Journal of Indonesia Vascular Access最新文献

Surgical management of adult supraclavicular hemangioma: a case report 成人锁骨上血管瘤的手术治疗1例

Journal of Indonesia Vascular Access Pub Date : 2023-02-22 DOI: 10.51559/jinava.v3i1.36

Novita Sahniar S, Ivan Joalsen MT

{"title":"Surgical management of adult supraclavicular hemangioma: a case report","authors":"Novita Sahniar S, Ivan Joalsen MT","doi":"10.51559/jinava.v3i1.36","DOIUrl":"https://doi.org/10.51559/jinava.v3i1.36","url":null,"abstract":"Introduction: Hemangioma is one of the most common vascular anomalies. It is classified into two types: superficial hemangioma, also known as capillary hemangioma, which appears as brilliant red macular masses, and deep hemangioma, which appears as a soft, non-fluctuating, poorly defined, and occasionally bosselated nodule. Surgical excision is recommended for cavernous-type tumors, which are less sure to regress. Despite its benign origin and behavior, it can develop in any body part. However, its size and origin site may vary and make surgical excision more challenging due to the importance of the structures surrounding the mass. Thus, this study aims to explain the surgical management of adult supraclavicular hemangioma. Case Description: We present a case of primary cavernous hemangioma in 36 years-old-woman with no history of health problems that extends to the supraclavicular area and was linked to essential structures. The surgical excision was performed through a double-incision technique to prevent iatrogenic damage to the system. Postoperative evaluations revealed no impairment of motoric and sensory hand functions, and the patient was discharged three days postoperatively. Histopathologic findings were consistent with the diagnosis of hemangioma. Conclusion: The supraclavicular approach in surgery is challenging due to its critical location and closeness to key neurovascular structures. To obtain the best surgical outcome, the essential operating concepts include thorough dissection and a modified method to limit the risk of functional status and mobility impairment.","PeriodicalId":494237,"journal":{"name":"Journal of Indonesia Vascular Access","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136335798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Angioplasty experience for central venous stenosis in hemodialysis patients: a case series 血管成形术治疗血液透析患者中心静脉狭窄的经验:一个病例系列

Journal of Indonesia Vascular Access Pub Date : 2023-02-17 DOI: 10.51559/jinava.v3i1.33

Nyoman Saka Ranuartha, None Danang Himawan Limanto, None Ketut Putu Yasa

{"title":"Angioplasty experience for central venous stenosis in hemodialysis patients: a case series","authors":"Nyoman Saka Ranuartha, None Danang Himawan Limanto, None Ketut Putu Yasa","doi":"10.51559/jinava.v3i1.33","DOIUrl":"https://doi.org/10.51559/jinava.v3i1.33","url":null,"abstract":"Objective: To report the treatment of central venous stenosis in hemodialysis patients with endovascular intervention angioplasty. Introduction: Central venous stenosis is a common case in patients with renal failure or end-stage renal disease who have a history of dialysis, which requires vascular access. The currently available techniques for managing central venous stenosis are endovascular intervention with angioplasty and stent placement. Although open surgical treatment has shown durability in the past, it was correlated with significant morbidity. One of the techniques describes the antegrade technique of endovascular intervention. Case description: In this study present 5 cases of central venous stenosis in patients with hemodialysis. In this case series, the patient complained that had a history of swelling in the upper arm unilateral. Diagnostic with catheterization, there was stenosis of the subclavian vein and innominate. This study performed the endovascular management experience with the preferred treatment for central venous stenosis to perform revascularization procedures which is percutaneous transluminal angioplasty (PTA) with balloon angioplasty. Conclusions: Management of central venous stenosis in patients with hemodialysis can be presented effectively and safely using angioplasty which results in low rates of complication and usually has a shorter length of stay post-procedural.","PeriodicalId":494237,"journal":{"name":"Journal of Indonesia Vascular Access","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135424795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characteristics of central vein stenosis patients at Abdoel Wahab Sjahranie Hospital Samarinda Abdoel Wahab Sjahranie医院中心静脉狭窄患者的特点

Journal of Indonesia Vascular Access Pub Date : 2023-02-16 DOI: 10.51559/jinava.v3i1.29

Fritzky Wandy Thedjakusuma, Ramadhani Hengki Wijaya, David Hermawan Christian, Michael Caesario, Ivan Joalsen Mangara Tua

