Article Per Year (5 Year)
p-Index From 2021 - 2026
1.642
P-Index
This Author published in this journals
All Journal Medical Journal of Indonesia The New Ropanasuri Journal of Surgery Jurnal Ilmu Bedah Indonesia Jurnal Locus Penelitian dan Pengabdian The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Eduvest - Journal of Universal Studies
Patrianef Darwis
Division Of Vascular And Endovascular Surgery‎, Departement Of Surgery, Faculty Of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo General National Hospital, Jakarta
Aerospace Engineering Automotive Engineering Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Electrical & Electronics Engineering Health Professions Immunology & microbiology Mathematics Medicine & Pharmacology Neuroscience Social Sciences

Published : 28 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 28 Documents
Search

 1   2   3 
Hypercoagulable State pada Masa COVID-19 Patrianef Darwis
Jurnal llmu Bedah Indonesia Vol. 49 No. 1 (2021): Juni 2021
Publisher : Ikatan Ahli Bedah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46800/jibiikabi.v49i1.141

Abstract

After A Year of Follow Up Non-Cirrhotic Portal Hypertension Patient with Partial Spleen Embolization (PSE) Management Akhmadu Muradi; Chyntia Olivia Maurine Jasirwan; Raden Suhartono; Patrianef Darwis; Dedy Pratama; Teguh Dwi Nugroho; Karina Zulkarnain
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 22, No 3 (2021): VOLUME 22, NUMBER 3, December 2021
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2019.322 KB) | DOI: 10.24871/2232021249-253

Abstract

Non-cirrhotic portal hypertension (NCPH) is a heterogeneous group of liver disorders leading to portal hypertension. There are multiple approaches to managing portal hypertension' clinical complications to treat/prevent spontaneous hemorrhage by mitigating thrombocytopenia. Portal hypertension complications have been traditionally managed with serial endoscopic variceal ligation (EVL) or with invasive open surgical procedures such as orthotopic liver transplantation (OLT) or portosystemic shunting, splenectomy.6–9 There are several risks associated with splenectomies, such as hemorrhagic complications or intraoperative blood loss.5,6,14 Partial Spleen Embolization (PSE) ‎may overcome the limitations of splenectomy and provide patients with an alternative treatment. An eighteen-year-old male has a splenomegaly history since he was 12 years old and has recurring hematemesis and melena. After performing abdominal computed tomography, laboratory studies, and several endoscopies, the results indicated secondary hypersplenism due to non-cirrhotic portal hypertension. The patient had 13 endoscopies and 2 EVL in 5 years. Despite adequate treatment, the patients developed recurrent variceal bleeding and no improvement in blood function. The patient underwent PSE at Integrated Cardiovascular Center in Dr. Cipto Mangunkusumo, General Hospital, Jakarta, Indonesia. It was performed through the femoral access with a PVA (polyvinyl alcohol) embolus. The procedure went successful, and there was no major complication with the patient. Twenty days after the patient had an abdominal CT scan, it showed no abscess, and the spleen volume was reduced by 20%. Long-term results over a  year after the procedure are presented. PSE is a safe, effective, semi-invasive alternative to splenectomy in non-cirrhotic portal hypertension because it preserves functional spleen mass and avoids postprocedure accelerated liver disease or encephalopathy.
Rare nephrostomy complication mimicking rupture of abdominal aortic aneurysm: a case report Bangsawan, Kiwah Andanni; Irdam, Gampo Alam; Raharja, Putu Angga Risky; Darwis, Patrianef; Fachriza, Ihza; Rahman, Fakhri
Medical Journal of Indonesia Vol. 33 No. 3 (2024): September
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.cr.247245

Abstract

Percutaneous nephrostomy (PCN) is a routine procedure in urology with up to 99% success rate and less than 6% of total complications dominated by minor cases. This was a case report of a 59-year-old male patient with an unusual major bleeding complication after PCN that mimicked a ruptured abdominal aortic aneurysm. The laparotomy exploration identified the bleeding source from the right lobar artery, thus renorrhaphy was performed. Proper visualization of anatomic layout, color Doppler imaging, and selecting a guiding method and technique could reduce bleeding complications following PCN.
Comparison of Intima-Media-Thichness, Brachialic Artery VF and VF Draining Vein CKD with Diabetes and Non-Diabetes Performed AVF-Brachiosephiccia at RSCM Herwen, Herwen; Patrianef, Patrianef; Vidiawati, Dhanasari
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 8 (2025): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i8.4750

