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All Journal MAKSI The New Ropanasuri Journal of Surgery Jurnal Ilmu Bedah Indonesia Narra J Indonesian Journal of Multidisciplinary Science Jurnal Locus Penelitian dan Pengabdian The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Eduvest - Journal of Universal Studies
Suhartono, Raden
Division Of Vascular And Endovascular Surgery, Department Of Surgery, Faculty Of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo General National Hospital, Jakarta
Aerospace Engineering Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Mathematics Medicine & Pharmacology Neuroscience Public Health Social Sciences

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Revascularization Techniques for Infra-popliteal Peripheral Artery Disease in Diabetic Foot: A Literature Review Suhartono, Raden; Wijaya, Ghany H
The New Ropanasuri Journal of Surgery Vol. 7, No. 1
Publisher : UI Scholars Hub

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Abstract

Foot ulcers are one of the problems that are often encountered in uncontrolled diabetes mellitus. With diabetic peripheral neuropathy, the typical clinical symptoms of PAD (peripheral arterial disease) may be obscured, leading to critical limb ischemia (CLTI). Diabetes may accelerate atherosclerosis that diminishes blood flow in PAD—further, diabetic patients with PAD often enfaces infra-popliteal lesions and require revascularization. However, studies on revascularization techniques in infra-popliteal PAD remain minimal. We reviewed the literature on EBSCO, and PubMed focused on the revascularization techniques in PAD, namely: expanded polytetrafluoroethylene (ePTFE), saphenous vein graft (SVG), atherectomy, surgical revascularization first, revascularization with endovascular bypass, direct and indirect angiosome revascularization, open surgery, direct bypass, indirect bypass, PTA, drug-eluting stent, pedal artery angioplasty, non-drug balloon angioplasty, DCB balloon angioplasty, infra-popliteal angioplasty, and cryoplasty. The methods of cryoplasty, atherectomy, direct bypass, balloon angioplasty, and eluting drug stent showed a better outcome in infra-popliteal CLTI.
Review: Partial Splenic Embolization Outcome on Liver Cirrhosis with Esophageal Varices Suhartono, Raden; Irsal, Muhammad F. A
The New Ropanasuri Journal of Surgery Vol. 7, No. 1
Publisher : UI Scholars Hub

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Introduction. Liver cirrhosis may be followed by complications such as esophageal varices for 30 days mortality rate up to 15-20%. Partial splenic embolism (PSE) or partial splenic embolization has been developed as a safe and effective alternative therapy for managing bleeding in esophageal varices. This study aims to determine the outcome of PSE in patients with liver cirrhosis with esophageal varices. Method. In this review, the literature search proceeded on three online databases (Cochrane Library, MEDLINE (PubMed), and ScienceDirect) according to PRISMA protocol. Through selections, six articles were included, and all were the reports. Results. Of six reports, three were focused on liver function tests, and the other three were focused on bleeding varices. All were comparing before and after embolization. Conclusion. There is a significant difference in serum cholinesterase and a decreasing incidence of varices bleeding before and after PSE treatment. However, there was no significant difference in serum albumin before and after PSE.
Factors Influencing Ulcer Healing in Chronic Limb Threatening Ischemia Patients after Endovascular Angioplasty at Cipto Mangunkusumo General Hospital Suhartono, Raden; Wijaya, Ghany H; Muradi, Akhmadu
The New Ropanasuri Journal of Surgery Vol. 8, No. 3
Publisher : UI Scholars Hub

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Abstract

Introduction. Chronic limb–threatening ischemia (CLTI) can cause rest pain in the lower extremities and the formation of ulcers or gangrene. Revascularization, which can be done using open surgery or endovascular procedures, is the first line of treatment in CLTI management. CLTI patients at CMGH usually came with advanced conditions and high re–amputation rates even after revascularization. This study aimed to determine factors associated with the outcome of endovascular angioplasty, especially ulcer healing. Method. A cross–sectional study was conducted at CMGH, enrolling CLTI patients with Rutherford grades 5 and 6 who underwent angioplasty. Age, gender, history of smoking, hypertension, atrial fibrillation, heart failure, chronic kidney disease (CKD), and diabetes mellitus were the independent variables of interest in this study. The dependent variable was ulcer healing, a clinical assessment after angioplasty assessed as complete ulcer epithelialization within four months after the procedure. Results. In 133 study subjects, it was found that 60.9% of patients underwent complete epithelialization. Factors that affect ulcer healing in CLTI patients include gender, hypertension, atrial fibrillation, heart failure, chronic kidney disease, and diabetes mellitus. The factor with the strongest association with ulcer healing after endovascular angioplasty based on the logistic regression test is diabetes mellitus. Conclusion. Factors that have a significant association with ulcer healing in patients with CLTI include gender, smoking, hypertension, atrial fibrillation, heart failure, CKD, and diabetes. The factor that was considered to have the strongest association was diabetes mellitus
The Relationship Between Carotid Artery Intima-Media Thickness and Duration and Glycemic Control in Type 2 Diabetes Mellitus Patients with Peripheral Artery Disease (PAD) Richard Raja Rampisela; Raden Suhartono; Aria Kekalih
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.v6i5.52689

