{"id":"https://openalex.org/W7224838075","doi":"https://doi.org/10.11594/jk-risk.06.1.9","title":"Vascular Awareness as the Key to Limb Salvage in Diabetes Mellitus","display_name":"Vascular Awareness as the Key to Limb Salvage in Diabetes Mellitus","publication_year":2026,"publication_date":"2026-10-29","ids":{"openalex":"https://openalex.org/W7224838075","doi":"https://doi.org/10.11594/jk-risk.06.1.9"},"language":"en","primary_location":{"id":"pmh:oai:jk-risk.org:article/300","doi":"https://doi.org/10.11594/jk-risk.06.1.9","is_oa":true,"landing_page_url":"https://www.jk-risk.org/index.php/jk-risk/article/view/300","pdf_url":"https://www.jk-risk.org/index.php/jk-risk/article/download/300/140","source":{"id":"https://openalex.org/S4210181821","display_name":"Jurnal Klinik dan Riset Kesehatan","issn_l":"2809-0039","issn":["2809-0039","2809-2678"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"10.11594/jk-risk.06.1","raw_type":"info:eu-repo/semantics/article"},"volume":null,"type":"article","indexed_in":[],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.jk-risk.org/index.php/jk-risk/article/download/300/140","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5057846123","display_name":"Irzal Rakhmadhani","orcid":"https://orcid.org/0009-0006-5444-6173","observed_orcids":["https://orcid.org/0009-0006-5444-6173"]},"institutions":[{"id":"https://openalex.org/I177055848","display_name":"University of Brawijaya","ror":"https://ror.org/01wk3d929","country_code":"ID","type":"education","lineage":["https://openalex.org/I177055848"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Rakhmadhani, Irzal","raw_affiliation_strings":["Departemen Jantung dan Pembuluh Darah, Fakultas Kedokteran, Universitas Brawijaya, Malang, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departemen Jantung dan Pembuluh Darah, Fakultas Kedokteran, Universitas Brawijaya, Malang, Indonesia","institution_ids":["https://openalex.org/I177055848"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050085693","display_name":"Novi Kurnianingsih","orcid":"https://orcid.org/0009-0003-9369-9331","observed_orcids":["https://orcid.org/0009-0003-9369-9331","https://orcid.org/0000-0002-5346-9086"]},"institutions":[{"id":"https://openalex.org/I177055848","display_name":"University of Brawijaya","ror":"https://ror.org/01wk3d929","country_code":"ID","type":"education","lineage":["https://openalex.org/I177055848"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Kurnianingsih, Novi","raw_affiliation_strings":["Departemen Jantung dan Pembuluh Darah, Fakultas Kedokteran, Universitas Brawijaya, Malang, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departemen Jantung dan Pembuluh Darah, Fakultas Kedokteran, Universitas Brawijaya, Malang, Indonesia","institution_ids":["https://openalex.org/I177055848"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039384296","display_name":"Dea Arie Kurniawan","orcid":"https://orcid.org/0009-0007-0766-1257","observed_orcids":["https://orcid.org/0009-0007-0766-1257"]},"institutions":[{"id":"https://openalex.org/I177055848","display_name":"University of Brawijaya","ror":"https://ror.org/01wk3d929","country_code":"ID","type":"education","lineage":["https://openalex.org/I177055848"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Kurniawan, Dea Arie","raw_affiliation_strings":["Departemen Jantung dan Pembuluh Darah, Fakultas Kedokteran, Universitas Brawijaya, Malang, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departemen Jantung dan Pembuluh Darah, Fakultas Kedokteran, Universitas Brawijaya, Malang, Indonesia","institution_ids":["https://openalex.org/I177055848"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035740457","display_name":"Veny Mayangsari","orcid":"https://orcid.org/0009-0000-3007-1908","observed_orcids":["https://orcid.org/0009-0000-3007-1908"]},"institutions":[{"id":"https://openalex.org/I177055848","display_name":"University of Brawijaya","ror":"https://ror.org/01wk3d929","country_code":"ID","type":"education","lineage":["https://openalex.org/I177055848"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Mayangsari, Veny","raw_affiliation_strings":["Departemen Jantung dan Pembuluh Darah, Fakultas