{"created":"2023-06-19T11:20:41.937536+00:00","id":766,"links":{},"metadata":{"_buckets":{"deposit":"de4d888b-228a-4e10-b50d-8cd8238c2880"},"_deposit":{"created_by":3,"id":"766","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"766"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00000766","sets":["7","7:23"]},"author_link":["2217","2218","2219","2220","2221","2222","2223"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2007-06-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"363","bibliographicPageStart":"357","bibliographicVolumeNumber":"47","bibliographic_titles":[{"bibliographic_title":"脈管学"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"重症虚血肢(CLI)に対するバイパス手術の困難例について検討した。対象は最近10年間に治療した閉塞性動脈硬化症によるCLI 194例224肢であった。方法は通常では救肢困難な、1)末梢吻合動脈の高度石灰化では石灰化の薄い部分を吻合部とし、全周性石灰化ではバルーンカテーテルで血流遮断を行なった。2)大伏在静脈使用不能例では小伏在静脈や上肢静脈、大腿静脈を用いた。3)広範な組織欠損例では遊離筋皮弁移植で欠損部を補填した。4)吻合可能な末梢動脈欠如例では、MRAで吻合可能動脈の描出や末梢動脈からの造影を試みたり、弁を手術的に破壊した末梢静脈へバイパスするdistal venous arterialization(DVA)を行なった。入院死亡は13例(6.7%)で、1)では血行再建断念例はなく、2)では静脈グラフト内膜肥厚を反復した2例が自家静脈枯渇で晩期に大切断となった。3)では2?3ヵ月で治癒可能となる良好な結果が得られ、4)では全例で救肢に成功した。尚、224肢の5年累積救肢率は94.1%であった。","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"出版社版","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0387-1126","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2008005283"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"904"}]},"item_5_text_7":{"attribute_name":"著者 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