Abstract

Brachiocephalic arteriovenous fistula (AVF) is the recommended vascular access for long-term hemodialysis. However, AVF failure rates remain high, particularly among patients with diabetes mellitus (DM). Diabetes contributes to vascular structural changes, such as increased intima-media thickness (IMT) and reduced volume flow (VF), which may affect AVF maturation success. To compare changes in IMT, brachial artery volume flow, and draining vein volume flow in chronic kidney disease (CKD) patients with and without DM who underwent brachiocephalic AVF creation. This was a retrospective cohort study conducted at Cipto Mangunkusumo National General Hospital between April and June 2025. A total of 42 CKD patients were enrolled and divided into two groups: 21 with DM and 21 without DM. IMT and volume flow were measured using Doppler ultrasound at weeks 0, 2, and 6 after AVF creation. Data were analyzed using the Mann-Whitney test and independent T-test, depending on data distribution. Forty two participants met the inclusion criteria. No significant differences were found between the DM and non-DM groups regarding changes in brachial artery IMT (p = 0.918), brachial artery volume flow (p = 0.538), or draining vein volume flow (p = 0.642) at week 6. Although both groups showed a trend of increased VF from week 0 to week 6, the differences were not statistically significant. There were no significant differences in changes in IMT, brachial artery volume flow, or draining vein volume flow between CKD patients with and without DM following brachiocephalic AVF creation.
Relationship of Saphenous Magna Vein Diameter to Venous Occlusion & Revised Venous Clinical Severity Score (rVCSS) in Patients with Chronic Venous Insufficiency (IVK) Post-Endovenous Microwave Ablation (EMA) Rachmanto, Ary; Patrianef, Patrianef; Kekalih, Aria
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 8 (2025): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i8.4751

Abstract

Chronic venous insufficiency (IVK) is characterized by impaired reverse blood flow in the lower extremities. Endovenous microwave ablation (EMA) is a minimally invasive procedure with advantages on large diameter veins. This study aimed to determine the relationship between the diameter of the great saphenous vein (GSV) and venous occlusion in the first week and the change in the Revised Venous Clinical Severity Score (rVCSS) in the first month post-EMA. This retrospective cohort design study involved 47 patients from RSCM, Hermina Bekasi Hospital and Hermina Depok Hospital for the January-December 2024 period. Data collection used medical record tracing, GSV diamter, GSV venous occlusion, rVCSS score. Bivariate analysis with Chi-Square or Fischer Test, multivariate analysis with multiple logistic regression while diagnostic parameter analysis with ROC curve. The venous occlusion rate reached 87.2%, and the change in rVCSS score was 63.8%. There was a significant relationship between GSV diameter and GSV occlusion [p<0.001; MD -2.101 (95% CI: -2.84; -1.36)] and with changes in rVCSS score [B=1.188; p=0.029; OR 3.28 (95% CI: 1.13–9.53)]. The GSV diameter threshold value of 6.55 mm was a good predictor of occlusion (75.6% sensitivity, 100% specificity), but not good for rVCSS change (70% sensitivity, 52.9% specificity). Other factors such as gender, age ?60 years, hypertension, diabetes, and obesity were not significantly related. GSV diameter was significantly associated with venous occlusion and changes in rVCSS scores post-EMA. A cut-off value of 6.55 mm can be a good predictor of occlusion.
Maturation of Radiocephalic Arteriovenous Fistula with and without Hydro dilatation: A Study on the Diameter and Flow Volume of the Draining Vein Eko Dion Pandin Purba Sigoemondrong; Patrianef Darwis; Dian Kusumadewi
Eduvest - Journal of Universal Studies Vol. 6 No. 4 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i4.53007

