{"created":"2023-06-20T15:50:35.761314+00:00","id":3433,"links":{},"metadata":{"_buckets":{"deposit":"6877b9ec-2eb2-416d-94e8-c74d2dab3b5b"},"_deposit":{"created_by":18,"id":"3433","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3433"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003433","sets":["99:64:118"]},"author_link":["348","8118","346","347","110","8245"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2005-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"92","bibliographicPageStart":"88","bibliographicVolumeNumber":"10","bibliographic_titles":[{"bibliographic_title":"徳島赤十字病院医学雑誌"},{"bibliographic_title":"Tokushima Red Cross Hospital Medical Journal","bibliographic_titleLang":"en"}]}]},"item_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"73歳の男性.左鎖骨下動脈狭窄に対しPTA を施行した.同時に施行した冠動脈造影にて,右冠動脈Seg1に90%狭窄を認め,左大腿動脈よりPTCA を施行し,止血のためThe Closer を使用した.2日後より穿刺部に発赤,腫脹,疼痛が出現し,切開排膿術を施行.MRSA を検出した.感染のコントロールができないため感染した縫合糸と血管壁を切除し,直接吻合し,縫工筋弁にて被覆した.その後も感染が持続し,3度の外科的処置を行ったが治癒しないため,感染巣を迂回する外腸骨動脈-浅大腿動脈バイパス術を施行した.血管縫合ディバイスを使用する際には,完全な清潔操作と予防的な抗生物質の投与が必要である.感染を生じた場合は,早急に感染源を除去し,感染がコントロールできない場合や広範囲な動脈壊死を生じた場合,感染巣への血液の流入を遮断し,非解剖学的なバイパス修復術を行う必要がある.","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"},{"nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/ 9000014382223 "}],"names":[{"name":"OTANI, Takashi"}]}]},"item_5_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"症例","subitem_heading_language":"ja"}]},"item_5_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"徳島赤十字病院"}]},"item_5_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"徳島赤十字病院"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.tokushima-med.jrc.or.jp/hospital/medical/2005pdf/020.pdf","subitem_relation_type_select":"URI"}}]},"item_5_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-9878","subitem_source_identifier_type":"ISSN"}]},"item_5_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"大谷, 享史"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"福村, 好晃"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"吉田, 誉"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"濱本, 貴子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"元木, 達夫"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"長江, 浩朗"}],"nameIdentifiers":[{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2013-05-07"}],"displaytype":"simple","filename":"trchmj1001_88-92.pdf","filesize":[{"value":"1.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf002205","url":"https://redcross.repo.nii.ac.jp/record/3433/files/trchmj1001_88-92.pdf"},"version_id":"c54db701-e937-419e-a70f-2237c9aca5ec"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"血管縫合ディバイス","subitem_subject_scheme":"Other"},{"subitem_subject":"感染","subitem_subject_scheme":"Other"},{"subitem_subject":"非解剖学的バイパス術","subitem_subject_scheme":"Other"},{"subitem_subject":"vascular anastomosing device","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"infection","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"arterial ligation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"bypassing","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"technical report"}]},"item_title":"血管縫合ディバイス(The Closer)使用により生じた動脈壁感染(MRSA)に対し数回の外科的処置を要した1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"血管縫合ディバイス(The Closer)使用により生じた動脈壁感染(MRSA)に対し数回の外科的処置を要した1例"},{"subitem_title":"A Case of Arterial Wall Infection with MRSA Caused by Use of a Vascular Anastomosing Device(the Closer)and Requiring Multiple Operations","subitem_title_language":"en"}]},"item_type_id":"5","owner":"18","path":["118"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-05-07"},"publish_date":"2013-05-07","publish_status":"0","recid":"3433","relation_version_is_last":true,"title":["血管縫合ディバイス(The Closer)使用により生じた動脈壁感染(MRSA)に対し数回の外科的処置を要した1例"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-20T22:04:25.669915+00:00"}