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All Journal Journal of Indonesia Vascular Access Journal of International Surgery and Clinical Medicine
Abed Nego Okthara Sebayang
Setio Husodo Hospital, Kisaran, Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology

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Arteriovenous shunt as the best hemodialysis access in Chronic Kidney Disease (CKD) patients: a literature review Abed Nego Okthara Sebayang; Niko Azhari Hidayat
Journal of Indonesia Vascular Access Vol. 1 No. 1 (2021): (Available Online: June 2021)
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v1i1.6

Abstract

Arteriovenous Shunt (AV Shunt) is a minor surgical operation that connects (creating anastomoses) the arteries and veins in the arm or other body part for the purpose of making connection access for hemodialysis. AV shunt is the primary choice in establishing vascular access for hemodialysis in patients with Chronic Kidney Disease (CKD). Therefore, this study aims to review the arteriovenous shunt as a hemodialysis access option in CKD patients. The literature study was conducted by searching various written sources, whether in the form of books, archives, articles and journals, or documents relevant to the problem being studied. The mortality rate after AV shunt is 0%, even though it still has postoperative complications. Based on the location of the operation, making the AV shunt is prioritized on the distal part that is not dominant to minimize the damage to the AV shunt. The location of the wrist, namely the brachiocephalic, is a top priority in making an AV shunt because it has many advantages. AV shunt is the primary choice of vascular access for hemodialysis in patients with chronic kidney disease. It is hoped that through the AV shunt, the life expectancy of patients with CKD can be increased, and patients with CKD must receive support from other disciplines such as interns, psychologists, and the patient's family.
Handling of diabetic foot in Type 2 Diabetes Mellitus (T2DM) patients based on a vascular approach: a literature review Niko Azhari Hidayat; Abed Nego Okthara Sebayang
Journal of International Surgery and Clinical Medicine Vol. 1 No. 1 (2021): Available Online: June 2021
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v1i1.5

Abstract

Diabetes mellitus (DM) is a metabolic disease characterized by hyperglycemia that occurs due to insulin disorders, insulin action, or a combination of both. Based on data from the 2014 IDF, Indonesia ranks 5th in the world of patients with DM. Diabetic foot is one of the chronic complications of DM that is often encountered. Early vascular assessment in the legs of a diabetic patient is recommended to reduce mortality and morbidity. The vascular examination begins with a capillary refilling examination, palpation of the lower extremity arteries, and a further ankle-brachial index assessment. The vascular approach aims to assess the vascularization of the diabetic foot is still good or has experienced occlusion or obstruction due to inadequate blood vessels. Diabetic foot care is based on the classification recommended by the International Working Group On Diabetic Foot. Management of diabetic foot involves a variety of multidisciplinary, one of them with a vascular approach. The vascular approach also aims to determine the appropriate therapy for the diabetic foot. This study aims to provide better understanding
Co-Authors Niko Azhari Hidayat Niko Azhari Hidayat