cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Sunny Wangko
Contact Email
sunnypatriciawangko@gmail.com
Phone
+628124455733
Journal Mail Official
sunnypatriciawangko@gmail.com
Editorial Address
eclinic.paai@gmail.com
Location
Kota manado,
Sulawesi utara
INDONESIA
e-CliniC
Published by Universitas Sam Ratulangi
ISSN : 23375949     EISSN : -     DOI : -
Core Subject : Health,
Health Professions
Jurnal e-CliniC (eCl) diterbitkan oleh Perhimpunan Ahli Anatomi Indonesia bekerja sama dengan Fakultas Kedokteran Universitas Sam Ratulangi Manado. Jurnal ini diterbitkan 3 (tiga) kali setahun (Maret, Juli, dan November). Sejak tahun 2016 Jurnal e-CliniC diterbitkan 2 (dua) kali setahun (Juni dan Desember). Jurnal e-CliniC memuat artikel penelitian, telaah ilmiah, dan laporan kasus di bidang ilmu kedokteran klinik.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 1,074 Documents
 94   95   96   97   98 
Peran Neonatal Comfort Care di Neonatal Intensive Care Unit Andhika Wicaksana; Rocky Wilar; Johnny L. Rompis
e-CliniC Vol. 12 No. 1 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i1.45365

Abstract

Abstract: Comfort is an important component of the treatment of neonates in the National Intensive Care Unit (NICU). Due to the efforts given in the NICU, neonates tend to be exposed with various surroundings which made them receive excessive stimuli. These can lead to increased level of stress and pain, and have an impact on the health and growth of the neonates in the NICU. Therefore, it is necessary to carry out procedures to keep the baby comfortable by maintaining the stress level through neonatal comfort care. This study aimed to determine the role of neonatal comfort care during the care of neonates in the NICU. This was a literature review study. Literatures were searched in PubMed, Google Scholar, and Clinical Key databases. The results obtained 10 literatures to be reviewed. The statistical results showed that through the implementation of pharmacological and non-pharmacological procedures, neonatal comfort care had a good impact on physiological distress and neonates’ comfort based on the comfort rating scale for neonates in the NICU. In conclusion, neonates’ comfort in the NICU increases significantly after being given neonatal comfort care. Keywords: Neonatal Comfort Care; Neonatal Intensive Care Unit; neonates in care   Abstrak: Menjaga kenyamanan neonatus merupakan komponen penting dalam perawatan di lingkungan Neonatal Intensive Care Unit (NICU). Dalam upaya pengobatan yang dilaksanakan di NICU, neonatus akan terpapar lingkungan yang bervariasi hingga menerima stimuli berlebihan yang dapat menyebabkan peningkatan stres maupun rasa nyeri akibat perawatan invasif yang dilaksanakan. Oleh karena itu diperlukan prosedur pelaksanaan dalam memelihara kenyamanan neonatus untuk menjaga tingkat stres melalui neonatal comfort care. Penelitian ini bertujuan untuk mengetahui peran neonatal comfort care pada perawatan neonatus di NICU melalui suatu literature review. Pencarian literatur dilakukan di database PubMed, Google Scholar, dan Clinical Key. Hasil penelitian mendapatkan 10 literatur untuk diulas. Hasil statistik dari artikel yang diulas menunjukkan bahwa neonatal comfort care melalui pelaksanaan prosedur farmakologi dan non-farmakologi memiliki berdampak baik terhadap distres fisiologis dan kenyamanan neonatus berdasarkan skala penilaian kenyamanan terhadap neonatus yang berada di lingkungan NICU. Simpulan penelitian ini ialah kenyamanan neonatus yang berada di lingkungan NICU meningkat bermakna secara statistik setelah pemberian neonatal comfort care. Kata kunci: Neonatal Comfort Care; Neonatal Intensive Care Unit; bayi dalam perawatan
Gangguan Ginjal Akut pada Anak: Faktor Risiko dan Tatalaksana Terkini Virgin V. A. Karundeng; Valentine Umboh; Rocky Wilar
e-CliniC Vol. 12 No. 1 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i1.45368

