Sie sind auf Seite 1von 8

SURAT KETERANGAN

KOMPETENSI BEDAH VASKULAR DAN ENDOVASKULAR


Nomor : 08/KOLEGIUM-VASK & ENDO/IV/2019
Kategori Kewenangan
Kewenangan klinis diberikan untuk memberikan pelayanan pengelolaan bidang vaskuler dan endovaskuler,
Departemen Ilmu Bedah RSCM berdasarkan pada pelayanan yang dibutuhkan pasien.

Kategori I
Penyakit atau masalah kesehatan yang sederhana, tanpa penyulit, resiko pasien rendah. Dapat ditangani oleh
dokter umum dengan pelatihan singkat/tanpa pelatihan namun sudah cukup berpengalaman.

Jenis Pelayanan Diminta Rekomendasi


RINCIAN BERDASARKAN PENYAKIT
Raynaud’s disease 1 1
Arterial thrombosis 1 1
Coarctation of the aorta 1 1
Burger's disease 1 1
Arterial embolism 1 1
Atherosclerosis 1 1
Subclavian steal syndrome 1 1
Aortic aneurysm 1 1
Dissecting aneurysm 1 1
Claudicatio 1 1
Cardiogenic shock 1 1
Septic shock 1 1
Hypovolemic shock 1 1
Varices (primary, secondary) 1 1
Obstructed venous return 1 1
Deep vein thrombosis 1 1
Thrombophlebitis 1 1
Lymphangitis 1 1
Lymphadenitis 1 1
Lymphedema, primary and secondary 1 1
Traumatic vessel injury 1 1
1 1
RINCIAN KETRAMPILAN KLINIS 1 1
Palpation of pulse 1 1
Palpation of arterial pulses 1 1
Detection of bruits 1 1
Doppler examination 1 1
Sclerotherapy for varicose veins 1 1
Intravenous cannulation 1 1
Trendelenburg test 1 1
Perthes test 1 1
Posture tests of arterial insufficiency and Ankle-Brachial Index 1 1
Reactive hyperaemia test of arterial insufficiency 1 1
Capillary refill 1 1
Assessment and care external injuries (wounds, 1 1
Bleeding, burns, distortion, dislocation, fractures)
Stop bleeding (direct pressure, pressure point, 1 1
Pressure bandage)
First aid 1 1
Apply a bandage 1 1
Fluid rescucitation 1 1
Arteriography 1 1
Ct, mri, ulrasound 1 1
Pre-operative preparation of operative field for 1 1
Minor surgery, asepsis, antisepsis, local anaesthesia
Preparation to watch/to assist in theatre scrub-up, 1 1
Gown up, put on sterile gloves etc)
Infiltration anaesthesia 1 1
Local nerve block 1 1
Incision and drainage of abscess 1 1
Wound cleaning 1 1
Wound debridement with scalpel and scissors 1 1
Injection of varices with sclerosant 1 1
To apply a dressing (sling, shoulder bandage, finger 1 1
Bandage, hand bandage)
Treatment of leg ulcers 1 1
To apply a dressing (leg bandage, foot bandage, 1 1
Ankle bandage, knee bandage)

Kategori II
Termasuk kewenangan klinis kategori I. Penyakit/masalah kesehatan/prosedur yang kompleks namun tidak
mengancam nyawa. Telah melewati stase Divisi Departemen Ilmu Bedah FKUI-RSCM; sedang menjalani pelatihan
dan pendidikan spesialisasi di Departemen Ilmu Bedah FKUI-RSCM.

