Volume 48, Issue 1 March 2024 JVU 481-54 | Utilization of Deep Vein Arterialization for Limb Salvage-Utilization of Deep Vein Arterialization for Limb Salvage

Utilization of Deep Vein Arterialization for Limb Salvage

Pdf Summary

The document discusses the use of deep vein arterialization (DVA) as an effective surgical approach for patients with severe chronic limb-threatening ischemia (CLTI) who have no other options besides amputation. CLTI, a severe form of peripheral artery disease (PAD), often leaves patients with no suitable endovascular or surgical revascularization choices, leading to high mortality rates and the need for amputation. DVA involves creating a connection between an arterial inflow source and a venous outflow site to provide blood flow to the affected limb. A case study is presented where a patient with CLTI successfully underwent a DVA procedure, resulting in improved pain, wound healing, and limb preservation.<br /><br />The procedure involved creating a fistula between arterial and venous vessels, leading to improved arterial perfusion and wound healing. The document emphasizes the importance of DVA as an alternative for patients deemed ineligible for conventional revascularization. The paper also references ongoing trials to assess the efficacy and long-term outcomes of DVA for CLTI patients with limited treatment options. The success of DVA in this case points to its potential to salvage limbs, reduce amputations, and improve quality of life for patients with severe PAD.

Keywords

deep vein arterialization

DVA

chronic limb-threatening ischemia

CLTI

peripheral artery disease

PAD

surgical revascularization

arterial inflow source

venous outflow site

limb preservation