Skip to content
Pusat Vaskular & Endovaskular

Pusat Vaskular & Endovaskular

The Vascular and Endovascular Centre at CVSKL is a one stop centre for screening, diagnosis, surveillance and treatment for all vascular diseases.

Apakah yang dimaksud dengan penyakit pembuluh darah?

The vascular system or the circulatory system is made up of vessels that carry blood and lymph through the body.  Blood vessels are tubes and there are 3 types of blood vessels:

  • The arteries carry blood from the heart to the whole body, delivering oxygen and nutrients to the body tissues.

  • The veins carry the deoxygenated blood back to the heart taking with them the tissue waste matter.

  • The lymph vessels carry lymphatic fluid.

Vascular diseases are conditions that affect the arteries, veins or lymphatics.

Depending on the disease and which arteries or veins are affected, the resulting consequence will be different:

Peripheral arterial disease (PAD)
  • In conditions where the lumen of the arteries are narrowed or completely blocked, the blood flow to the affected organs or other body structures, eg the legs, may be compromised.

  • If it is the vessels to the heart (coronary arteries) the patient will have a ‘Heart attack’ and if it is blood vessels to the brain, a stroke will result.  If it is blood vessels to the legs, the patient can experience pain, ulceration and gangrene of the leg (critical limb ischemia).

  • If the arterial wall is weakened, it will result in bulging (aneurysm) and eventually rupture of the artery resulting in blood loss.

Abdominal aortic aneurysm (AAA)
  • In the veins, blockages in the blood flow results in thrombosis (deep vein thrombosis) and damages in the valves (within the veins) will lead to dilated veins (varicose veins).

Ada banyak penyakit pembuluh darah, yang umum dijumpai adalah berikut ini:


Common Vascular Diseases:

  • Aneurisma Aorta Abdominal/Abdominal Aortic Aneurysms (AAA)

  • Penyakit Arteri Perifer/Peripheral Arterial Disease (PAD)

  • Penyakit Arteri Karotis

  • Tumor Tubuh Karotis

  • Varises Pembuluh Darah

  • Trombosis Vena Dalam/Deep Vein Thrombosis (DVT)

  • Akses Vaskular/Vascular Access (AV Fistula)

  • Hiperhidrosis (telapak tangan berkeringat)

Layanan Kami

Arteri

Aneurisma Aorta
Perbaikan Aneurisma Endovaskular
    - Endovascular Aneurysm Repair for AAA (EVAR)
    - Thoracic Endovascular Aneurysm Repair (TEVAR)
    - Fenestrated & Branched Stent Grafts for:
      ~ Thoracoabdominal Aneurysm
      ~ Aortic Arch Aneurysm
Perbaikan Terbuka

Diseksi Aorta
Perbaikan Endovaskular
Perbaikan Terbuka

Penyakit Arteri Perifer
Angioplasti/Pemasangan Stent
Tindakan Bypass
Tindakan Hybrid

Iskemia Akut Pada Anggota Tubuh
Embolektomi
Trombolisis

Arteri Karotid

Endarterektomi Karotid
Angioplasti/Pemasangan Stent Karotid
Pemotongan Tumor Tubuh Karotid

Arteri Ginjal & Viseral
Angioplasti/Pemasangan Stent
Operasi Terbuka

Vena

Varises Pembuluh Darah
Thermal ablation:
    - Radiofrequency
    - Endovenous Laser
Penutupan dengan lem
Operasi Terbuka
Injeksi Skleroterapi

Trombosis Vena Dalam
Antikoagulasi
Trombolisis
Venogram & Pemasangan Stent

Gawat Darurat

CVSKL memiliki Emergency Department untuk menerima kasus-kasus gawat darurat:
Pecahnya Aneurisma Aorta
Diseksi Aorta Akut
Iskemia Akut Pada Anggota Tubuh
Trauma Vaskular
Lainnya

Lainnya

Akses Vaskular untuk Hemodialisis
Pembuatan Fistula Arteriovena
Pembentukan Cangkok Arteriovena
Angioplasti untuk Fistula Arteriovena Yang Gagal
Solusi untuk Kegagalan Akses Berulang

Malformasi Arteriovena
Pemotongan
Embolisasi
Skleroterapi

Angioplasti & Pemasangan Stent Pada Penyumbatan Vena Sentral

Simpatektomi Torakoskopi untuk Hiperhidrosis
.

Tim Kami

Tim Vascular & Endovascular terdiri dari:

  • 2 Dokter Ahli Bedah Vaskular & Endovaskular
  • 2 Teknisi Vaskular/Ultrasonografer
  • 2 Radiografer
  • 6 Perawat Vaskular di Ruang Operasi Hybrid

The team works closely with our Anaesthesiologists, Cardiothoracic surgeons, Cardiologists and Nephrologists

Vascular & Endovascular Team

Fasilitas Kami

Laboratorium Vaskular Non-Invasif (Vascular Lab)

Situated at the Outpatient Department next to our doctors’ clinics, the Vascular Lab specializes in several tests that look at the condition of arteries and veins and how well blood flows in these vessels. The tests are performed by 2 qualified ultrasonographers who work closely with our doctors.