Abstract

Abstract: Acute kidney injury (AKI) is defined as an acute drop in renal function and is determined by creatinine serum and urine output. Several studies conclude that the risk factors of AKI in children are differentiated according to its etiology.The management of AKI as recommended by KDIGO is according to the stadium. This study aimed to determine the risk factors and the current management of AKI in children. This was a literature review study conducted by searching literatures from Pubmed and Google Scholar. The results obtained 17 literatures related to the topic. The most common pre-renal and renal risk factors were sepsis and nephrotoxic medications respectively. Sepsis, shock, and gastroenteritis were found significantly related to the stadium of AKI in children. Current management of AKI in children was the use of dextrose in normal saline mixed with 3% of diluted Nacl to correct hypernatremic dehydration; the use of peritoneal dialysis for infant below 5 y.o, and the use of CARPEDIEM as the new CRRT for children <5kg; the use of caffeine citrate for neonates to prevent AKI. In conclusion, the most common risk factor according to the etiology of AKI in children is sepsis. The current managements are to correct AKI according to its etiology and stadium and to prevent AKI occurence in high-risk neonates. Keywords: acute kidney injury; risk factors; current management; children   Abstrak: Gangguan ginjal akut (GnGA) didefinisikan sebagai penurunan fungsi ginjal mendadak yang ditentukan oleh serum kreatinin dan output urin. Beberapa penelitian menyimpulkan bahwa faktor risiko GnGA pada anak dibedakan berdasarkan etiologinya, dan tatalaksana GnGA yang direkomendasikan oleh KDIGO disesuaikan dengan stadiumnya. Penelitian ini bertujuan untuk mengetahui faktor risiko dan tatalaksana terkini GnGA pada anak melalui suatu literature review. Hasil penelitian mendapatkan 17 literatur dari Pubmed dan Google Scholar. Faktor risiko pra-renal dan renal dari GnGA pada anak ialah sepsis dan penggunaan obat nefrotoksik secara berurut. Sepsis, syok, dan gastroenteritis berhubungan dengan stadium GnGA pada anak. Terapi terkini GnGA pada anak ialah penggunaan dekstrosa dalam normal salin yang dicampur diluted Nacl 3%, untuk memperbaiki dehidrasi hipernatremik; penggunaan peritoneal dialisis untuk bayi <5 tahun dan penggunaan CARPEDIEM sebagai CRRT untuk bayi <5kg; penggunaan kafein sitrat dapat mencegah GnGA pada neonatus. Simpulan penelitian ini ialah faktor risiko yang paling umum berdasarkan etiologi GnGA pada anak ialah sepsis. Terapi terkini ialah mengoreksi GnGA menurut etiologi dan stadiumnya serta mencegah terjadinya GnGA pada neonatus yang berisiko tinggi. Kata kunci: gangguan ginjal akut; faktor risiko; tatalaksana terkini; anak
Pengaruh Evolocumab terhadap Pasien Dislipidemia dengan Intoleransi Statin Kristiani A. Laluyan; Edward Nangoy; Jimmy Posangi
e-CliniC Vol. 12 No. 1 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i1.45494