Jenis Pelayanan Diminta Rekomendasi


Bedah Vaskuler:
Brescia-Cimino fistula creation 1 1
CDL for hemodialysis access, temporary and semipermanent 1 1
Port A Cath / Celsite implantation for access in chemotherapy or 1 1
nutrition
Management in emergency major vascular trauma: Control 1 1
Hemmorrhage
Venous Cutdown in Vascular Access 1 1
Peripheral Artery Cannulation 1 1
Gradual External Compression in Vascular Disease 1 1
Wound Management in Vascular Cases 1 1
Anticoagulant Therapy in Vascular Cases 1 1
Post Operative management in Vascular Patient 1 1
Non-invasive Testing for Vascular Disease: ABI and TBI 1 1
Sclerotherapy 1 1
Splenectomy in portal hypertension 1 1
Simple vascular recontruction in peripheral artery trauma. 1 1
Debridement and Amputation in Diabetic Foot 1 1
Emergency Trombectomy/Embolectomy in Peripheral Artery 1 1
Hemangioma Excision 1 1
Clinical and Diagnostic Evaluation of the Patient with Deep Venous 1 1
Thrombosis
Prevention and Medical Treatment of Acute Deep Venous Thrombosis 1 1
Varicose Veins: Treatment by Intervention Including Sclerotherapy 1 1
Phlebectomy 1 1
Greater Saphenous Vein High Ligation, Stripping, Perforantes Ligation 1 1
Superficial Thrombophlebitis: Diagnosis and Management 1 1
Clinical and Diagnostic Evaluation of Patients with Chronic Venous 1 1
Disorders
Nonoperative Treatment of Chronic Venous Insufficiency 1 1
Clinical diagnosis and evaluation of lymphedema 1 1
Nonoperative management of chronic lymphedema 1 1
Upper extremity amputation: Indication, Operative Technique and 1 1
Perioperative Management
Lower extremity amputation: : Indication, Operative Technique and 1 1
Perioperative Management
Kategori III
Termasuk kewenangan klinis kategori I dan II. Penyakit/masalah kesehatan/prosedur yang kompleks dan potensial
mengancam nyawa. Telah menyelesaikan pelatihan dan pendidikan spesialisasi di Departemen Ilmu Bedah FKUI-
RSCM.

Jenis Pelayanan Diminta Rekomendasi


Bedah Vaskular:
Brescia-Cimino fistula creation 1 1
CDL for hemodialysis access, temporary and semipermanent 1 1
Port A Cath / Celsite implantation for access in chemotherapy or nutrition 1 1
Management in emergency major vascular trauma: Control Hemmorrhage 1 1
Venous Cutdown in Vascular Access 1 1
Peripheral Artery Cannulation 1 1
Gradual External Compression in Vascular Disease 1 1
Wound Management in Vascular Cases 1 1
Anticoagulant Therapy in Vascular Cases 1 1
Post Operative management in Vascular Patient 1 1
Non-invasive Testing for Vascular Disease: ABI and TBI 1 1
Sclerotherapy 1 1
Splenectomy in portal hypertension 1 1
Simple vascular recontruction in peripheral artery trauma. 1 1
Debridement and Amputation in Diabetic Foot 1 1
Emergency Trombectomy/Embolectomy in Peripheral Artery 1 1
Hemangioma Excision 1 1
Clinical and Diagnostic Evaluation of the Patient with Deep Venous 1 1
Thrombosis
Prevention and Medical Treatment of Acute Deep Venous Thrombosis 1 1
Varicose Veins: Treatment by Intervention Including Sclerotherapy 1 1
Phlebectomy 1 1
Greater Saphenous Vein High Ligation, Stripping, Perforantes Ligation 1 1
Superficial Thrombophlebitis: Diagnosis and Management 1 1
Clinical and Diagnostic Evaluation of Patients with Chronic Venous 1 1
Disorders
Nonoperative Treatment of Chronic Venous Insufficiency 1 1
Clinical diagnosis and evaluation of lymphedema 1 1
Nonoperative management of chronic lymphedema 1 1
Upper extremity amputation: Indication, Operative Technique and 1 1
Perioperative Management
Lower extremity amputation: : Indication, Operative Technique and 1 1
Perioperative Management
Kategori IV
Termasuk kewenangan klinis kategori I, II dan III. Penyakit/masalah kesehatan/prosedur yang khusus atau
kompleks dan potensial mengancam nyawa di bidang Divisi Vaskuler dan Endovaskuler. Telah menyelesaikan
pelatihan dan pendidikan subspesialisasi di Departemen Ilmu Bedah FKUI-RSCM.

