards at Cipto Mangunkusumo Hospital (RSCM) from January 2022 to December 2024. Data were obtained from medical records. Bivariate analysis was performed using the Chi-square or Fisher’s exact test, and multivariate analysis was conducted using Firth logistic regression. The angioplasty success rate was 91.2%, with 3-month patency of 87.1% and 6-month patency of 66.7%. Multivariate analysis showed that stent use was significantly associated with reduced 3-month patency after angioplasty (OR 0.12; 95% CI 0.02–0.93; p = 0.042), and a cephalic arch insertion angle ≥60° was associated with decreased 6-month patency after angioplasty (OR 0.23; 95% CI 0.06–0.77; p = 0.017). Stenosis location, age, sex, degree and length of stenosis, cephalic arch insertion angle, number of balloons, balloon size, balloon pressure, balloon type, stent use, hypertension, and diabetes were not associated with residual stenosis or with 3- and 6-month patency after angioplasty.
Evaluation of Changes in the Quality of Life of Patients with Peripheral Arterial Disease (PAD) Following Successful Revascularization Using Endovascular Techniques with the Vascular Quality of Life Questionnaire-6 (Vascuqol-6) at Dr. Cipto Mangunkusumo National General Hospital Defri Heryadi; Dedy Pratama; Wawan Mulyawan
Eduvest - Journal of Universal Studies Vol. 6 No. 6 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i6.53307

Abstract

Background: Peripheral arterial disease (PAD) is a chronic vascular disease that significantly affects physical function and quality of life. Endovascular revascularization is a primary treatment modality for symptomatic PAD; however, evaluation of its success should include patient-reported outcomes, such as quality of life. This study aimed to evaluate changes in quality of life among patients with PAD after endovascular revascularization using the VascuQoL-6 instrument. Methods: This was an analytic observational study with a pre–post design involving patients with PAD who underwent endovascular revascularization at Dr. Cipto Mangunkusumo National General Hospital. Quality of life was assessed using the VascuQoL-6 before and one month after the procedure. Changes in scores were analyzed using paired comparative tests. Results: A total of 32 patients were enrolled in this study. The mean ankle-brachial index (ABI) increased after endovascular revascularization compared with before the procedure. The median total VascuQoL-6 score increased significantly after the procedure, with all patients showing improvements in quality of life. Improvements occurred across all quality-of-life domains, with the greatest improvements observed in the activity and pain domains. Conclusion: Endovascular revascularization effectively improved the quality of life of patients with PAD based on the VascuQoL-6 instrument, particularly in the activity and pain domains.
Co-Authors Dedy Pratama Defri Heryadi Patrianef Patrianef Peri Handayani