Abstract

Abstract: Statins, lipid-lowering drugs, are used to reduce low density lipoprotein cholesterol (LDL-C). Although statins are well tolerated by most people, their side effects e. g. myopathy and statin intolerance have impacts on dose reduction and therapy discontinuation. Evolocumab is considered in patients with statin intolerance. This study aimed to determine the effect of evolocumab on LDL-C levels in patients with dyslipidemia and statin intolerance. This was a literature review study using literature search on three databases, namely PubMed, ClinicalKey, and ScienceDirect with the keywords Dyslipidemia AND Evolocumab AND Statin Intolerance. The results obtained seven related literatures. In general, evolocumab therapy was safe and effective in reducing LDL-C levels for patients who needed drugs to lower LDL-C. Based on the literatures, inhibition of PCSK9 activity on evolocumab had an effect on reducing LDL-C levels by 50-70%. This therapy could reduce the risk of cardiovascular diseases such as the ratio of Apo B/Apo A1, triglycerides, and total cholesterol. In conclusion, evolocumab therapy is generally safe and effective in significantly reducing LDL-C. Adverse effects caused by the therapy tend to be mild. Keywords: dyslipidemia; low density lipoprotein cholesterol; statins; statin intolerance; evolocumab   Abstrak: Statin merupakan obat penurun lipid untuk menurunkan kolesterol low density lipoprotein (K-LDL) dan umumnya dapat ditoleransi dengan baik namun miopati dan efek samping lainnya serta intoleransi statin dapat mengarah ke penurunan dosis atau penghentian terapi. Pemberian evolocumab dapat dipertimbangkan pada keadaan intoleransi statin. Penelitian ini bertujuan untuk mengetahui pengaruh evolocumab terhadap kadar K-LDL pasien dengan dislipidemia dan intoleransi statin melalui suatu literature review. Pencarian literatur pada tiga database, yaitu PubMed, ClinicalKey, dan ScienceDirect dengan kata kunci Dyslipidemia AND Evolocumab AND Statin Intolerance. Hasil penelitian mendapatkan tujuh literatur untuk dikaji. Berdasarkan kajian literatur didapatkan terapi evolocumab umumnya aman dan efektif dalam menurunkan kadar K-LDL bagi pasien yang membutuhkan obat untuk penurunan kolesterol. yang telah didapat. Penghambatan aktivitas PCSK9 pada evolocumab berpengaruh dalam menurunkan kadar K-LDL sekitar 50-70%. Terapi tersebut dapat mengurangi risiko penyakit kardiovaskular seperti rasio Apo B/Apo A1, trigliserida, dan kolesterol total. Simpulan penelitian ini ialah terapi evolocumab umumnya aman dan efektif dalam menurunkan kadar K-LDL secara bermakna. Kejadian yang tidak diinginkan yang ditimbulkan oleh terapi cenderung ringan. Kata kunci: dislipidemia; kolesterol low density lipoprotein; statin; intoleransi statin; evolocumab
Hubungan antara Kebiasan Merokok, Konsumsi Alkohol dan Faktor Sosiodemografis dengan Kualitas Hidup Remaja di Kabupaten Minahasa Utara Pinaria, Anthoneta S.; Manampiring, Aaltje E.; Umboh, Adrian
e-CliniC Vol. 12 No. 1 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i1.45748

Abstract

Abstract: Quality of life (QoL) is a measure for the health status of an individual comprehensively, assessed based on the physical, psychological, social and environmental domains. Several factors influence the development of adolescents, including social media, urbanization, and unhealthy eating pattern. This study aimed to analyze the relationship between smoking habit, alcohol consumption, and sociodemographic factors with quality of life of adolescents in North Minahasa. This was a quantitative study with a cross-sectional design. Respondents were 402 teenagers who were junior and senior high school students in North Minahasa. Research variables were age, gender, smoking habit, and alcohol consumption. Data were analyzed univariately, bivariately, and multivariately using the chi square test. The results showed that there was no significant relationship between age, gender, alcohol consumption habits and smoking habits with QoL of adolescents (p>0.05). There was a significant relationship between smoking habits and QoL of adolescents (p=0.049). Adolescent smoking habit significantly affected QoL of adolescents, where adolescents who smoked had a probability of 2.374 of having a lower QoL compared to those who did not smoke. In conclusion, there is no significant relationship between age, gender, and alcohol consumption habit with the QoL of adolescents, however, there is a significant relationship between smoking habits and the QoL of adolescents in North Minahasa. Keywords: age; gender; smoking; alcohol consumption; quality of life; adolescents   Abstrak: Kualitas hidup merupakan suatu ukuran terhadap status kesehatan individu secara komprehensif yang dinilai berdasarkan domain fisik, psikologis, sosial dan lingkungan. Terdapat beberapa faktor yang memengaruhi perkembangan remaja, antara lain media sosial, urbanisasi, pola makan yang tidak sehat. Penelitian ini bertujuan untuk menganalisis hubungan antara kebiasaan merokok, konsumsi alkohol dan faktor sosiodemografi dengan kualitas hidup remaja di Minahasa Utara. Jenis penelitian ialah kuantitatif dengan desain potong lintang. Responden penelitian ialah 402 remaja yang merupakan siswa SMP dan SMA di Minahasa Utara. Variabel penelitian yaitu usia, jenis kelamin, kebiasaan merokok, konsuksi alkohol dan kualitas hidup remaja. Data penelitian dianalisis secara univariat, bivariat dan multivatriat dengan menggunakan uji chi square. Hasil penelitian memunjukkan tidak terdapat hubungan bermakna antara usia, jenis kelamin, kebiasaan konsumsi alcohol, dan kebiasaan merokok dengan kualitas hidup remaja (p>0,05). Terdapat hubungan bermakna antara kebiasaan merokok dengan kualitas hidup remaja (p=0,049). Remaja merokok memiliki kemungkinan sebesar 2,374 dengan kualitas hidup rendah dibandingkan remaja tidak merokok. Simpulan penelitian ini ialah tidak terdapat hubungan bermakna antara usia, jenis kelamin, kebiasaan konsumsi alkohol dengan kualitas hidup remaja namun terdapat hubungan bermakna antara kebiasaan merokok dengan kualitas hidup remaja di Kabupaten Minahasa Utara. Kata kunci: usia; jenis kelamin; merokok; konsumsi alkohol; kualitas hidup; remaja
Analisis Pelaksanaan Program Pencegahan dan Pengendalian Infeksi Nosokomial di Rumah Sakit Umum Daerah Anugerah Tomohon Pandeiroot, Irene; Niode, Nurdjanah J.; Rampengan, Novie H.
e-CliniC Vol. 12 No. 1 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i1.45864