Jenis Pelayanan Diminta Rekomendasi


Diagnosis dan Tata Laksana Penyakit Aneurisma 1 1
Termasuk:
Aortic dan Iliac Artery Aneurysms
Peripheral Artery Aneurysms
Extra-cranial Carotid Aneurysms
Subclavian/Axillary Artery Aneurysms
Femoral/Popliteal Artery Aneurysms
Splanchnic dan Renal Artery Aneurysms
Thoracoabdominal Aortic Aneurysms
Thoracic Aortic Aneurysms
Thoracic/Abdominal Aortic Dissection
Diagnosis dan Tata Laksana Penyakit Sumbatan Arteri Ekstremitas 1 1
(Extremity Arterial Occlusive Disease)
Termasuk:
Aortoiliac Occlusive Disease
Femoral-Popliteal-Tibial Occlusive Disease
Upper Extremity Occlusive Disease
Combined Aortoiliac dan Infrainguinal Occlusive Disease
Arterial Bypass Graft Surveillance
Failing Arterial Bypass Graft
Ischemic Foot Lesions
Diagnosis dan Tata Laksana Penyakit Sumbatan Arteri Renalis (Renal 1 1
Artery Occlusive Disease)
Termasuk:
Renovascular Hypertension
Ischemic Nephropathy
Renal Artery Surgery
Renal Angioplasty
Diagnostic Studies to Detect Functionally Significant
Renal Artery Stenosis
Tambahan yang Penting/Topik Kurikulum Non-Inti: Renal Arteriovenous
Fistulae
Diagnosis dan Tata Laksana Iskhemi Pembuluh Darah Visceral 1 1
Termasuk:
Chronic Visceral Ischemia
Acute Visceral Ischemia
Non-Occlusive Mesenteric Ischemia
Mesenteric Venous Occlusive Disease
Tambahan yang Penting/Topik Kurikulum Non-Inti: Celiac/SMA
Compression
Diagnosis dan Tata Laksana Penyakit Sumbatan Arteri Karotis (Carotid 1 1
Artery Occlusive Disease)
Termasuk:
Atherosclerotic Carotid Artery Disease
Carotid Artery Fibromuscular Dysplasia
Carotid Artery Coils dan Kinks
Carotid Artery Radiation Injury
Carotid Body Tumor
Tata Laksana Stroke Komprehensif
Spontaneous Carotid Artery Dissection
Atherosclerotic Aortic Arch Disease Leading to Proximal
Carotid Artery Stenosis
Diagnosis dan Tata Laksana Penyakit Arteri Innominate, Subclavian 1 1
dan Vertebrobasilar
Termasuk:
Stenotic dan Embolic Innominate Artery Disease
Stenotic dan Embolic Vertebral Artery Disease
Stenotic dan Embolic Subclavian Artery Disease
Subclavian Steal Syndrome
Tambahan yang Penting/Topik Kurikulum Non-Inti: Vertebral Arteriovenous
Fistulae
Diagnosis dan Tata Laksana Thoracic Outlet Syndrome 1 1
Termasuk:
Cervical Rib/Abnormal First Rib
Arterial Complications
Venous Complications
Neurogenic Complications
Diagnosis dan Tata Laksana Sumbatan Arteri Akut 1 1
Termasuk:
Acute Thrombotic Disease
Atheroembolic Disease
Thromboembolectomy Techniques
Thrombolysis: Percutaneous & Intraoperative
Komplikasi Sistemik pada Reperfusion Injury
Compartment Syndrome
Diagnosis dan Tata Laksana Permasalahan Kaki Diabetik (Diabetic 1 1
Foot Problems)
Termasuk:
Pathophysiology Ischemia, Neuropathy dan Infection
Antibiotic Treatment
Amputation Types
Wound Management
Foot Care
Tambahan yang Penting/Topik Kurikulum Non-Inti: Orthotic Management
Diagnosis dan Tata Laksana Komplikasi Tindakan Vaskular 1 1
