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Karundeng, Billy
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Nursing Public Health

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Embolisasi Preoperatif pada Operasi Dekompresi Tulang Belakang Pali, Nathaniel; Prasetyo, Eko; Suharso, Tommy; Sumangkut, Richard; Karundeng, Billy; Lampus, Harsali
e-CliniC Vol 9, No 2 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v9i2.35549

Abstract

Abstract: Embolization is an effective way of controlling bleeding. This study was aimed to provide some information about preoperative spinal embolization, embolization materials, and complications. This was a literature review study using an online journal database and Google Scholar. The keywords used were Preoperative Spinal Embolization. The feasibility of the selected studies were case reports. The results showed that all studies used the same technique and approach to achieve different goals. The difference among them was the choice of embolan material. The complications that arose were few and could be managed. In conclusion, preoperative spinal embolization is the choice of therapy that give more benefit and safety.Keywords: preoperative spinal embolization; spinal decompression surgery; embolan  Abstrak: Embolisasi merupakan cara yang efektif dalam mengontrol perdarahan. Penelitian ini bertujuan memberikan informasi mengenai embolisasi tulang belakang, bahan embolan, dan komplikasi yang ditimbulkan. Jenis penelitian ialah suatu literature review menggunakan database jurnal online dan Google Scholar. Pencarian data menggunakan kata kunci Preoperative Spinal Embolization. Kelayakan penelitian yang dipilih bersifat case report. Hasil penelitian mendapatkan bahwa semua penelitian menggunakan teknik dan pendekatan yang sama untuk mencapai tujuan yang berbeda. Perbedaannya ialah dalam hal pemilihan bahan embolan. Komplikasi yang terjadi hanya sedikit dan dapat diatasi. Simpulan penelitian ini ialah preoperative spinal embolization merupakan terapi pilihan yang menguntungkan dan aman.Kata kunci: embolisasi preoperatif; operasi dekompresi tulang belakang; embolan
Endovascular Fistula Salvage for Preserving Arteriovenous Fistula Failure in Haemodialysis Patient: Tertiary Referral Hospital, a Single-Centre Experience Karundeng, Billy; Sumangkut, Richard; Tjandra, Djony; Khosama, Yuansun; Juliandi, Tomi
e-CliniC Vol. 12 No. 2 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i2.46644

Abstract

Abstract: Efficacy of endovascular intervention for the preservation of failing accesses is very important in hemodialysis patients. This study aimed to determine the efficacy of endovascular balloon angioplasty in preserving the patency of hemodialysis arteriovenous fistula (AVF) failure. This was a retrospective study of hemodialysis patients who received endovascular intervention due to access difficulties. A single-center study was created between January 2022 and June 2022. Fistulography was conducted on patients suspected of having access stenosis, and balloon angioplasty was performed in the same setting if stenosis of 50% was confirmed. Post-operative complications and access restenosis or failure were monitored. The results obtained 69 patients with hemodialysis access failure due to AVF stenosis, occlusion, and thrombosis that were admitted or referred to our hospital. The majority of patients were 40-60 years (50.7%); 88.4% patients were male and 11.6% were female, with a mean age of 56.3±11.6 (range, 18–77). The sites of AVF failure were brachiocephalic (81.1%) and radiocephalic (18.9%). There was no complication recorded. The procedure succes rate was 81.1%. In conclusion, endovascular balloon angioplasty is effective in restoring hemodialysis access patency. Recurrence is common, and interventions must be repeated. Keeping access open can save lives. Percutaneous transluminal angioplasty (PTA) can be used to achieve safely and successfully repair arteriovenous fistulas failure. Keywords: angioplasty; arteriovenous fistula; arteriovenous graft; hemodialysis
Outcomes of Endovascular Intervention for Salvage of Failing Hemodialysis Access Karundeng, Billy; Tjandra, Djony; Sumangkut, Richard; Winarto, Michael D.
Medical Scope Journal Vol. 7 No. 1 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i1.55971

Abstract

Abstract: Chronic kidney disease (CKD) is a worldwide public health problem. Hemodialysis accesses are prone to failure due to thrombosis and stenosis over the anastomosis or outflow vein. This study aimed to obtain the outcomes of endovascular intervention for salvage of failing hemodialysis access. This was a retrospective and descriptibe study. Data were collected from all patients who underwent endovascular intervention for failing hemodialysis access starting from January 2021 – June 2023 at Prof. Dr. R. D. Kandou Hospital, Manado. The results showed that 136 subjects were included in this study. The highest comorbidities were found in patients with a history of hypertension (52.9%). The most common arteriovenous fistulas (AVF) hemodialysis access was at the brachiocephalic location (75.7%). The most frequent cause of access dysfunction was simple stenosis (64.7%). Pseudoaneurysm was occurred in two subjects (1.4%), and ruptured outflow vein was occurred in one subject (0.7%). The patency rate at three months was 77.6%, but the primary patency rate would decrease to less than 50% over six months. Endovascular intervention in the form of balloon angioplasty is currently the main line of choice in dealing with problematic AVFs in principle what is being done is to intraluminaly dilate the narrowed or blocked lumen of the outflow vein. The complication rate from the procedure performed was 2.2% where in two patients a pseudoaneurysm occurred at the puncture site, namely the brachial artery and the radial artery then another patient had rupture of the AVFs outflow vein, therefore, an additional procedure was performed to close the AVFs with ligation. In conclusion, endovascular intervention for failing hemodialysis access has good results, but the primary patency rate will decrease to less than 50% over six months. Keywords: chronic kidney disease; hemodialysis access; endovascular intervention
Co-Authors Abd. Rasyid Syamsuri Harsali F. Lampus Juliandi, Tomi Pali, Nathaniel Suharso, Tommy Sumangkut, Richard Tjandra, Djony Winarto, Michael D. Yuansun Khosama, Yuansun