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Journal of Indonesia Vascular Access
Published by Indonesian Vascular Access Association
ISSN : 28077032     EISSN : 27986780     DOI : https://doi.org/10.51559/jinava
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology
Journal of Indonesia Vascular Access; peer-reviewed journal aiming to communicate high-quality research articles, reviews, and general articles in the field. INAVA publishes articles that encompass basic research/clinical studies related to the cardiovascular and thorax field. The Journal aims to bridge and integrate the intellectual, methodological, and substantive diversity of medical scholarship and encourage a vigorous dialogue between medical scholars and practitioners.
Arjuna Subject : Kedokteran - Pembedahan
Articles 53 Documents
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Association of platelet and hematocrit value with arteriovenous fistula (AVF) failure in hemodialysis patient at Bali Husada Cipta Canti, Bali, Indonesia Anak Agung Gede Oka Suta Wicaksana; I Gusti Ngurah Agung Tresna Erawan; Yenny Kandarini
Journal of Indonesia Vascular Access Vol. 2 No. 1 (2022): (Available Online: June 2022)
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v2i1.16

Abstract

Introduction: Hemodialysis is one of the renal replacement therapies used for end-stage renal disease (ESRD) patients. Arteriovenous fistula (AVF) is the preferred hemodialysis access type because it has better patency rates and fewer complications than other access types. However, around 31-61% of AVF fail to mature. An early AVF failure may be due to a lack of maturation or thrombosis, and late failure defines as a failure after successful use. Some factors that make AVF fail are injury of the endothelial wall or hypercoagulation. This study aimed to determine the association between pre-operative platelet and hematocrit value with AVF failure in BHCC Clinic Denpasar. Method: This is an analytic cross-sectional study. The data were collected from medical records from all dialytic patients from January 2020-December 2020. Patients with inclusion criteria were collected. Patient with incomplete data was excluded. Data were analyzed using Chi-square analysis. Results: Our study involved 34 patients, 21(61.8%) of them were male, and the mean age was 52.62 years (±10.77 SD). The AVF failure prevalence was 32.4% (n=11). We found no association between platelet value with AVF failure, with a p-value=0.411. There was an association between hematocrit value and AVF failure in hemodialysis patients with a p-value=0.032. Most of the patient was male and aged 45-60 with ESRD from the characteristic found. Conclusion: There was an association between pre-operative hematocrit value and AVF failure in hemodialysis patients. There was no association between pre-operative platelet value with AVF failure.
Characteristics of patients with acute limb ischemia (ALI) at Hasan Sadikin General Hospital, Bandung, Indonesia in 2019-2020 Hendri Bayu Nugroho; Teguh Marfen Djajakusumah
Journal of Indonesia Vascular Access Vol. 2 No. 1 (2022): (Available Online: June 2022)
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v2i1.17

Abstract

Methods: The type of this research is descriptive cross-sectional research. The data was from the medical records of ALI patients who came to Hasan Sadikin Hospital from January 1st, 2019 to December 31, 2020. The data obtained were then identified according to patient gender, patient age, chief complaint, degree, comorbidities, and onset. The data were analyzed descriptively using SPSS ver.17. Results: Of the 99 patients with ALI, it was found the prevalence of men (58%) was higher rather than women (42%) with the largest age distribution around 49-56 years old(23 %). The main complaint of ALI in the emergency ward was pain (32%). Category of ALI based on Rutherford classification was mostly category III (36%). The most common accompanying comorbidities were diabetes in 47 patients (47.47%). Conclusion: Characteristics of ALI in the emergency department of Hasan Sadikin Hospital Bandung mostly occur in men. The degree of ALI according to the Rutherford classification was category III with diabetic comorbidity.
Comparison of primary patency of radiocephalic and brachiocephalic arteriovenous fistula in East Borneo, Indonesia Gratianus Billy Himawan; David Hermawan Christian
Journal of Indonesia Vascular Access Vol. 2 No. 1 (2022): (Available Online: June 2022)
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v2i1.18