Kedokteran, Universitas Brawijaya, Malang, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departemen Jantung dan Pembuluh Darah, Fakultas Kedokteran, Universitas Brawijaya, Malang, Indonesia","institution_ids":["https://openalex.org/I177055848"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032438866","display_name":"Rinadhi Reza Bramantya","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I177055848","display_name":"University of Brawijaya","ror":"https://ror.org/01wk3d929","country_code":"ID","type":"education","lineage":["https://openalex.org/I177055848"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Bramantya, Rinadhi Reza","raw_affiliation_strings":["Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran Universitas Brawijaya, Malang, Jawa Timur, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran Universitas Brawijaya, Malang, Jawa Timur, Indonesia","institution_ids":["https://openalex.org/I177055848"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102783245","display_name":"Yudi Siswanto","orcid":"https://orcid.org/0009-0004-1893-6824","observed_orcids":["https://orcid.org/0009-0004-1893-6824"]},"institutions":[{"id":"https://openalex.org/I177055848","display_name":"University of Brawijaya","ror":"https://ror.org/01wk3d929","country_code":"ID","type":"education","lineage":["https://openalex.org/I177055848"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Siswanto, Yudi","raw_affiliation_strings":["Departemen Bedah, Fakultas Kedokteran Universitas Brawijaya, Malang, Jawa Timur, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departemen Bedah, Fakultas Kedokteran Universitas Brawijaya, Malang, Jawa Timur, Indonesia","institution_ids":["https://openalex.org/I177055848"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I177055848"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.88222933,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10926","display_name":"Peripheral Artery Disease Management","score":0.7445999979972839,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10926","display_name":"Peripheral Artery Disease Management","score":0.7445999979972839,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11227","display_name":"Diabetic Foot Ulcer Assessment and Management","score":0.24729999899864197,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11554","display_name":"Vascular Procedures and Complications","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diabetic-foot-ulcer","display_name":"diabetic foot ulcer","score":0.8069999814033508},{"id":"https://openalex.org/keywords/chronic-limb-threatening-ischaemia","display_name":"chronic limb threatening ischaemia","score":0.9449999928474426},{"id":"https://openalex.org/keywords/limb-salvage","display_name":"limb salvage","score":0.8579999804496765},{"id":"https://openalex.org/keywords/popliteal-artery-occlusion","display_name":"popliteal artery occlusion","score":0.8169999718666077},{"id":"https://openalex.org/keywords/catheter-directed-thrombolysis","display_name":"catheter-directed thrombolysis","score":0.9589999914169312},{"id":"https://openalex.org/keywords/balloon-angioplasty","display_name":"balloon angioplasty","score":0.8560000061988831},{"id":"https://openalex.org/keywords/major-amputation-prevention","display_name":"major amputation prevention","score":0.7620000243186951},{"id":"https://openalex.org/keywords/atrial-fibrillation","display_name":"atrial fibrillation","score":0.8500000238418579},{"id":"https://openalex.org/keywords/heart-failure-with-reduced-ejection-fraction","display_name":"heart failure with reduced ejection fraction","score":0.9620000123977661},{"id":"https://openalex.org/keywords/multidisciplinary-care","display_name":"multidisciplinary care","score":0.7929999828338623}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9541000127792358},{"id":"https://openalex.org/C2776204877","wikidata":"https://www.wikidata.org/wiki/Q477415","display_name":"Amputation","level":2,"score":0.7305999994277954},{"id":"https://openalex.org/C2777858829","wikidata":"https://www.wikidata.org/wiki/Q52856","display_name":"Diabetic