Termasuk:
Pseudoaneurysms
Aortoenteric Fistulae/Erosions
Vascular Graft Infections
Colon Ischemia after Aortic Surgery
Chronic Perigraft Seromas
Occluded Prosthetic Grafts
Prosthetic Graft Dilation
Diagnosis dan Tata Laksana Trauma Vaskular 1 1
Termasuk:
Aortic Trauma
Carotid Trauma
Brachiocephalic Trauma
Visceral Arterial Trauma
Extremity Trauma
Venous Trauma
Diagnosis Vascular Trauma - Arteriography/Duplex
Nonoperative Therapy
Traumatic A-V Fistulas
Iatrogenic Vascular Trauma
Tambahan yang Penting/Topik Kurikulum Non-Inti: Associated Neural Injury
Diagnosis dan Tata Laksana Penyakit Tromboemboli Vena (Venous 1 1
Thromboembolic Disease)
Termasuk:
Deep Venous Thrombosis
Deep Venous Thrombosis Prophylaxis
Pulmonary Emboli
Caval Interruption
Subclavian/Axillary Thrombosis
Venous Thrombectomy/Thrombolytic Therapy
Anticoagulation
Tambahan yang Penting/Topik Kurikulum Non-Inti:
Acute Caval Thrombosis Syndrome
Pulmonary Embolectomy (open & catheter based)
Renal Vein Thrombosis
Budd-Chiari Syndrome
Diagnosis dan Tata Laksana Insufisiensi Vena Kronik (Chronic Venous 1 1
Insufficiency)
Termasuk:
Noninvasive Diagnosis
Medical Treatment
Sclerotherapy
Surgical Reconstruction including Subfascial Ligation Perforators, Valvular
Congenital Causes
Diagnosis dan Tata Laksana Limfedema 1 1
Indications dan Techniques for Extremity Amputation 1 1
Termasuk:
Determination Amputation Level
Tambahan yang Penting/Topik Kurikulum Non-Inti:
Post-Amputation Care
Prosthetic Management
Rehabilitation
Phantom Pain Symptoms
Techniques for the Diagnosis Peripheral Vascular Disease 1 1
Termasuk:
Hemodynamic Assessment Arterial dan Venous Disease
Duplex Evaluation Carotid, Venous, Mesenteric, Renal
and Extremity Vascular Disease
Arteriography
Computerized Tomography
MRI/MRA
Intraoperative Duplex Evaluation
Tambahan yang Penting/Topik Kurikulum Non-Inti:
Intravascular Ultrasound
Penggunaan Terapi Endovaskuler pada Tata Laksana Penyakit 1 1
Pembuluh Darah Perifer
Termasuk:
Lytic Therapy
Balloon Angioplasty
Endoluminal Stents
Stent Grafts
Angioscopy
Endoluminal Ultrasound
Embolization
Stratifikasi Risiko pada Pasien dengan Penyakit Pembuluh Darah 1 1
Perifer
Termasuk:
Cardiac Risk Evaluation
Pulmonary Risk Evaluation
Atherosclerotic Risk Factor Assessment
Lipid Disorder Evaluation dan Tata Laksana
Diagnosis dan Tata Laksana Gangguan Koagulasi pada Pasien 1 1
Penyakit Pembuluh Darah Perifer
Termasuk:
Bleeding Disorders/Intraoperative Bleeding
Heparin Associated Thrombocytopenia
Hypercoagulable States
Low Molecular Weight Heparin
Antiplatelet Agents Including Ticlopidine
Diagnosis dan Tata Laksana Berbagai Permasalahan Umum 1 1
Vaskulogenik
Termasuk:
Vasospastic Diseases
Neurogenic Thoracic Outlet Syndrome
Causalgia/Reflex Sympathetic Dystrophy
Tambahan yang Penting/Topik Kurikulum Non-Inti:
Vasculogenic Impotence
Pediatric Vascular Disorders
Frostbite