Abstract

Background: There is still very limited study available for patency of arteriovenous fistulas (AVF) from developing country, specifically in East Borneo, Indonesia. The aim of this study is to compare the primary patency rate between radiocephalic (RC) and brachiocephalic (BC) AVF and to analyze the risk factors involved in the primary patency results of AVF RC and BC for hemodialysis. Methods: This study is a retrospective cohort study with a total of 154 patients underwent AVF from February 2017 until august 2018 and were monitored until august 2019. The patient’s primary patency of AVF was evaluated by the Kaplan-Meier survival curve. Each of the risk factors that were predicted to influence patency was analyzed for each AVF. Result: The mean age of 154 patients was 52.9 ± 9.5 years old. RC AVF was made in 130 patients (84.4%) and BC AVF was made in 24 patients (15.6%). There was no significant difference between the estimated primary patency for the RC group and BC AVF, the log-rank test (p=0.15). Risk factors for age, gender, hypertension, DM, and frequency of hemodialysis in both AVF showed statistically insignificant for primary patency. Conclusion: Our study showed there was no significant difference in the primary patency rate between the RC AVF and BC AVF group and other risk factors not significantly affecting primary patency in either type of AVF.
Complication of tunneled dialysis catheter of chronic ulcer in the site of vascular access entry leading to suspected squamous cell carcinoma (SCC): a case report Febriana Rizky Ramadhani; A Herdianti; RE Intan; AN Sabrina; GS Putro; E Septira
Journal of Indonesia Vascular Access Vol. 2 No. 1 (2022): (Available Online: June 2022)
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v2i1.19

Abstract

Introduction: Catheter-related infection (CRI) is one of the most common vascular access complications in dialysis catheter-related procedures. However, repeated chronic infected ulcer that leads to suspected malignancy in a tunneled dialysis catheter (TDC) insertion site and its risk factor have not been reported. Case description: A 37 years-old woman presented with a chronic exudative ulcer in the right breast at the entry site of a tunneled dialysis catheter. The past medical history included type 2 diabetes mellitus, chronic kidney disease, hepatitis C, and obesity. The patient had routine hemodialysis with TDC for the last 2 years and had changed the TDC access 3 times due to recurrent CRI. At first, the lesion appeared as a small pustule and enlarged recurrently. Later, the lesion progressed into an 82x80 mm raised crateriform exudative ulcer with a raw surface similar to Marjolin’s ulcer squamous cell carcinoma. The patient was referred to oncology due to limited facilities in our hospital. Conclusion: CRI is one of the most common long-term complications of TDC. In out of the case, this led to chronic infection and change in TDC, chronic inflammation then became Marjolin’s Ulcer. Risk factors for suspected SCC in our patient were immunosuppressive state from diabetes, hepatitis C, CKD, and chronic inflammation from a repeated chronic infected ulcer. SCC can be considered a long-term complication of TDC. Early prevention of CRI and risk factor controlling should be considered to prevent such complications.
Dual antiplatelet therapy of clopidogrel plus aspirin versus aspirin monotherapy in patients with Coronary Artery Disease (CAD): a systematic review and meta-analysis Haidar Ali Hamzah; Theodorus
Journal of Indonesia Vascular Access Vol. 2 No. 1 (2022): (Available Online: June 2022)
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v2i1.20

Abstract

Background: Aspirin is the most commonly used for treatment in patients with coronary artery disease (CAD). However, there are many evidences from several trials suggested that dual antiplatelet therapy (DAPT) might exhibit a better outcome and more effective than aspirin monotherapy. Thus, we aimed to assess the effect of DAPT versus aspirin monotherapy in patients with CAD. Methods: Electronic databases were performed in PubMed, EMBASE, and Cohrane from Januari 2005 until March 2021. We searched for randomized control trials comparing DAPT versus aspirin monotherapy in patients with CAD. Pooled effects estimates were reported as an odds ratio (OR) with 95% confidence intervals (CI) and calculated using random effects model. RevMan 5.4 software was used for data analysis. Results: Five randomized control trials with a total of 8,203 participants met the inclusion critera. DAPT was found to have an association in reducing the risk of major adverse cardiovascular events (OR 0.72; 95% CI 0.57-0.90; p = 0.003; I2 = 17%) and death events (OR 0.62; 95% CI 0.49-0.79; p < 0.0001; I2 = 0%)  compared with aspirin monotherapy. Yet, there were no significant difference in myocardial infarction events (OR 0.78; 95% CI 0.57-1.07; p = 0.13; I2 = 28%) and bleeding events (OR 1.65; 95% CI 0.97-2.81; p = 0.06; I2 = 0%) between two groups. Conclusions: DAPT treatment has a significant effect in reducing the risk of major cardiovascular and death events without a significant effect in myocardial infarction and bleeding events compared with aspirin monotherapy.
Traumatic diaphragm rupture treated with left anterolateral thoracotomy approach: a case report Aulia Novariza Fahman; Rama Nusjirwan; Euis Maryani; Navy Laksmono
Journal of Indonesia Vascular Access Vol. 2 No. 2 (2022): (Available Online: December 2022)
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v2i2.21