{"title":"Characteristics of central vein stenosis patients at Abdoel Wahab Sjahranie Hospital Samarinda","authors":"Fritzky Wandy Thedjakusuma, Ramadhani Hengki Wijaya, David Hermawan Christian, Michael Caesario, Ivan Joalsen Mangara Tua","doi":"10.51559/jinava.v3i1.29","DOIUrl":"https://doi.org/10.51559/jinava.v3i1.29","url":null,"abstract":"Background: Central vein stenosis (CVS) is a common complication in using a central venous catheter in hemodialysis (HD) access, and its incidence in Indonesia has not been obtained. This study aims to evaluate the characteristics of CVS patients in Abdul Wahab Sjahranie Hospital, Samarinda. Methods: This cross-sectional descriptive study was conducted by collecting CVS patients’ data from the medical records between January 2018 to August 2021. The demographic data and the characteristics of CVS patients were collected. The data obtained were analyzed in descriptive form and displayed in a table. Results: This study involved 23 subjects. The characteristics of CVS patients included: Highest sex group was males (61%); Age group was in the range 51-70 years (60%); Clinical feature was swelling (83%); Site of stenosis was in the subclavian vein (87%), on the left side (57%), type of occlusion were partial (67%) and single (87%), and the result of angioplasty was a success (61%). Conclusion: This study showed that CVS was male predominant, in the range 51-70 years, the most complaint was swelling in the arms that were mostly on the left side, and the location of the most stenosis was in the subclavian vein, with partial and single occlusion, as well as good treatment with angioplasty.","PeriodicalId":494237,"journal":{"name":"Journal of Indonesia Vascular Access","volume":"517 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135538792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Case report of a stuck hemodialysis central venous catheter: from endovascular intervention to median sternotomy 血液透析中心静脉导管卡置1例:从血管内介入到正中胸骨切开术

Journal of Indonesia Vascular Access Pub Date : 2023-02-13 DOI: 10.51559/jinava.v3i1.27

Reza Eka Putra, Prasetyo Edi, Andreas Andri Lensoen

{"title":"Case report of a stuck hemodialysis central venous catheter: from endovascular intervention to median sternotomy","authors":"Reza Eka Putra, Prasetyo Edi, Andreas Andri Lensoen","doi":"10.51559/jinava.v3i1.27","DOIUrl":"https://doi.org/10.51559/jinava.v3i1.27","url":null,"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.","PeriodicalId":494237,"journal":{"name":"Journal of Indonesia Vascular Access","volume":"250 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135951566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endovascular laser ablation management of pediatric Klippel trenaunay syndrome: a case report 血管内激光消融治疗小儿Klippel隧道综合征1例报告

Journal of Indonesia Vascular Access Pub Date : 2023-02-10 DOI: 10.51559/jinava.v3i1.37

None Annisa, Ivan Joalsen MT, None Michael Caesario

{"title":"Endovascular laser ablation management of pediatric Klippel trenaunay syndrome: a case report","authors":"None Annisa, Ivan Joalsen MT, None Michael Caesario","doi":"10.51559/jinava.v3i1.37","DOIUrl":"https://doi.org/10.51559/jinava.v3i1.37","url":null,"abstract":"Introduction: Klippel trenaunay syndrome (KTS) is a rare and complex congenital vascular anomaly as a combination of vascular capillary malformations (port wine stain), venous malformations (VM) and excessive extremity growth with or without lymphatic malformations. The incident KTS is estimated to be 2 to 5 per 100,000 and found in the male gender without distinguishing race. This syndrome is rare, with a low incidence. Klippel trenaunay syndrome uses conservative management with the use of compression stockings. Other KTS management, such as minimally invasive intervention with endovascular laser ablation (EVLA) therapy, is rarely used due to the rare number of diseases. Thus, this study aims to perform the management of KTS in pediatrics. Case description: We report 11-year-old girls complaining of pain and swelling on the right leg when standing long and doing activities. Physical examination appears to show a purplish-red birthmark that arises on the surface of the skin. Ultrasound and CT scan angiography with contrast in the lower region extremities showed hypertrophy accompanied by peripheral branches in the cutaneous layer. Patients are performed endovascular laser ablation using general anesthesia. After endovascular laser ablation, the patient was treated for 2 days without any complaints. Conclusion: KTS is a rare, complex and varied syndrome that has not been found yet. KTS only performs symptomatic treatment depending on clinical and severity. Endovascular laser ablation is a minimally invasive intervention management that must be considered and has a fairly low risk and complication, especially in pediatrics.","PeriodicalId":494237,"journal":{"name":"Journal of Indonesia Vascular Access","volume":"319 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136131532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0