Diagnosis dan Tata Laksana Penyakit Vaskuler Non-Atherosclerotic 1 1
Termasuk:
Systemic Vasculitis
Giant Cell Arteritis
Takayasu’s Disease
Radiation Induced Arterial Disease
Arterial Infections
Adventitial Cystic Disease
Popliteal Entrapment Syndrome
Buerger’s Disease
Congenital Problems
Coarctation
Persistent Sciatic Artery
Aberrant Subclavian Artery
Arteriopathies
Marfan’s Syndrome
Ehlers-Danlos Syndrome
Arterial Magna Syndrome
Cystic Medical Necrosis
Behcet’s Disease
Homocystinuria
Intra-Arterial Drug Induced Injury
Diagnosis dan Tata Laksana Arterial Venous Malformations 1 1
Termasuk:
Manajemen Surgical, Catheter dan Nonoperative
Angiodysplasias
Indikasi dan Teknik Akses Vaskuler 1 1
Termasuk:
Vascular Access for Hemodialysis
Ischemic Hdan After Vascular Access
Peripheral Dialysis Access
Indikasi dan Hasil pada Simpatektomi pada Pasien dengan Penyakit 1 1
Arteri Perifer
Diagnosis dan Tata Laksana Portal Hypertension 1 1
Medical Management of PAD/PVD 1 1
Endovascular Treatment of Aortic Aneurysms 1 1
Ruptured Abdominal Aortic Aneurysms 1 1
Thoracoabdominal Aortic Aneurysm
Aortic Dissection: Perspectives for the Vascular/Endovascular Surgeon 1 1
Lower Extremity Aneurysms 1 1
Upper Extremity Aneurysms 1 1
Splanchnic Artery Aneurysms 1 1
Infected Aneurysms 1 1
Diagnostic Evaluation of Arteriovenous Fistulas and Vascular Anomalies 1 1
Arteriovenous Fistulas of the Aorta and Its Major Branches 1 1
Traumatic Arteriovenous Fistulas: Diagnosis and Management 1 1
Vascular Tumors and Malformations in Childhood 1 1
Surgical Management of Vascular Malformations 1 1
Endovascular Treatment of Vascular Anomalies 1 1
Primary Tumors of Major Blood Vessels: Diagnosis and Management 1 1
Complex AV fistula or AVG fistula in Vascular Access for Hemodialysis 1 1
Venous Transpositions in the Creation of Arteriovenous Access
Management of Thrombosed Dialysis Access 1 1
Nonthrombotic Complications of Arteriovenous Access for Hemodialysis: 1 1
Diagnosis and management
Physiology and Diagnosis of Splanchnic Arterial Occlusion 1 1
Treatment of Acute Intestinal Ischemia Caused by Arterial Occlusions 1 1
Diagnosis and Treatment of Nonocclusive Mesenteric Ischemia 1 1
Chronic Mesenteric Ischemia: Diagnosis and Management 1 1
Intestinal Ischemia Caused by Venous Thrombosis: Diagnosis and 1 1
Management
Portal Hypertension: Surgical Management of Its Complications 1 1
Renal Artery Fibrodysplasia and Renovascular Hypertension: Diagnosis 1 1
and Management
Atherosclerotic Renovascular Disease and Ischemic Nephropathy: 1 1
Diagnosis and Management
Endovascular Treatment of Renovascular Disease 1 1
Open Surgical Repair of Renovascular Disease 1 1
Renal Artery Aneurysms and Arteriovenous Fistulae: Diagnosis and 1 1
Management
Acute Renovascular Occlusive Events: Diagnosis and Management
Diagnostic Evaluation and Medical Management of Patients with Ischemic 1 1