Abstract

Type 2 Diabetes Mellitus (DMT2) is associated with several complications, including Peripheral Artery Disease (PAD). Carotid Intima-Media Thickness (CIMT) has been recognized as an early marker of subclinical atherosclerosis, reflecting vascular changes in DMT2 patients. The relationship between disease duration and glycemic control with CIMT in PAD patients is still not fully understood, especially in Indonesia. A cross-sectional study was conducted with 40 DMT2 patients diagnosed with PAD. CIMT was measured using high-resolution Doppler ultrasound. Glycemic control was assessed based on HbA1c levels, with patients categorized based on a threshold of 7%. Data were analyzed using chi-square tests and multivariate logistic regression. A significant relationship was found between DMT2 duration and glycemic control with CIMT thickness (p<0.05). Patients with a disease duration of more than 2 years have a higher chance of experiencing an increase in CIMT. Similarly, poor glycemic control (HbA1c ≥7%) is strongly associated with an increase in CIMT. Long-term DMT2 and poor glycemic control are major contributors to increased CIMT, reflecting a greater burden of atherosclerosis in PAD patients.  Early intervention and optimal glycemic control are essential in preventing cardiovascular complications in this population
Navigating the intersection of COVID-19 and lower extremity acute limb ischemia: A retrospective cohort study of clinical characteristics and outcomes at Dr. Cipto Mangunkusumo Hospital Akhmadu Muradi; Ihza Fachriza; Dedy Pratama; Raden Suhartono; Hanafiah Harunarashid
Narra J Vol. 5 No. 3 (2025): December 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i3.2557

Abstract

Acute limb ischemia (ALI), a critical condition threatening limb viability and patient survival, has demonstrated an increased incidence during the COVID-19 pandemic, primarily due to virus-associated thrombotic complications. The pandemic has also led to delays in the diagnosis and treatment of non-COVID conditions, including ALI. The aim of this study was to evaluate the clinical characteristics and outcomes of ALI patients treated at Dr. Cipto Mangunkusumo Hospital between 2018 and 2022, comparing outcomes before and during the COVID-19 pandemic. Patients were categorized into two cohorts: pre-pandemic (n=28) and pandemic (n=53), with March 2020 marking the onset of the pandemic period. Treatment outcomes—revascularization success, re-intervention, and mortality—were assessed using multivariate logistic regression. Among the 81 patients, 34.6% were treated before the pandemic and 65.4% during the pandemic. Revascularization success was significantly higher during the pandemic (relative risk (RR): 2.46; 95% confidence interval (CI): 1.16–5.24; p=0.013), whereas no significant differences were observed in re-intervention or mortality rates (both with p>0.05). A prior history of COVID-19 was not significantly associated with revascularization outcome (p=0.933). The use of fluoroscopic guidance was significantly associated with improved revascularization success (RR: 36.58; 95%CI: 6.54–204.6; p=0.001). Rutherford classification was a significant predictor of re-intervention success (p=0.022), while the presence of dyslipidemia and cardiovascular disease were independently associated with mortality (RR: 0.08–0.76, p=0.0o5, and RR: 2.24–25.18, p=0.001, respectively). In conclusion, fluoroscopy appears to enhance revascularization outcomes in the treatment of ALI. Comorbidities such cardiovascular disease, and COVID-19 history should be taken into account when managing patients with ALI.
Co-Authors Ali Farhan Fathoni Aria Kekalih Chyntia Olivia Maurine Jasirwan, Chyntia Olivia Maurine Dedy Pratama Dedy Pratama Dhanasari Vidiawati Effendi, Haikal Fachriza, Ihza Hanafiah Harunarashid Harunarashid, Hanafiah Herqutanto - Ihza Fachriza Irsal, Muhammad F. A Josep Joko Hendratno Karina Zulkarnain Magfira, Nadya Muradi, Akhmadu Nani Cahyani Nurrafiani, Arie Rozzaqi Patrianef Darwis Richard Raja Rampisela Rizki, Mohammad Nazril Supit, Caroline Syafruddin Syafruddin Teguh Dwi Nugroho Wijaya, Ghany H