Abstract

Background: Traumatic diaphragmatic rupture (TDR) is a life-threatening condition due to the herniation of abdominal organs into pleural cavities. Rupture can occur in patients with major blunt or penetration trauma of the lower chest. Blunt TDR is usually caused by momentary high energy damage and is associated with severe trauma. This study aims to evaluate our hospital's experience with managing patients with blunt TDR, including its incidence, modes of diagnosis, operative treatments, postoperative outcomes, and factors predictive of patient outcomes. Case Report: A 44 years old man was referred to our hospital complaining of dyspnea. Eleven hours before his admission, he was riding his motorcycle, fell to the road, and hit the tree on his left chest. After the accident, he feels dyspnea, chest pain, and abdominal pain. The patient was brought to the nearest hospital and underwent a chest x-ray and left chest tube insertion, with initial production was blood 1700 ml. On examination, there was an increased respiratory rate, a visible bruise of the posteroinferior left chest near the left flank and a pre-installed chest tube thoracostomy on the left chest. Chest x-ray showed an intrathoracic herniation of abdominal viscera, the "collar sign" appeared, and the abdomen x-ray showed the left upper quadrant abdominal organ displaced into the left thorax cavity. Thus suspected, the underlying condition of TDR in this patient. We decided to perform left anterolateral thoracotomy and continued with laparotomy and splenectomy Conclusion: TDR is a rare case. The trauma may include shearing a stretched diaphragm, avulsion from a muscular insertion point, or increased abdominal pressure exceeding the bursting pressure of the diaphragm. Intra-abdominal organ injuries are more common than intrathoracic injuries. Initial operative approaches were laparotomy and thoracotomy.
Association between vascular access type with profile hemodialysis patient in west Nusa Tenggara district hospital Nurul Hasanah Makmur; Maz Isa Ansyori; I Gede Yasa Asmara; I Gusti Ngurah Ommy Agustriadi
Journal of Indonesia Vascular Access Vol. 2 No. 2 (2022): (Available Online: December 2022)
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v2i2.22

Abstract

Intoduction: Currently, the prevalence of chronic kidney disease (CKD) is an increasing public health problem. In Indonesia, CKD increased from 0.2% in 2013 to 0.38% in the year 2018. CKD requires very high maintenance and handling costs for hemodialysis. To be able to do hemodialysis, it is necessary to create vascular access as a pathway for blood circulation from the patient's body to the hemodialysis machine. This research is to determine the profile of vascular access and the association between vascular access with comorbid, age, and sex. Methods: This research is descriptive quantitative research, cross sectional. Data were taken from the registration data or medical record of CKD patient that undergo hemodialysis at West Nusa Tenggara Distric Hospital. Data collection was carried out from 10th January 2020 to 10th March 2020. By applying certain inclusion and exclusion criteria, there were 100 obtained data and subsequently were analyzed using SPSS software. Univariate and bivariate analysis using chi-square test were carried out to descrive the data distribution and the association between variables respectively. Result: Of the 100 respondents, it was found that most of them were female 57%. Most data were aged 48-58 years 43% people. The most comorbid is Diabetes Mellitus with 53% of people. The most used vascular access is AV Fistula Brachiocephalic 58.0%. Based on the Chi-Square statistical test, it shows that there is a significant association between vascular access with the comorbid disease (p <0.05) p = 0.003, and the present association between vascular access to sex was obtained p-value = 0.001 (p <0.05) and there is no significant association between the use of vascular access to age showed a value (p> 0.05) p = 0.08. Based on this study to determine vascular access, comorbid and sex are considered in decision making. Conclusion: The research shows that there is association between the vascular access type to comorbidities and gender.
Iatrogenic pseudoaneurysm as a complication of hemodialysis vascular access: a descriptive study Ni Kadek Sulistyaningsih; Zanella Yolanda Lie; Danang Himawan Limanto
Journal of Indonesia Vascular Access Vol. 2 No. 2 (2022): (Available Online: December 2022)
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v2i2.23