Abstract

Radiocephalic arteriovenous fistula (AVF-RC) is the primary vascular access in patients with end-stage chronic kidney disease undergoing hemodialysis. One of the main challenges of using AVF-RC is the failure of early maturation, characterized by inadequate diameter and flow volume of the draining vein. Hydro dilatation is a simple intraoperative technique that aims to increase the distensibility and diameter of the veins, so that it is expected to accelerate the maturation process of the fistula. This study used a retrospective cohort design involving patients with chronic kidney disease who were undergoing hemodialysis and had AVF-RC created for the first time at Yarsi Hospital between October 2023 and September 2025. Subjects were divided into two groups, namely the group with and without hydro dilatation, with 60 patients in each group. A total of 120 patients were analyzed, with a median age of 54 years, and the majority were male. The diameter of the draining vein increased significantly from preoperative to 6 weeks postoperative in all patients (p < 0.001). The increase in draining vein diameter at weeks 1 and 6 postoperatively was significantly greater in the hydro dilatation group than in the non-hydro dilatation group (p < 0.001). Hydro dilatation has a significant effect on increasing the diameter and flow volume of the draining vein of AVF-RC, particularly in the early period of maturation. This technique has the potential to improve the success of AVF maturation and can be considered as part of an intraoperative strategy for optimizing vascular access for hemodialysis.
The Outcome of Snare Loop Catheter for Foreign Body Removal in Superior Vena Cava: An Evidence-Based Case Report Noorsukma, Hutomo Rezky; Darwis, Patrianef
The New Ropanasuri Journal of Surgery Vol. 10, No. 1
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction. In recent years, the utilization of central venous catheters (CVC) in medical practice has become increasingly common. One of the complications associated with central venous catheterization is embolization of catheter fragments, which arefound in 1% of cases. Currently, endovascular techniques, such as snare loop catheter, have been developed for the extraction of intravascular foreign bodies. However, there is no strong evidence regarding this method. Thisliterature review aims toevaluate the efficacy and safety of snare loop catheters for foreign body removal within the superior vena cava (SVC). Method. We searched four databases, that is Cochrane, PubMed, EBSCO, and ProQuest. We only included studies relevant to our clinical question about the efficacy and safety of snare loop catheter for foreign body removal in SVC. Results. We found 24 case reports and 10 case series from our search with a total of 224 cases. The effectiveness of the snare loop in extracting intravascular foreign bodies from the 34 articles was 97.77%, and the snare loop was successful in removing foreign bodies in 218 cases. We only found 7 cases of complications after the procedure, which are supraventricular tachyarrhythmia (3 cases), hematoma (3 cases), and tricuspid regurgitation (1 case). Conclusion. The removal of foreign bodies in the superior vena cava using a snare-loop catheter is effective and relatively safe. However, further studies with a higher level of evidence are still needed
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.
Co-Authors Ahmad Bakri Aria Kekalih Bakri, Ahmad Bakti H Simanjuntak Bangsawan, Kiwah Andanni Basri, Novrizal S. Chyntia Olivia Maurine Jasirwan, Chyntia Olivia Maurine Deddy Pratama Dedy Pratama Dhanasari Vidiawati Dian Kusumadewi Eko Dion Pandin Purba Sigoemondrong Fachriza, Ihza Faisal Ali Ahmad Kler Fakhri Rahman, Fakhri GAMPO ALAM IRDAM, GAMPO ALAM Grace Wangge Grace Wangge, Grace Herwen, Herwen I Gusti Agung Bagus Krisna Wibawa Karina Karina Karina Zulkarnain Megatia, Ika Muradi, Akhmadu Noorsukma, Hutomo Rezky Ocsyavina, Ocsyavina Pamungkas, Wisnu Peri Handayani Pratama, Deddy Rachmanto, Ary Raharja, Putu Angga Risky Rizky Saputra Telaumbanua Rizky Telaumbanua Sari Febriana, Sari Satria Simatupang Simanjuntak, Bakti H Sitorus, Londung B. Subrata, Feyona H Suhartono, Raden Teguh Dwi Nugroho Telaumbanua, Rizky Vanto, Yoni Wawan Mulyawan Yang, Andrew Jackson