Peran Radiografer Dalam Pemeriksaan Angiografi Koroner Pada Pasien Post-Cabg (Coronary Artery Bypass Grafting) Dengan Bantuan Injector Di Laboratorium Kateterisasi

Ni Kadek Mira Prastya Dewi, I Made Lana Prasetya, Dwi Hascaryo

Sari


Radiografer memiliki peran penting dalam tindakan angiografi koroner, khususnya pada pasien post-CABG (Coronary Artery Bypass Grafting) yang memiliki tantangan visualisasi akibat kompleksitas anatomi graft. Penelitian ini bertujuan mendeskripsikan peran radiografer dalam mendukung keberhasilan tindakan angiografi koroner pada pasien post-CABG dengan bantuan injector kontras otomatis di laboratorium kateterisasi. Penelitian ini menggunakan metode kualitatif deskriptif dengan pendekatan studi lapangan. Data diperoleh melalui observasi langsung dan wawancara semi-struktural terhadap radiografer. Hasil penelitian menunjukkan bahwa radiografer berperan penting dalam persiapan, mengoperasikan fluoroskopi dan injector berdasarkan instruksi dari dokter, serta memastikan parameter teknis sesuai protokol klinis agar prosedur berjalan lancar. Kesimpulan penelitian ini menyatakan bahwa akurasi teknis, kesiapan alat, dan koordinasi radiografer sangat mendukung keberhasilan visualisasi graft dan keselamatan pasien.


Kata Kunci


Radiografer; Radiologi Intervensi; Koroner; Post-CABG

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Referensi


Abdel-Halim, M., et al. (2024). Assessing and improving radiation safety in cardiac catheterization labs. The Egyptian Heart Journal, 76(1), 17. https://doi.org/10.1186/s43044-024-00449-7

Akbar, M., et al. (2024). Contrast-induced acute kidney injury: A review. BMC Nephrology, 25(1), 112. https://doi.org/10.1186/s12882-024-03570-6

Alzahrani, F., et al. (2024). Variability in radiation exposure: Impact of compliance to protection protocols. Journal of the Saudi Heart Association, 36(1), 25–32. https://doi.org/10.1016/j.jsha.2024.01.002

Badan Pengawas Tenaga Nuklir (BAPETEN). (2023). Profil dosis pasien tahunan 2023. https://portalkip.bapeten.go.id/menu/informasi/unduh/357

Firouzi, A., Mohebi, R., Kassaian, S. E., Pourhosseinali, A., Nikfarjam, M., & Maleki, M. (2020). Impact of vascular access site on contrast-induced nephropathy after coronary angiography: A retrospective cohort study. ARYA Atherosclerosis, 16(1), 28–34. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7114577

Ge, Y., Shi, Y., Huang, Z., Liang, L., Li, H., Chen, J., & Wang, C. (2024). Impact of frailty on outcomes following coronary artery bypass grafting: A systematic review and meta-analysis. BMC Surgery, 24(1), 727. https://doi.org/10.1186/s12893-024-02728-1

Hartopo, A. B., Inggriani, M. P., Jhundy, B. W., Fachiroh, J., Rosha, P. T., Wardani, R. K., & Dewi, F. S. T. (2023). Modifiable risk factors for coronary artery disease in the Indonesian population: A nested case-control study. Cardiovascular Prevention and Pharmacotherapy, 5(1), 24–34. https://doi.org/10.36011/cpp.2023.5.e3

Hasani, W. S., Nurjannah, I., Rahmawati, R., & Islamiyah, W. (2023). Premature cardiovascular mortality: A systematic review and meta-analysis. BMC Public Health, 23, 1611.

https://doi.org/10.1186/s12889-023-16466-1

Hirshfeld, J. W., Jr., et al. (2024). Can contrast injections cause or propagate coronary injuries? JACC: Cardiovascular Interventions, 3(2), 145–152. https://doi.org/10.1016/j.jscai.2023.12.005

International Commission on Radiological Protection (ICRP). (2017). Diagnostic reference levels in medical imaging (ICRP Publication 135). https://www.icrp.org/publication.asp?id=icrp+publication+135

Kaul, D., Fiebich, M., Meyer, C., Doerr, S., Heidbuchel, H., & Voigtländer, T. (2020). Radiation dose reduction capabilities of a new C-arm system with optimized hard- and software. Clinical Research in Cardiology, 109(12), 1529–1537. https://doi.org/10.1007/s00392-020-01735-2

Laskar, H., et al. (2023). Evaluation of modern radiation protection systems. JACC: Cardiovascular Interventions, 2(4), 234–241. https://doi.org/10.1016/j.jscai.2023.06.012

Park, D., Kim, J., Lee, H., Choi, S., Yoon, M., & Han, K. (2023). Outcomes with IVUS and OCT guidance in PCI: A nationwide analysis. Journal of the American College of Cardiology, 81(18), 1790–1801. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11615633/

Ridwan, M., & Susanta, I. P. A. (2023). Prosedur pemeriksaan coronary angiography (CAG) pada klinis post coronary artery bypass grafting (CABG). Jurnal Insan Pengabdian Indonesia, 1(4), 432–440. https://doi.org/10.62007/jouipi.v1i4.145

Rigattieri, S., De Caterina, R., Esposito, G., et al. (2024). Radial versus femoral access in preventing acute kidney injury after coronary procedures: What we know in 2024. Clinical Research in Cardiology, 113(1), 1–10. https://doi.org/10.1007/s00392-023-

-2

Shafiee, M., Jahanbakhsh, F., Hedayati, M., Shahnazari, M., & Vaisi-Raygani, A. (2024). Risk factors of cardiovascular disease (CVD) in young adults: A community-based study of Iranian context. BMC Public Health, 24(1), 20030. https://doi.org/10.1186/s12889-024-20030-w

Shah, B., Patel, V., Bajaj, S., Ramakrishnan, S., Tummala, L., & Sharma, A. (2021). Comparison of fluoroscopy time in transradial versus transfemoral access in coronary procedures after coronary artery bypass grafting. Catheterization and Cardiovascular Interventions, 98(3), E317–E324.

https://pubmed.ncbi.nlm.nih.gov/33812824

Sulieman, A., et al. (2023). Evaluation of occupational radiation doses and effectiveness of radiation protection. Applied Radiation and Isotopes, 199, 111071. https://doi.org/10.1016/j.apradiso.2023.111071

Wang, Y., Ma, J., Zhang, P., Lu, Y., & Fu, X. (2020). Radial versus femoral access and the risk of contrast-induced nephropathy: A meta-analysis of 46,816 patients. Angiology, 71(6), 525–534. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5837196

World Health Organization. (2023). Cardiovascular diseases (CVDs): Key facts. https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)

Yamaguchi, Y., Yamashita, S., Murakami, H., Hirao, K., & Iwasaki, Y. (2025). Radiation safety in catheter ablation: Clinical value of real-time operator dosimetry. Heart and Vessels, 40(6), 1234–1243. https://doi.org/10.1007/s00380-025-02567-x

You, H., et al. (2025). Mapping operator exposure in the cardiac cath lab. Radioprotection, 60(1), 35–42. https://www.radioprotection.org/articles/radiopro/full_html/2025/01/r

adiopro240031/radiopro240031.html




DOI: https://doi.org/10.33024/jikk.v13i3.22603

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