foot","level":3,"score":0.7089999914169312},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.5896999835968018},{"id":"https://openalex.org/C2776577363","wikidata":"https://www.wikidata.org/wiki/Q16989664","display_name":"Forefoot","level":3,"score":0.5738999843597412},{"id":"https://openalex.org/C2780326628","wikidata":"https://www.wikidata.org/wiki/Q539795","display_name":"Angioplasty","level":2,"score":0.5595999956130981},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5006999969482422},{"id":"https://openalex.org/C2780776380","wikidata":"https://www.wikidata.org/wiki/Q707651","display_name":"Anterior tibial artery","level":3,"score":0.48910000920295715},{"id":"https://openalex.org/C2779581417","wikidata":"https://www.wikidata.org/wiki/Q1931577","display_name":"Thrombolysis","level":3,"score":0.461899995803833},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.4603999853134155},{"id":"https://openalex.org/C2777303625","wikidata":"https://www.wikidata.org/wiki/Q707468","display_name":"Popliteal artery","level":2,"score":0.43369999527931213},{"id":"https://openalex.org/C2776626339","wikidata":"https://www.wikidata.org/wiki/Q168805","display_name":"Gangrene","level":2,"score":0.4259999990463257},{"id":"https://openalex.org/C2776268601","wikidata":"https://www.wikidata.org/wiki/Q968808","display_name":"Occlusion","level":2,"score":0.414900004863739},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4077000021934509},{"id":"https://openalex.org/C2780690508","wikidata":"https://www.wikidata.org/wiki/Q6548946","display_name":"Limb perfusion","level":3,"score":0.3953000009059906},{"id":"https://openalex.org/C115076146","wikidata":"https://www.wikidata.org/wiki/Q1651051","display_name":"Foot (prosody)","level":2,"score":0.38420000672340393},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.3774999976158142},{"id":"https://openalex.org/C2777466421","wikidata":"https://www.wikidata.org/wiki/Q1266890","display_name":"Vascular disease","level":2,"score":0.3718999922275543},{"id":"https://openalex.org/C2778640784","wikidata":"https://www.wikidata.org/wiki/Q168002","display_name":"Ankle","level":2,"score":0.3549000024795532},{"id":"https://openalex.org/C541997718","wikidata":"https://www.wikidata.org/wiki/Q188151","display_name":"Ischemia","level":2,"score":0.3517000079154968},{"id":"https://openalex.org/C2781099653","wikidata":"https://www.wikidata.org/wiki/Q7316059","display_name":"Critical limb ischemia","level":4,"score":0.34940001368522644},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.3199999928474426},{"id":"https://openalex.org/C2775855180","wikidata":"https://www.wikidata.org/wiki/Q109374671","display_name":"Duplex ultrasonography","level":3,"score":0.31869998574256897},{"id":"https://openalex.org/C139059822","wikidata":"https://www.wikidata.org/wiki/Q183951","display_name":"Balloon","level":2,"score":0.31619998812675476},{"id":"https://openalex.org/C2779161974","wikidata":"https://www.wikidata.org/wiki/Q815819","display_name":"Atrial fibrillation","level":2,"score":0.3125999867916107},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.31209999322891235},{"id":"https://openalex.org/C2779723990","wikidata":"https://www.wikidata.org/wiki/Q707174","display_name":"Femoral artery","level":2,"score":0.2815000116825104},{"id":"https://openalex.org/C2779815167","wikidata":"https://www.wikidata.org/wiki/Q2865983","display_name":"Dorsalis pedis artery","level":3,"score":0.2784999907016754},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.27549999952316284},{"id":"https://openalex.org/C2777858674","wikidata":"https://www.wikidata.org/wiki/Q1248007","display_name":"Vascular occlusion","level":2,"score":0.26809999346733093},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.2630999982357025},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.2590000033378601},{"id":"https://openalex.org/C2777010666","wikidata":"https://www.wikidata.org/wiki/Q1498222","display_name":"Vascular surgery","level":3,"score":0.2572999894618988}],"mesh":[],"locations_count":1,"locations":[{"id":"pmh:oai:jk-risk.org:article/300","doi":"https://doi.org/10.11594/jk-risk.06.1.9","is_oa":true,"landing_page_url":"https://www.jk-risk.org/index.php/jk-risk/article/view/300","pdf_url":"https://www.jk-risk.org/index.php/jk-risk/article/download/300/140","source":{"id":"https://openalex.org/S4210181821","display_name":"Jurnal