{"id":10585,"date":"2023-12-21T05:22:40","date_gmt":"2023-12-21T05:22:40","guid":{"rendered":"https:\/\/pato.com.sg\/vascularclinicwebsite\/?p=10585"},"modified":"2025-11-07T16:55:44","modified_gmt":"2025-11-07T16:55:44","slug":"avf-rescue-keyhole-procedure-called-angioplasty","status":"publish","type":"post","link":"https:\/\/www.vascularclinic.sg\/id\/avf-rescue-keyhole-procedure-called-angioplasty\/","title":{"rendered":"Prosedur Lubang Kunci Penyelamatan AVF Disebut Angioplasti"},"content":{"rendered":"
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AVF, atau fistula arteriovenosa, mungkin memerlukan pertolongan pada kasus tertentu karena komplikasi atau masalah yang timbul pada fistula. Beberapa alasan mengapa AVF memerlukan penyelamatan meliputi:<\/p>

  1. Trombosis:<\/strong> AVF dapat menyebabkan pembekuan darah yang menghalangi aliran darah melalui fistula. Hal ini dapat menyebabkan berkurangnya atau tidak adanya aliran darah sehingga menyebabkan nyeri, bengkak, dan potensi kerusakan pada jaringan di sekitarnya. Penyelamatan mungkin diperlukan untuk menghilangkan bekuan darah dan memulihkan aliran darah.<\/li>
  2. Stenosis:<\/strong> Stenosis mengacu pada penyempitan pembuluh darah yang membentuk AVF. Hal ini dapat membatasi aliran darah dan menyebabkan efisiensi dialisis yang buruk atau pembentukan bekuan darah. Prosedur penyelamatan seperti angioplasti atau pemasangan stent mungkin diperlukan untuk memperlebar pembuluh darah yang menyempit.<\/li>
  3. Infeksi:<\/strong> AVF dapat terinfeksi, menyebabkan kemerahan, bengkak, nyeri, dan demam. Dalam kasus yang parah, infeksi dapat menyebar dan menimbulkan komplikasi serius. Penyelamatan mungkin melibatkan pengangkatan jaringan yang terinfeksi, pemberian antibiotik, atau bahkan pembedahan perbaikan AVF.<\/li>
  4. Aneurisma:<\/strong> An aneurysm<\/a> is a bulge or swelling in the blood vessel walls. If an aneurysm develops in an AVF, it can rupture and cause significant bleeding. Rescue procedures may be required to repair or reinforce the weakened blood vessel.<\/li>
  5. Pematangan yang buruk:<\/strong> Sometimes, AVF fails to mature properly, meaning it does not develop into a usable access point for dialysis<\/a>. This can be due to inadequate blood flow or other factors. Rescue may involve surgical interventions to improve the maturation of the AVF or the creation of a new access point.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Dalam semua kasus ini, prosedur penyelamatan diperlukan untuk mengatasi komplikasi atau masalah yang timbul pada AVF, memastikan bahwa AVF berfungsi dengan baik dan menyediakan akses yang memadai untuk dialisis atau perawatan medis lainnya.<\/p>

    Menyelamatkan AVF yang sempit, juga dikenal sebagai stenosis, biasanya melibatkan prosedur yang disebut angioplasti. Berikut adalah langkah-langkah yang diperlukan untuk menyelamatkan AVF yang sempit:<\/p>

    1. Diagnosa:<\/strong> Langkah pertama adalah memastikan adanya stenosis pada AVF. Hal ini biasanya dilakukan melalui teknik pencitraan seperti USG, angiografi, atau venografi.<\/li>
    2. Persiapan:<\/strong> Pasien dipersiapkan untuk prosedur ini, yang mungkin melibatkan anestesi lokal atau obat penenang secara sadar.<\/li>
    3. Mengakses:<\/strong> Sayatan kecil dibuat di dekat AVF untuk mendapatkan akses ke pembuluh darah.<\/li>
    4. Penyisipan kawat pemandu:<\/strong> Kawat pemandu dimasukkan ke dalam pembuluh darah yang menyempit, sehingga dokter dapat menavigasi melalui pembuluh tersebut.<\/li>
    5. Pemasangan kateter balon:<\/strong> Kateter balon, yang memiliki balon kempis di ujungnya, dipasang di atas kawat pemandu dan ditempatkan di bagian AVF yang menyempit.<\/li>
    6. Inflasi balon:<\/strong> Balon dipompa, yang menekan plak atau jaringan stenotik pada dinding pembuluh darah, sehingga melebarkan pembuluh darah.<\/li>
    7. Deflasi dan pelepasan balon:<\/strong> Setelah beberapa detik, balon dikempiskan dan dikeluarkan dari AVF.<\/li>
    8. Penilaian:<\/strong> Dokter memeriksa aliran darah dan peningkatan diameter AVF menggunakan teknik pencitraan.<\/li>
    9. Ulangi jika perlu:<\/strong> Jika stenosis tidak teratasi sepenuhnya, prosedur dapat diulangi dengan menggunakan ukuran balon yang berbeda atau teknik lain seperti pemasangan stent.<\/li>
    10. Penutup:<\/strong> Sayatan ditutup menggunakan jahitan atau pita perekat, dan dibalut steril.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      Dalam beberapa kasus, dokter mungkin juga menggunakan tabung jaring logam kecil yang disebut stent untuk membantu menjaga pembuluh darah tetap terbuka setelah angioplasti. Stent ditempatkan di atas balon dan diperluas di lokasi stenosis, memberikan dukungan tambahan untuk menjaga pembuluh darah tetap terbuka.<\/p>