Abstract

Abstract: Infection prevention and control (IPC) is an effort to prevent and minimize the occurrence of infections in patients, staff, visitors, and the community around health care facilities. The IPC unit in a hospital aims to improve the quality of health services, so as to protect the patients. community, and health workers from infectious diseases related to the health services provided. This study aimed to explore in depth the implementation of IPC in improving the quality of services at RSUD Anugerah Tomohon. This was a qualitative study using five informants. The results showed that there was still no commitment of all IPC members and all parties involved in the implementation of the IPC, therefore, the implementation of the IPC program was not in accordance with the SOP. Hospital management had provided facilities and infrastructures supporting the IPC but there were often vacancies/damages. Some alternative solutions included holding meetings with hospital management to provide support for the IPC team, funding follow-up training and seminars, taking an interpersonal approach, and providing education and motivation to health workers. In conclusion, the IPC program has generally been running well at RSUD Anugerah even though there are still obstacles faced by the IPC team. The hospital management has also provided facilities and infrastructure to support the implementation of the IPC program even though they have not met the standards.   Keywords: infection prevention and control; hospital management; quality of health services   Abstrak: Pencegahan dan pengendalian infeksi (PPI) merupakan upaya untuk mencegah dan meminimalkan terjadinya infeksi pada pasien, petugas, pengunjung, dan masyarakat sekitar fasilitas pelayanan kesehatan. Unit PPI Rumah Sakit bertujuan untuk meningkatkan kualitas pelayanan kesehatan sehingga dapat melindungi pasien, masyarakat, dan sumber daya kesehatan dari bahaya penyakit infeksi terkait pelayanan kesehatan yang diberikan. Penelitian ini bertujuan untuk mengeksplorasi secara mendalam pelaksanaan PPI dalam meningkatkan mutu pelayanan di RSUD Anugerah Tomohon dengan menggunakan metode kualitatif dan sampel sebanyak lima informan. Hasil penelitian menunjukkan belum adanya komitmen dari seluruh anggota PPI dan semua pihak yang terlibat dalam pelaksanaan PPI sehingga pelaksanaan program PPI belum sesuai dengan SOP. Manajemen Rumah Sakit telah menyediakan sarana dan prasarana yang mendukung pelaksanaan program PPI namun sering terjadi kekosongan/rusak. Beberapa alternatif pemecahan masalah antara lain mengadakan pertemuan dengan manajemen rumah sakit untuk memberikan dukungan bagi tim PPI, mendanai pelatihan lanjutan dan seminar, melakukan pendekatan interpersonal, serta memberikan edukasi dan motivasi kepada petugas kesehatan. Simpulan penelitian ini ialah proses pelaksanaan PPI umumnya sudah berjalan baik di RSUD Anugerah walaupun masih terdapat kendala yang dihadapi oleh tim PPI. Pihak manajemen Rumah Sakit juga telah menyediakan sarana dan prasarana pendukung pelaksanaan program PPI walaupun belum memenuhi standar. Kata kunci: pencegahan dan pengendalian infeksi; manajemen rumah sakit; mutu pelayanan
Median Nerve Repair Using Sural Nerve Grafting: A Case Report Prasetyo, Eko; Oley, Maximillian C.; Tjungkagi, Ferdinan; Manuhutu, Yovanka N.; Sitorus, Edwin H.
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.v12i2.46200

