Hasil Pencarian

Hasil Pencarian  ::  Simpan CSV :: Kembali

Hasil Pencarian

Ditemukan 2 dokumen yang sesuai dengan query
cover
Ida Bagus Budiarta
"ABSTRAK
Latar belakang Penderita gagal ginjal kronis hidupnya bergantung dengan hemodialisa rutin, untuk mendapatkan hasil maksimal dibutuhkan akses hemodialisa yang baik. Arteri vena fistula merupakan akses yang paling baik, namun akses ini mudah mengalami stenosis. Penanganan yang terbaik pada masalah stenosis AVF adalah dengan percutaneous transluminal angioplasty venografi/venoplasti . Di RSCM sejak tahun 2013 sudah berkembang tindakan ini, namun belum ada data dan evaluasi keberhasilannya. Penelitian ini dilakukan untuk evaluasi keberhasilan venoplasti dalam penanganan stenosis AVF.Metode Penelitian ini menggunakan Studi Kohort Retrospektif untuk menilai Outcome Tindakan Percutaneous Transluminal Angioplasty Venografi dan Venoplasti pada Stenosis AVF penderita Gagal Ginjal Kronis. Penelitian dilakukan di Bangsal Divisi Bedah Vaskular dan Endovaskular serta di Pusat Jantung Terpadu PJT serta instalasi rekam medik RSCM serta RS Jejaring RS Hermina, selama periode dari 1 Desember 2016 sampai 31 Mei 2017 dengan melakukan penilaian terhadap karakteristik demografi, penyakit dasar, penilaian hasil venografi venoplasti dan hasil USGVariabel independen yaitu umur, jenis kelamin, penyakit dasar, gejala klinis, jenis AVF, lokasi stenosis. Variabel dependen adalah keberhasilan venoplasti dinilai dengan diameter residual stenosis. Data dianalisis secara statistik dengan p = 0,05.Hasil Karakteristik penderita GGK dengan stenosis AVF didapatkan sebagian besar pada kelompok umur lebih 50-60 tahun 40,9 , 59 berjenis kelamin laki-laki dan penyakit dasar paling banyak disebabkan hipertensi 93,9 dan diabetes mellitus 42,4 . Dari analisa demografi didapatkan hubungan yang bermakna antara umur dengan besaran stenosis AVF, untuk jenis kelamin didapatkan hubungan yang bermakna antara jenis kelamin dengan besaran stenosis AVF, dimana perempuan lebih buruk gambaran stenosisnya dibanding laki-laki. Tidak terdapat hubungan bermakna antara Penyakit Dasar dengan gambaran Besaran Stenosis AVF dari hasil Venografi .Tidak terdapat hubungan bermakna antara Lokasi Stenosis AVF dengan besaran Stenosis dari Venografi. Tidak terdapat hubungan bermakna antara besaran stenosis pada Venografi dengan hasil tindakan Venografi. Terdapat hubungan bermakna antara Lokasi Stenosis AVF dengan keberhasilan tindakan Venoplasti. Terdapat peningkatan yang bermakna untuk hasil pemeriksaan USG: diameter draining vein, volume flow dan peak systolic velocity terhadap hasil tindakan venoplasti setelah tindakan atau 3 Bulan pasca tindakan.