Abstract

Introduction: Iatrogenic pseudoaneurysm (PSA) in hemodialysis vascular access puncture site is the most common complication in a patient with ERSD, which needs urgent surgical intervention. This research explained the patients’ characteristics with pseudoaneurysm in vascular access that underwent surgical intervention immediately. Methods: Retrospectively, it reported cases of pseudoaneurysm that underwent immediate surgical intervention in an operating theatre in the emergency department of RS Dr. Soetomo Surabaya. Result: Twenty-one patients, whose age range from 26-to 64 years old (mean 46.57 + 12.14 years), have undergone immediate surgical and vascular intervention in an operating theater in the emergency department of RS Dr. Soetomo from 2017 until March 2021. The site of pseudoaneurysm varies from cubiti (90.4%), with signs and symptoms of impending rupture (57.1%), rupture (28.6%), and infected pseudoaneurysm (14.3%). Surgical management such as arterial repair was conducted in 90.4% of cases, and two patients (9.6%) unfortunately underwent takedown AVF. It was found from all 21 cases that nine cases didn’t have vascular access as recommended, leading to repetitive puncture in the same puncture site. Conclusion: Iatrogenic Pseudoaneurysm in ESRD patients on regular hemodialysis is the most common complication that has been treated. The medical staff’s knowledge about recognition and prevention is a crucial factor in controlling this complication
Therapeutic combination of catheter-directed thrombolysis, rheolytic thrombectomy and percutaneous transluminal angioplasty in acute on chronic limb ischemia: a case report Erina Febriani Widiastari; Gary Pradhana; Marolop Pardede
Journal of Indonesia Vascular Access Vol. 2 No. 2 (2022): (Available Online: December 2022)
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v2i2.24

Abstract

Background: Acute limb ischemia (ALI) is a sudden decrease in leg perfusion that threatens the viability of the limb with symptom onset within 2 weeks. In peripheral artery disease (PAD) conditions, occlusion of blood vessels can occur due to thrombosis or atherosclerotic plaque embolism, which is called "acute on chronic ischemia". The development of endovascular therapy has made this therapy an important role in restoring leg perfusion. The aim of this study to demonstrate the safety and feasibility of therapeutic combination of catheter-directed thrombolysis, rheolytic thrombectomy and percutaneous transluminal angioplasty in acute on chronic limb ischemia. Case Description: We report a case of a 51-year-old man, came to the hospital with complaints of pain in the left extremity that persisted at rest or activity and cold in the left extremity which has been felt since 2 weeks ago. A year ago, the patient started to feel pain in the left extremity that persist in activity. Physical examination revealed cold feet and muscle atrophy. Conclusion: Therapeutic combination of catheter-directed thrombolysis, rheolytic thrombectomy and percutaneous transluminal angioplasty are considered to be safe and feasible to do in acute on chronic limb ischemia.
Case report of a stuck hemodialysis central venous catheter: from endovascular intervention to median sternotomy Reza Eka Putra; Prasetyo Edi; Andreas Andri Lensoen
Journal of Indonesia Vascular Access Vol. 3 No. 1 (2023): (Available Online: June 2023)
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v3i1.27

Abstract

Background: Extended uses of hemodialysis catheters is often associated with thrombosis and fibrosis of the central vein around the catheter. The removal becomes complex when the catheter is stuck in a central vein. This case report presented a complex stage of removing a stuck catheter in the central vein. Case Report: A 45-year-old man complained of a stuck hemodialysis catheter in the left subclavian vein, which had been placed 8 months previously. An endovascular intervention has been tried using traction and snaring of the catheter tip, but it cannot be removed because the body part of the catheter is firmly attached to the central vein, so we decided to evacuate the catheter using the median sternotomy procedure. We found an adhesion between the left innominate vein's wall and the catheter's body about 4 cm from the catheter tip. The left innominate vein was incised longitudinally while detaching the catheter against the vein. We repair the left Innominate vein without using a graft. Conclusion: A stuck catheter to the central vein was an unexpected complication due to the removal of the hemodialysis catheter. There are several options for removing a stuck catheter, such as various endovascular interventions and open surgical techniques.

Page 2 of 6 | Total Record : 53

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