      Setelah prosedur, pasien biasanya dipantau dalam waktu singkat untuk memastikan tidak ada komplikasi. Penting untuk mengikuti instruksi pasca-prosedur yang diberikan oleh tim layanan kesehatan, yang mungkin termasuk mengonsumsi obat untuk mencegah pembekuan atau infeksi, menghindari aktivitas berat, dan janji tindak lanjut rutin untuk memantau fungsi AVF dan mencegah komplikasi lebih lanjut.<\/p>

      Dalam kebanyakan kasus, Anda dapat menggunakan AVF segera setelah diselamatkan melalui angioplasti. Tujuan dari prosedur ini adalah untuk memperlebar pembuluh darah yang menyempit dan mengembalikan aliran darah yang baik. Setelah prosedur berhasil diselesaikan, aliran darah melalui AVF akan ditingkatkan sehingga Anda dapat menggunakannya untuk dialisis.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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      Hubungi Kami Sekarang<\/span><\/span><\/a><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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      Dr Tang Tjun Yip<\/a><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      \n\t\t\t\t\t\t\t\t\tDr Tang sangat dihormati karena minat dan keterampilan klinis khususnya dalam berbagai kondisi vaskular.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      Dr Julian Wong<\/a><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      \n\t\t\t\t\t\t\t\t\tDr Wong sangat dihormati karena minat dan keterampilan klinis khususnya dalam berbagai kondisi vaskular.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      \n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tFacebook-f<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tLinkedin-in<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

      AVF, atau fistula arteriovena, mungkin memerlukan tindakan penyelamatan dalam kasus tertentu karena komplikasi atau masalah yang timbul akibat fistula. Beberapa alasan mengapa AVF mungkin memerlukan tindakan penyelamatan meliputi: Trombosis: AVF dapat membentuk bekuan darah yang menghalangi aliran darah melalui fistula. Hal ini dapat menyebabkan berkurangnya atau tidak adanya aliran darah, yang menyebabkan rasa sakit,\u2026<\/p>","protected":false},"author":1,"featured_media":10593,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[8],"tags":[],"featured-on":[],"class_list":["post-10585","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-doctors-column"],"acf":[],"yoast_head":"\nAVF Rescue Keyhole Procedure Called Angioplasty<\/title>\n<meta name=\"description\" content=\"An AVF may need rescue in certain cases due to complications that arise with the fistula. Here are some reasons why AVF may require rescue.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vascularclinic.sg\/id\/avf-rescue-keyhole-procedure-called-angioplasty\/\" \/>\n<meta property=\"og:locale\" content=\"id_ID\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"AVF Rescue Keyhole Procedure Called Angioplasty\" \/>\n<meta property=\"og:description\" content=\"An AVF may need rescue in certain cases due to complications that arise with the fistula. Here are some reasons why AVF may require rescue.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.vascularclinic.sg\/id\/avf-rescue-keyhole-procedure-called-angioplasty\/\" \/>\n<meta property=\"og:site_name\" content=\"The Vascular & Endovascular Clinic\" \/>\n<meta property=\"article:published_time\" content=\"2023-12-21T05:22:40+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-07T16:55:44+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.vascularclinic.sg\/wp-content\/uploads\/2023\/12\/WhatsApp-Image-2023-12-19-at-23.56.49-1.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"570\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Ditulis oleh\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimasi waktu membaca\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 menit\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.vascularclinic.sg\\\/id\\\/avf-rescue-keyhole-procedure-called-angioplasty\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.vascularclinic.sg\\\/id\\\/avf-rescue-keyhole-procedure-called-angioplasty\\\/\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\\\/\\\/www.vascularclinic.sg\\\/id\\\/#\\\/schema\\\/person\\\/46d51e961d68ae591ad15f765e9ee8af\"},\"headline\":\"AVF Rescue Keyhole Procedure Called Angioplasty\",\"datePublished\":\"2023-12-21T05:22:40+00:00\",\"dateModified\":\"2025-11-07T16:55:44+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.vascularclinic.sg\\\/id\\\/avf-rescue-keyhole-procedure-called-angioplasty\\\/\"},\"wordCount\":740,\"image\":{\"@id\":\"https:\\\/\\\/www.vascularclinic.sg\\\/id\\\/avf-rescue-keyhole-procedure-called-angioplasty\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.vascularclinic.sg\\\/wp-content\\\/uploads\\\/2023\\\/12\\\/WhatsApp-Image-2023-12-19-at-23.56.49-1.jpeg\",\"articleSection\":[\"Doctor's Column\"],\"inLanguage\":\"id\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.vascularclinic.sg\\\/id\\\/avf-rescue-keyhole-procedure-called-angioplasty\\\/\",\"url\":\"https:\\\/\\\/www.vascularclinic.sg\\\/id\\\/avf-rescue-keyhole-procedure-called-angioplasty\\\/\",\"name\":\"AVF Rescue Keyhole Procedure Called Angioplasty\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.vascularclinic.sg\\\/id\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.vascularclinic.sg\\\/id\\\/avf-rescue-keyhole-procedure-called-angioplasty\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.vascularclinic.sg\\\/id\\\/avf-rescue-keyhole-procedure-called-angioplasty\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.vascularclinic.sg\\\/wp-content\\\/uploads\\\/2023\\\/12\\\/WhatsApp-Image-2023-12-19-at-23.56.49-1.jpeg\",\"datePublished\":\"2023-12-21T05:22:40+00:00\",\"dateModified\":\"2025-11-07T16:55:44+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/www.vascularclinic.sg\\\/id\\\/#\\\/schema\\\/person\\\/46d51e961d68ae591ad15f765e9ee8af\"},\"description\":\"An AVF may need rescue in certain cases due to complications that arise with the fistula. 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