Abstract

Peripheral nerve injuries (PNIs) have increased to nearly 2.8% of all trauma cases. It often occurs in the upper extremities, such as the median nerve. EMG can be used to confirm a PNI diagnosis. When continuity defects are present in the injured nerve, a nerve graft procedure may be indicated. The most common donor nerve for repair is the sural nerve. Different surgical options are available for the repair of PNI. We presented a 39-year-old woman whose left hand was cramping and did not fully clench. On physical examination, there was an irregular scar on the left arm 1/3 upper region. Sensory deficits were found in the distribution areas of the median nerve, from digiti 1 to 3 of the manus sinistra. EMG showed the lesion of the left median nerve, an axonetmesis was suspected. The patient was then treated with sural nerve grafting to the median nerve using fibrin glue. The postoperative result revealed improvement in hand function. Grafting sural nerve to median nerve using fibrin glue was rarely performed. According to several studies, nerve grafts usually used 6-0 sized synthetic, monofilament, non-absorbable polypropylene sutures. however, there was no difference in the results between fibrin glue and sutures, both have good outcomes. In conclusion, repairing of the median nerve injury using autograft (sural nerve) and fibrin glue can be an option to restore the function of the hand. Keywords: peripheral nerve injury; median nerve; sural nerve; nerve grafting
Sternotomy or Thoracotomy: Which One? Tangkilisan, Adrian; Sukanto, Wega; Tamburian, Christha; Lolongan, Gerald R.
e-CliniC Vol. 12 No. 1 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i1.46259

Abstract

Abstract: Penetrating injuries to the chest present a frequent and challenging problems. Median sternotomy and thoracotomy are two choices to explore any trauma to the chest. We report a 37-year-old man with wound and pain in his left chest due to being stabbed with a knife one hour ago. On physical examination, an open wound measured 5x1.5 cm as high as the third rib parallel to the left parasternal line, the edges of the wound bed were flattened by the periosteum. Laboratory examination showed leukocytosis. FAST showed an important left pleural effusion and pericardial fluid. CTA study showed the presence of air in the anterior mediastinum and the left pleural cavity. In the fifth intercostal space, a left anterolateral thoracotomy was performed and 800 ml of blood was evacuated from the left chest. The left lung was lowered to open the pericardium, which caused a further drop in blood pressure; then, the pericardium was opened and a blood clot (1500 ml) was removed. An epicardial wounds were found on the anterior surface of the right ventricle. The left anterior coronary artery was actively bleeding. The hemorrhagic lesion was stitched with 4.0 polypropylene reinforced with a Teflon strip. The patient recovered uneventfully on the sixth postoperative day. During the 14-month follow-up, the patient was fine and back to work. In conclusion, surgeon must be able to decide the technique of approach in the operating room considering the site of injury and the presence of involving organ. Thoracotomy patient can also receive median sternotomy if the cardiac injuries could not be repaired through thoracotomy. In addition, some patients with median sternotomy also received additional thoracotomy due to their pulmonary injuries. Keywords: penetrating injuries; thoracotomy; sternotomy; cardiac injury
Pattern of Skull and Facial Bone Fracture in Craniomaxillofacial Trauma Associated with Traumatic Brain Injury: A Retrospective Analysis at Tertiary Hospital Prasetyo, Eko; Oley, Maximillian C.; Tjungkagi, Ferdinan; Manuhutu, Yovanka N.; Sonbay, Antonius E.
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.v12i2.46477

Abstract

Abstract: Trauma is one of the primary causes of death during the first four decade.  Craniomaxillo-facial (CMF) trauma has become a common presentation in emergency departments of hospitals. The most presentation of CMF trauma includes skull and facial bone fracture and traumatic brain injury (TBI). This study aimed to obtain the pattern of skull and facial bone fracture in craniomaxillofacial trauma associated with traumatic brain injury. This was a retrospective study conducted on 501 patients from January 2020 to December 2021. Demographic data included age, sex, length of stay (LOS), and Glasgow coma scale (GCS). The results showed that from the total 501 patients with skull and facial bone fracture with or without traumatic brain injury, 406 (81%) were males and 95 (19%) were females. The age range of the patients was between 2 years and 86 years (mean±SD 33.9±18.2). The most common patient affected age ranged from 21 to 30 years. The average of LOS was 7.2±5.7 days (0-33) and the mean of GCS was 10.2±4.2. Based on types of cases, there were 232 cases (60%) of skull and facial bone fractures accompanied by TBI; 154 cases (40%) of only skull and facial bone fracture; and 339 (59.5%) cases of only TBI. In conclusion, the distribution of TBI increases in those with skull and facial bone fractures. On the other hand, the distribution of TBI is more common without fracture. Hence every skull and facial bone fracture must be carefully evaluated clinically and radiologically to rule out any underlying TBI. Keywords: skull and facial bone fracture; craniomaxillofacial trauma; traumatic brain injury
Median and Ulnar Nerve Repair Using Sural Nerve Graft: A Case Report Prasetyo, Eko; Oley, Maximillian C.; Manuhutu, Yovanka N.; Panduwinata, Dicky
e-CliniC Vol. 12 No. 1 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i1.46482