ABSTRACT
Background Patients with chronic renal failure CRF are dependent on routine hemodialysis, in order to obtain maximum results required access to a good hemodialysis. Fistula vein artery is the best access, but this access is easy to have stenosis. The best treatment for AVF stenosis is percutaneous transluminal angioplasty venography venoplasty . At RSCM since 2013 has developed this action, but there is no data and evaluation of its success. This study was conducted to evaluate the efficacy of venoplasty in the treatment of AVF stenosis.Methods This study used a Retrospective Cohort Study to assess Percutaneous Transluminal Angioplasty Venography and Venoplasty in AVF Stenosis of Chronic Renal Failure. The study was conducted in the Vascular and Endovascular Surgery Ward and at the Integrated Heart Center PJT as well as RSCM and University integrated hospitals during the period from 1 December 2016 to 31 May 2017 by assessing demographic characteristics, basic illness, assessment of venography venoplasty and ultrasound resultsIndependent variables were age, sex, basic disease, clinical symptoms, AVF type, stenosis location. The dependent variable is the success of venoplasty assessed by the residual stenosis diameter. Data were analyzed statistically p 0,05Results Characteristics of CRF patients with AVF stenosis were mostly in the 50 60 years age group 40.9 , 59 in male and according of disease caused by hypertension 93.9 and diabetes mellitus 42.4 . From the demographic analysis, there was a significant correlation between age and AVF stenosis magnitudes, for gender, there was a significant relationship between gender and AVF stenosis, in which women were worse with stenosis than men. There was no significant association between Basic Illness and AVF Stenosis Magnitudinal Stage of Venographic Result. There was no significant association between AVF Stenosis Location and Stenosis scale from Venography. There is no significant association between the magnitude of stenosis in Venography and the results of Venographic. There was a significant association between AVF Stenosis Locations and the success of Venoplasty action. There were significant improvements to ultrasound examination diameter of draining vein, volume flow and peak systolic velocity on the results between before, after or 3 months after venoplasty."
Lengkap +
2017
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
cover
Ika Megatia
"ABSTRAK
Latar belakang Dalam lima tahun terakhir, pengunaan kateter pada pasien penyakit ginjal kronis PGK di RSCM kerap diikuti stenosis vena sentral SVS , 60-70 . Sejak 2013 SVS ditangani melalui prosedur venoplasti, namun belum ada evaluasi keberhasilan. Penelitian ini ditujukan melakukan evaluasi keberhasilan venoplasti dan faktor risiko terjadinya stenosis. Metode Dilakukan studi deskriptif analitik dengan desain potong lintang melibatkan pasien PGK stadium 4-5 yang terdiagnosis simtomatik SVS, secara klinis dan radiologis, yang memiliki risiko stenosis, memenuhi kriteria inklusi dan ekslusi serta menjalankan venoplasti. Variabel independen yaitu onset gejala, jenis, lokasi, durasi dan frekuensi pemasangan kateter. Variabel dependen adalah keberhasilan venoplasti dinilai dengan residual stenosis 60 tahun, 61,8 laki-laki dan 70,6 memiliki hipertensi sebagai etiologi PGK. Angka berhasilan venoplasti 85,3 , nilai rerata initial stenosis adalah 79,1 13,8 dan median residual stenosis 24,5 dengan range 10-90 . Letak stenosis terbanyak di vena subklavia 47,1 . Tidak didapatkan hubungan bermakna terhadap keberhasilan venoplasti, namun angka ketidakberhasilan venoplasti yang lebih tinggi ditemukan pada lokasi di vena subklavia OR 2,45; p = 0,627 dan frekuensi pemasangan kateter >2 kali OR 1,85; p = 0,648 . Kesimpulan Keberhasilan venoplasti pada SVS 85,3 dengan keberhasilan ditemukan dua kali lebih tinggi pada implantasi di vena subklavia dan frekuensi > 2 kali. Namun pada studi ini tidak bermakna secara statistik. Ketidakberhasilan venoplasti lebih sering ditemukan pada subjek dengan pemasangan kateter di vena subklavia, durasi pemasangan panjang, onset gejala lambat dan riwayat pemasangan berulang. ABSTRACT Background In the last five years, the use of deep vein catheter in chronic kidney disease CKD often leads to central vein stenosis CVS at Cipto Mangunkusumo Hospital 60 70 . Since 2013, CVS has been managed with venoplasty, and has never been evaluated. The study aimed to evaluate of its success rate and the risk factors might be correlated. Method A descriptive analytic study with cross sectional design conducted enrolling of stage 4 5 CKD patients with symptomatic CVS who underwent venoplasty. Independent variables are onset of symptoms, type, location, duration and frequency of catheter implantation. Dependent variable is venoplasty success, which was determined by residual stenosis 60 years old, 61.8 were male and 70.6 with hypertension. Venoplasty success rate found on this study was 85.3 , mean initial stenosis was 79.1 13.8 and median residual stenosis was 24.5 ranged of 10 90 . The most common stenosis was found in subclavian vein 47.1 . There was no significant correlation with venoplasty success rate. Nevertheless, higher venoplasty success rate found in subjects with catheter located in subclavian vein OR 2.45 p 0.627 and the frequency of implantation 2 times OR 1.85 p 0.648 . Conclusion Venoplasty success rate on CVS patients was 85.3 with success rate found twice higher with implantation at subclavian vein and frequency 2 times. However, there was no statistically significant correlation between stenosis risk factors with this success rate. Venoplasty failure is often found on CVS subjects with catheter implantation on subclavian vein, prolonged duration, delayed onset of symptoms and history of recurrent implantation. Keywords Central vein stenosis, venoplasty, risk factors."
Lengkap +
Fakultas Kedokteran Universitas Indonesia, 2017
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library