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All Journal e-CliniC Medical Scope Journal (MSJ) Jurnal Sosial dan Sains
Karundeng, Billy
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Astronomy Biochemistry, Genetics & Molecular Biology Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Library & Information Science Nursing Physics 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

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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
Co-Authors Abd. Rasyid Syamsuri Harsali F. Lampus Juliandi, Tomi Natanael Adam, Rizky Pali, Nathaniel Suharso, Tommy Sumangkut, Richard Tjandra, Djony Winarto, Michael D. Yuansun Khosama, Yuansun