Abstract

Abstract: Most peripheral nerve injuries (PNI) are caused by trauma. Upper extrimities are most likely to get injured, and the radial nerve is the most common part in upper extrimites to be affected. There are different surgical options available to repair PNI. We reported a 48-years-old male consulted to the Neurosurgery Department for right upper limb weakness and numbness. He had history of laceration due to iron sheeting in the right arm. There was an irregular scar, weakness on right lower arm with hypesthesia, but no neurovascular distal (NVD) abnormalities were found. Further examination showed claw hand. EMG examination revealed total lesion of the right median and ulnar nerve, partial lesion of the right radial nerve with the lesion at wrist level, possibly neurotmesis according to Seddon Classification. Initial debridement, suturing, and repairing of radial artery and flexor carpi ulnar tendon were performed. The patient was then diagnosed as total lesion of the right median and ulnar nerve, partial lesion of the right radial nerve, post repair right ulnar and radial artery and flexor carpi ulnar tendon repair with the planning of nerve graft with no complication under monitoring. The patient was scheduled for sural nerve graft procedure. Early nerve repair or reconstruction is needed even though it only results in incomplete recovery for months to years. The sural nerve is great either in diameter or length which can be a huge source for the grafting of nerve and revealed good outcomes. Recent study showed incomplete recovery especially seen when the patient could not fully clench his hand and his thumb did not move properly during the movement. In conclusion, sural nerve graft is an appropriate choice for peripheral nerve injuries with more benefits included. Prognosis depends on how early the treatment performed and how severe the lesion is. Keywords: median nerve; sural nerve; peripheral nerve injury; nerve repair; nerve grafting
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

Page 96 of 108 | Total Record : 1074

 94   95   96   97   98 

Filter by Year

2013 2026


Reset
Filter By Issues
All Issue Vol. 14 No. 1 (2026): e-CliniC Vol. 13 No. 2 (2025): e-CliniC Vol. 13 No. 1 (2025): e-CliniC Vol. 12 No. 3 (2024): e-CliniC Vol. 12 No. 2 (2024): e-CliniC Vol. 12 No. 1 (2024): e-CliniC Vol. 11 No. 3 (2023): e-CliniC Vol. 11 No. 2 (2023): e-CliniC Vol. 11 No. 1 (2023): e-CliniC Vol. 10 No. 2 (2022): e-CliniC Vol. 10 No. 1 (2022): e-CliniC Vol 9, No 2 (2021): e-CliniC Vol 9, No 1 (2021): e-CliniC Vol 8, No 2 (2020): e-CliniC Vol 8, No 1 (2020): e-CliniC Vol 7, No 2 (2019): e-CliniC Vol 7, No 1 (2019): e-CliniC Vol 6, No 2 (2018): Jurnal e-CliniC (eCl) Vol 6, No 1 (2018): Jurnal e-CliniC (eCl) Vol 5, No 2 (2017): Jurnal e-CliniC (eCl) Vol 5, No 1 (2017): Jurnal e-CliniC (eCl) Vol 4, No 2 (2016): Jurnal e-CliniC (eCl) Vol 4, No 1 (2016): Jurnal e-CliniC (eCl) Vol 3, No 3 (2015): Jurnal e-CliniC (eCl) Vol 3, No 2 (2015): Jurnal e-CliniC (eCl) Vol 3, No 1 (2015): Jurnal e-CliniC (eCl) Vol 2, No 3 (2014): Jurnal e-CliniC (eCl) Vol 2, No 2 (2014): Jurnal e-CliniC (eCl) Vol 2, No 1 (2014): Jurnal e-CliniC (eCl) Vol 1, No 3 (2013) Vol 1, No 2 (2013): Jurnal e-CliniC Vol 1, No 1 (2013) More Issue