{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282679656330880.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.4009/jsdt.41.389"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"9565064"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/9565064"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I9565064"}},{"identifier":{"@type":"NAID","@value":"10029405780"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2008341371"}}],"dc:title":[{"@language":"en","@value":"A diabetic foot gangrene patient with peripheral arterial disease (PAD) in whom the extent of lower limb amputation could be reduced after successful treatment with percutaneous transluminal angioplasty (PTA)"},{"@language":"ja","@value":"下腿ｐｅｒｃｕｔａｎｅｏｕｓ　ｔｒａｎｓｌｕｍｉｎａｌ　ａｎｇｉｏｐｌａｓｔｙ（ＰＴＡ）により下肢切断範囲を縮小できたｐｅｒｉｐｈｅｒａｌ　ａｒｔｅｒｉａｌ　ｄｉｓｅａｓｅ（ＰＡＤ），糖尿病性壊疽の１例"},{"@value":"症例報告 下腿percutaneous transluminal angioplasty(PTA)により下肢切断範囲を縮小できたperipheral arterial disease(PAD),糖尿病性壊疽の1例"},{"@language":"ja-Kana","@value":"ショウレイ ホウコク カタイ percutaneous transluminal angioplasty PTA ニ ヨリ カシ セツダン ハンイ オ シュクショウデキタ peripheral arterial disease PAD トウニョウビョウセイ エソ ノ 1レイ"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"A 75-year-old-female began to undergo hemodialysis due to chronic renal failure caused by diabetic nephropathy in 1992. She had been treated for moderate temperature burn ulcers on her lower limbs by ointment and other treatments on four different occasions. She felt right foot pain early in March 2007 and thereafter, right diabetic foot gangrene gradually appeared, ranging from the first and second toes to the dorsal pedis ; thereafter, she was admitted to our hospital on March 27, 2007. The patient's gangrene was associated with infection, and we therefore considered it was impossible to treat here by internal medicine therapy consisting of only antibiotics. In addition, continuous stenosis of the right anterior tibial artery, right posterior tibial artery, and right peroneal artery of the lower limbs was observed on magnetic resonance angiography (MRA). Skin perfusion pressure (SPP) was 28mmHg in the right dorsal pedis, 26mmHg in the right plantar pedis, and 107mmHg in the right proximal ankle joint. As a result, we initially thought it would therefore be necessary to amputate the right distal lower leg ; however, we first performed percutaneous transluminal angioplasty (PTA) for the right anterior tibial artery and, after completing this procedure, the SPP increased to over 40mmHg in both the right dorsal pedis and plantar pedis. As a result, we could therefore perform Chopart's amputation in order to successfully treat the patient and reduce the extent of the amputation."},{"@language":"ja","@value":"症例は75歳，女性．1992年に糖尿病性腎症による末期腎不全で血液透析導入となった．これまでに4回ほど下肢低温熱傷で潰瘍形成歴があり，軟膏などの処置で治癒した．2007年3月上旬より右足趾の疼痛を自覚し，徐々に右第1，2足趾から足背にかけての壊疽が出現したため，3月27日当科紹介入院となった．感染合併に対し抗生剤投与を継続したが内科的治癒は困難であると判断した．下肢magnetic resonance angiography（MRA）にて右下腿3分枝のびまん性狭窄があり，皮膚灌流圧（skin perfusion pressure：SPP）は右足背28mmHg，足底26mmHg，足関節近位107mmHgで当初右下腿遠位での切断が必要と考えられた．しかし，右前脛骨動脈に対しPTA施行し，皮膚灌流圧は足背，足底ともに40mmHg以上まで上昇したため，踵を残してのショパール切断を施行することができた．"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410290697395655808","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000017332130"}],"foaf:name":[{"@language":"en","@value":"Takashima Tsuyoshi"},{"@language":"ja","@value":"高島 毅"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Nephrology, The Faculty of Medicine, Saga University"},{"@language":"ja","@value":"佐賀大学医学部腎臓内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204674535040","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000000482433"},{"@type":"NRID","@value":"9000254511063"}],"foaf:name":[{"@language":"en","@value":"Sanai Toru"},{"@language":"ja","@value":"佐内 透"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Nephrology, The Faculty of Medicine, Saga University"},{"@language":"ja","@value":"佐賀大学医学部腎臓内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410290697395655816","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000001277189"},{"@type":"NRID","@value":"9000255722782"}],"foaf:name":[{"@language":"en","@value":"Kishi Tomoya"},{"@language":"ja","@value":"岸 知哉"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Nephrology, The Faculty of Medicine, Saga 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日本透析医学会"}],"prism:publicationDate":"2008","prism:volume":"41","prism:number":"6","prism:startingPage":"389","prism:endingPage":"393"},"reviewed":"false","url":[{"@id":"http://id.ndl.go.jp/bib/9565064"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I9565064"},{"@id":"https://search.jamas.or.jp/link/ui/2008341371"}],"availableAt":"2008","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E6%9C%AB%E6%A2%A2%E5%8B%95%E8%84%88%E7%96%BE%E6%82%A3","dc:title":"末梢動脈疾患"},{"@id":"https://cir.nii.ac.jp/all?q=%E7%B3%96%E5%B0%BF%E7%97%85%E6%80%A7%E5%A3%8A%E7%96%BD","dc:title":"糖尿病性壊疽"},{"@id":"https://cir.nii.ac.jp/all?q=%E7%B5%8C%E7%9A%AE%E7%B5%8C%E7%AE%A1%E7%9A%84%E8%A1%80%E7%AE%A1%E5%BD%A2%E6%88%90%E8%A1%93","dc:title":"経皮経管的血管形成術"},{"@id":"https://cir.nii.ac.jp/all?q=%E4%B8%8B%E8%82%A2%E5%88%87%E6%96%AD","dc:title":"下肢切断"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%A1%80%E6%B6%B2%E9%80%8F%E6%9E%90","dc:title":"血液透析"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1361418520548313728","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Prediction 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