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The Experience of Using Plain Balloon Percutaneous Venoplasty in Central Vein Stenosis in Hemodialysis Patient; Insight for Future Better Development Strategy

Heart Science Journal · Vol. 4 No. 2 (2023) · hlm. 34–37

DOI
10.21776/ub.hsj.2023.004.02.7
ISSN
2721-9984, 2721-9976
Terbit
2023-04-01
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

Background:Central vein stenosis is a most complication among hemodialysis patient who inserted catheter or access for dialysis. The proper management is still challenging because venoplasty as the main recommendation but it had potential complication. The comparable datas of plain vs drug coated balloon were still exist. In this case presentation we will discuss about the use of plain ballon venoplasty as an urgent strategy to relieved central vein stenosis in hemodialysis patient and it’s outcome after procedure in our hospital. Case:Female, 56 years old came to Saiful Anwar Hospital with unilateral upper extremity edema, she felt heavy to move her arm, a litte bit numbness, and no history of pain on her arm. She had been undergo routine hemodialysis and had history of AV shunt inserted for 3 months ago. She came with compos mentis, GCS 456, BP 160/92 mmHg, HR 68 bpm, RR 20 tpm, SpO2 98% RA, temp 36.4oC, Hb 8.0 mg/dL, Ur 53.6 mg/dL, Cr 5.4 mg/dL, eGFR 1.73. From physical examination we got good peripheral oxygen saturation, we suggested this patient with central vein stenosis. We performed venography resulted stenosis 95% at brachiocephalic vein and undergo plain balloon percutaneous venoplasty. After procedure her right upper extremity was getting better. We observes this patient, but in the next three months after procedure of plain balloon percutaneous venoplasty she complained that her right upper extremity became swollen again. We performed re-venography and resulted with restenosis of brachiocephalic vein. She underwent percutaneous venoplasty again and the evaluation untik now was better, the diameter of upper right extremity became smaller and she can do her daily activity. Conclusion:Central vein stenosis was one of the most complication after dialysis catheter insertion. We performed percutaneous venoplasty and observed the outcome of this patient. After 3 months, the symptom was recurrent and we performed percutaneous venoplasty again. Keywords: Central vein stenosis, venoplasty, plain balloon.

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Cholid Tri TjahjonoAfiliasi tidak diketahui13
Mohammad Saifur RohmanAfiliasi tidak diketahui12
Sasmojo WiditoAfiliasi tidak diketahui11
Ardian RizalAfiliasi tidak diketahui11
Djanggan SargowoAfiliasi tidak diketahui10
Anna Fuji RahimahAfiliasi tidak diketahui9
Heny MartiniAfiliasi tidak diketahui6
Budi SatrijoAfiliasi tidak diketahui6
Indra PrasetyaAfiliasi tidak diketahui6
Seprian WidasmaraAfiliasi tidak diketahui3
Adhika Prastya WikanandaAfiliasi tidak diketahui3
Setyasih AnjarwaniAfiliasi tidak diketahui3
Titin Andri WihastutiAfiliasi tidak diketahui3
Putri Annisa KamilaUniversity of Brawijaya2
Irma KameliaAfiliasi tidak diketahui2
Dyah Ayu IkeningrumAfiliasi tidak diketahui2
Oktafin Srywati PamunaAfiliasi tidak diketahui2
Zainal FathurohimAfiliasi tidak diketahui2
Nikhen NoverikeAfiliasi tidak diketahui2
Imam Mi'raj SuprayogaAfiliasi tidak diketahui2
Dea Arie KurniawanAfiliasi tidak diketahui2
Malombassi Dharmawan Hadiwidjojo HutomoAfiliasi tidak diketahui2
Mohammad Ryan RamadhanAfiliasi tidak diketahui1
Veny KurniawatiAfiliasi tidak diketahui1
Aris Munandar Zulkifli IsmailAfiliasi tidak diketahui1
Dedy IrawanAfiliasi tidak diketahui1
Monika SitioAfiliasi tidak diketahui1
Muhammad Rizki FadlanAfiliasi tidak diketahui1
Liemena Harold AdrianAfiliasi tidak diketahui1
Ayu Asri Devi AdityawatiAfiliasi tidak diketahui1
Imelda KrisnasariAfiliasi tidak diketahui1
Fahmy RusnantaAfiliasi tidak diketahui1
Yudi Putra ApridityaAfiliasi tidak diketahui1
Ratna PancasariAfiliasi tidak diketahui1
Valerina Yogibuana Swastika PutriAfiliasi tidak diketahui1
Krishna Ari NugrahaAfiliasi tidak diketahui1
Ardani Galih PrakosaAfiliasi tidak diketahui1
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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">The Experience of Using Plain Balloon Percutaneous Venoplasty in Central Vein Stenosis in Hemodialysis Patient; Insight for Future Better Development Strategy</dc:title>
	<dc:creator xml:lang="en">Satwikajati, Sawitri</dc:creator>
	<dc:creator xml:lang="en">Kurnianingsih, Novi</dc:creator>
	<dc:subject xml:lang="en">Central vein stenosis</dc:subject>
	<dc:subject xml:lang="en">venoplasty</dc:subject>
	<dc:subject xml:lang="en">plain balloon</dc:subject>
	<dc:description xml:lang="en">Background :Central vein stenosis is a most complication among hemodialysis patient who inserted catheter or access for dialysis. The proper management is still challenging because venoplasty as the main recommendation but it had potential complication. The comparable datas of plain vs drug coated balloon were still exist. In this case presentation we will discuss about the use of plain ballon venoplasty as an urgent strategy to relieved central vein stenosis in hemodialysis patient and it’s outcome after procedure in our hospital. Case :Female, 56 years old came to Saiful Anwar Hospital with unilateral upper extremity edema, she felt heavy to move her arm, a litte bit numbness, and no history of pain on her arm. She had been undergo routine hemodialysis and had history of AV shunt inserted for 3 months ago. She came with compos mentis, GCS 456, BP 160/92 mmHg, HR 68 bpm, RR 20 tpm, SpO2 98% RA, temp 36.4oC, Hb 8.0 mg/dL, Ur 53.6 mg/dL, Cr 5.4 mg/dL, eGFR 1.73. From physical examination we got good peripheral oxygen saturation, we suggested this patient with central vein stenosis. We performed venography resulted stenosis 95% at brachiocephalic vein and undergo plain balloon percutaneous venoplasty. After procedure her right upper extremity was getting better. We observes this patient, but in the next three months after procedure of plain balloon percutaneous venoplasty she complained that her right upper extremity became swollen again. We performed re-venography and resulted with restenosis of brachiocephalic vein. She underwent percutaneous venoplasty again and the evaluation untik now was better, the diameter of upper right extremity became smaller and she can do her daily activity. Conclusion :Central vein stenosis was one of the most complication after dialysis catheter insertion. We performed percutaneous venoplasty and observed the outcome of this patient. After 3 months, the symptom was recurrent and we performed percutaneous venoplasty again. Keywords : Central vein stenosis, venoplasty, plain balloon.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2023-04-01</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/1388</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2023.004.02.7</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 4 No. 2 (2023): Dealing with the Complexity of the Wide Spectrum of Cardiovascular Disease; 34-37</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2023.004.02</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/1388/231</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2023 Sawitri Satwikajati, Novi Kurnianingsih</dc:rights>
</oai_dc:dc>