Klinik dan Riset Kesehatan","issn_l":"2809-0039","issn":["2809-0039","2809-2678"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"10.11594/jk-risk.06.1","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"pmh:oai:jk-risk.org:article/300","doi":"https://doi.org/10.11594/jk-risk.06.1.9","is_oa":true,"landing_page_url":"https://www.jk-risk.org/index.php/jk-risk/article/view/300","pdf_url":"https://www.jk-risk.org/index.php/jk-risk/article/download/300/140","source":{"id":"https://openalex.org/S4210181821","display_name":"Jurnal Klinik dan Riset Kesehatan","issn_l":"2809-0039","issn":["2809-0039","2809-2678"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"10.11594/jk-risk.06.1","raw_type":"info:eu-repo/semantics/article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224838075.pdf","grobid_xml":"https://content.openalex.org/works/W7224838075.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7133338979","https://openalex.org/W2461347605","https://openalex.org/W2273128615","https://openalex.org/W2129574731","https://openalex.org/W7160715769","https://openalex.org/W1502910656","https://openalex.org/W7212273747","https://openalex.org/W7213557150","https://openalex.org/W2904591920","https://openalex.org/W308066965"],"abstract_inverted_index":{"Background:":[0],"Foot":[1],"ulcers":[2],"in":[3,60,200],"patients":[4],"with":[5,50,57,94,136,152,206],"diabetes":[6,58],"mellitus":[7,59],"are":[8],"not":[9],"always":[10],"caused":[11],"by":[12,156],"microvascular":[13],"complications.":[14],"Some":[15],"cases":[16],"represent":[17],"chronic":[18],"limb-threatening":[19],"ischaemia":[20],"(CLTI),":[21],"which":[22],"carries":[23],"a":[24,67,85,103],"high":[25],"risk":[26],"of":[27,66,79,168],"major":[28,189],"amputation":[29,190],"and":[30,39,91,119,163,171,188],"mortality.":[31],"Vascular":[32],"awareness":[33,199],"is":[34,209],"essential":[35],"to":[36,40,74,82,84,130,212],"prevent":[37],"misdiagnosis":[38],"enable":[41],"limb":[42,214],"salvage":[43],"strategies.":[44],"Case":[45],"Report:":[46],"A":[47],"54-year-old":[48],"man":[49],"poor":[51],"health-seeking":[52],"behavior":[53],"was":[54,111,186,191],"newly":[55],"diagnosed":[56],"December":[61],"2024":[62],"after":[63],"the":[64,125,131,169,210],"appearance":[65],"right":[68,106],"foot":[69,203],"ulcer.":[70],"The":[71],"wound":[72,184],"continued":[73],"enlarge":[75],"despite":[76],"three":[77],"weeks":[78],"treatment,":[80],"leading":[81],"referral":[83],"cardiologist.":[86],"Evaluation":[87],"revealed":[88],"atrial":[89],"fibrillation":[90],"heart":[92],"failure":[93],"reduced":[95],"ejection":[96],"fraction":[97],"(EF":[98],"31%).":[99],"Physical":[100],"examination":[101],"showed":[102],"cold,":[104],"pulseless":[105],"limb,":[107],"although":[108],"motor\u2013sensory":[109],"function":[110],"preserved.":[112],"Doppler":[113],"ultrasonography":[114],"demonstrated":[115],"complete":[116],"popliteal":[117,170],"occlusion,":[118],"angiography":[120],"confirmed":[121],"thrombotic":[122],"occlusion":[123],"from":[124],"proximal":[126,132,172],"superficial":[127],"femoral":[128],"artery":[129],"anterior":[133,173],"tibial":[134,174],"artery,":[135],"distal":[137,178],"perfusion":[138],"dependent":[139],"on":[140],"tibioperoneal":[141],"collateral":[142],"arteries.":[143],"Catheter-directed":[144],"thrombolysis":[145],"(alteplase":[146],"0.5":[147],"mg/h":[148],"for":[149],"24":[150],"hours":[151],"low-dose":[153],"heparin)":[154],"followed":[155],"balloon":[157],"angioplasty":[158],"(3.5":[159],"\u00d7":[160,165],"120":[161],"mm":[162],"4.0":[164],"150":[166],"mm)":[167],"segments":[175],"successfully":[176],"restored":[177],"flow.":[179],"Through":[180],"multidisciplinary":[181,207],"collaboration,":[182],"progressive":[183],"healing":[185],"achieved,":[187],"avoided.":[192],"Conclusion:":[193],"This":[194],"case":[195],"highlights":[196],"that":[197],"vascular":[198],"non-healing":[201],"diabetic":[202],"ulcers,":[204],"together":[205],"collaboration":[208],"key":[211],"achieving":[213],"salvage.":[215]},"counts_by_year":[],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2026-10-31T00:00:00"}