Tests are done to examine the blood vessels throughout the body.  These tests help to diagnose and plan the treatment of  many vascular disease, including peripheral arterial disease (PAD), carotid artery disease, aneurysms, varicose veins, deep vein thrombosis (DVT) and vascular access (AV fistula).  These tests are also used for surveillance and post-operative follow-up to monitor the success of surgery or endovascular procedures.

Non-Invasive Vascular Laboratory
Ultrasonografi

Tes Vaskular Non-Invasif

Ankle-Brachial Index

Ankle-Brachial Index

  • Ankle-brachial index (ABI) merupakan sebuah tes yang menggunakan manset tekanan yang dapat dikembangkan/dipompa untuk mengakses aliran darah pada kaki dan tangan.

  • The difference between the blood pressure from the ankle and the arm form the ABI ratio.  The ABI ratio tells the doctors how the circulation in your legs is performing.

Ultrasonografi Duplex

Ultrasonografi duplex mengevaluasi kondisi dan aliran darah melalui arteri dan vena Anda. Terdapat beberapa jenis pemeriksaan ultrasonografi:

  • Carotid ultrasound – ultrasound of the carotid arteries in the neck to identify or rule out blockages that can lead to a stroke

 
  • Abdominal ultrasound – ultrasound of the abdominal aorta to identify and evaluate aneurysmal disease or blockages of the aorta and its branches.

 
  • Lower limb ultrasound – ultrasound of the arteries to the legs to evaluate blockages that may be contributing to pain in the legs, ulceration or gangrene.

 

Sebagian besar pemeriksaan ini dilakukan di Vascular Lab, namun ultrasonografi Duplex juga makin banyak digunakan sebelum operasi di Ruang Operasi Hybrid untuk perencanaan tindakan serta pemeriksaan selama operasi berlangsung dan pasca operasi.

Carotid Ultrasound
Abdominal Ultrasound Image
Ultrasonografi Duplex
Carotid Ultrasound Image
Lower Limb Ultrasound Image
CT angiogram image
CT angiogram image

Angiografi tomografi terkomputasi (angiografi CT)

Done in our Radiology Department, a CT scan is a type of X-ray that uses a computer to make cross-sectional images of your body.  CT angiography combines a CT scan with an injection of a special dye to produce pictures of blood vessels and tissues in a part of the body. The dye injected to perform CT angiography is called a contrast material because it “lights up” blood vessels and tissues that are being studied.  These images are reconstructed to give 3D images of the arteries that are studied.  These images will help the surgeons to plan the best treatment for the patient’s condition.

CT angiography is frequently used to assess the aorta (chest and abdomen) and its branches for aneurysms and occlusions.   It may also be used to assess the carotid arteries and the arteries to the lower limbs.

Revolution Apex™ CT Scan

Ruang Operasi Hybrid 

Ruang Operasi Hybrid/Hybrid Operating Theatre (Hybrid OT) adalah sebuah ruang yang menggabungkan Ruang Operasi tradisional dengan Ruang intervensi yang dipandu citra. Kombinasi ini memungkinkan kami untuk melakukan operasi terbuka yang rumit atau tindakan intervensi yang sulit, serta kombinasi dari keduanya (operasi terbuka + tindakan intervensi, disebut juga operasi Hybrid) sebagai suatu tindakan tunggal pada pasien yang sama. Hybrid OT membantu kami untuk memberikan pengobatan yang optimal dan hasil yang terbaik bagi para pasien.

Like a traditional Operating Theatre, our Hybrid OT is an aseptic room, equipped with a surgical table, operating lights and anaesthetic machine. In addition, there is a state of art imaging system. Our imaging system is highly mobile. Using laser-guided technology, it is parked at a corner of the room when not in use.  When it is needed, it will move to the required position beside the operating table to obtain the best imaging.

This state-of-art system is equipped with advanced imaging tools such as Fusion imaging and Rotational angiography.

  • Fusion imaging is a novel technique that allows for integration of highly detailed computed tomographic (CT) images with fluoroscopy.

  • Images from a previous CT scan are loaded and processed in a workstation to produce a 3D model of the vasculature which is then merged with the live fluoroscopic images.

  • Unlike conventional angiography which gives us 2D images, Rotational angiography gives us CT-like 3D images. The C-Arm rotates around the patient and acquires a series of x-ray images.  These images are then reconstructed through software algorithms into 3D images.

Hybrid OT

#KnowYourOptions

Play Video