Cerebrovascular Disease
Noninvasive Studies in the Diagnosis and Management of Cerebrovascular 1 1
Disease
Indications, Surgical Technique, and Results for Repair of Extracranial 1 1
Occlusive Lesions
Carotid Angioplasty and Stenting 1 1
Vertebrobasilar Ischemia: Indications, Techniques, and Results of Surgical 1 1
Repair
Endovascular and Surgical Management of Extracranial Carotid 1 1
Fibromuscular Arterial Dysplasia
Aneurysms of the Extracranial Carotid Artery: diagnosis and management 1 1
Uncommon Disorders Affecting the Carotid Arteries: diagnosis and 1 1
management
Complications Following Carotid Endarterectomy and Perioperative 1 1
Management
Catheter-Based Interventions for Acute Deep Venous Thrombosis 1 1
Surgical Thrombectomy for Acute Deep Venous Thrombosis 1 1
Vena Caval Interruption Procedures 1 1
Management of Perforator Vein Incompetence 1 1
The Surgical Treatment of Deep Venous Valvular Incompetence
Surgical treatment of chronic occlusions of iliac vein and inferior vena cava 1 1
Endovascular treatment of chronic occlusions of iliac vein and inferior vena 1 1
cava
Endovascular treatment of vena cava occlusion 1 1
Evaluation and management of malignant tumors of inferior vena cava 1 1
Surgical treatment of superior vena cava syndrome 1 1
Surgical treatment of chronic lymphedema and primary chylous disorders 1 1
Angioplasty 1 1
Angioplasty/Stenting for Mesenteric Artery Stenosis 1 1
Angioplasty/Stenting for Renal Artery Stenosis 1 1
Angioplasty/Stenting of PAD/PVD 1 1
Angioplasty/Stenting of Subclavian Artery 1 1
Angioplasty/Stenting of Vertebral Artery 1 1
Aorta Surgery 1 1
Aortofemoral Bypass Grafting
Atherectomy for PAD 1 1
Atherectomy 1 1
Branched Aortic Stentgraft Repairs 1 1
Bypass Surgery for Venous Disease 1 1
Carotid Angiography 1 1
Carotid Artery Dissection 1 1
Carotid Stenting 1 1
Carotid-Subclavian Bypass 1 1
Catheter-Directed Thrombolysis 1 1
Complex Aorta Surgery 1 1
Diagnostic Angiography 1 1
Embolisation of Carotid Body Tumours 1 1
Endovascular Repair of Abdominal Aortic Aneurysms 1 1
Endovascular Repair of Thoracic Aortic Aneurysms
Endovascular Repair of Thoracoabdominal Aortic Aneurysms 1 1
Endovascular Surgery 1 1
Endovenous Laser Therapy 1 1
Fenestrated Aortic Stentgraft Repairs 1 1
First Rib Resection 1 1
IVC Filter Placement 1 1
Laser atherectomy for PAD/PVD 1 1
Minimally Invasive Aortic Surgery 1 1
Percutaneous Mechanical Thrombolysis 1 1
Repair of Venous Aneurysms 1 1
Resection of Carotid Body Tumours 1 1
Resection of Congenital Vascular Lesions 1 1
Surgery for Peripheral Arterial Disease (PAD) 1 1
Surgery for Peripheral Vascular Disease (PVD)
Surgery for Portal Hypertension 1 1
Surgery for Thoracic Outlet Syndrome (TOS) 1 1
Vascular Ultrasound 1 1
Venous angioplasty/stenting 1 1
Venous Thrombolysis 1 1

Jakarta, 18 April 2019

Ketua Kolegium Bedah Vaskular dan Endovaskular

Dr. Hilman Ibrahim, SpB(K)V