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A Rabbit Venous Interposition Model Mimicking Revascularization Surgery using Vein Grafts to Assess Intimal Hyperplasia under Arterial Blood Pressure
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Deep Venous Arterialization: Background, Patient Selection, Technique, Outcomes and Follow-up, and Future

Naveed Zaman1, John Rundback2

  • 1Keck School of Medicine of the University of Southern California, Los Angeles, California.

Seminars in Interventional Radiology
|June 19, 2023
PubMed

Insights

Deep venous arterialization (DVA) offers a limb salvage option for critical limb-threatening ischemia (CLTI) patients facing amputation. This review covers DVA indications, techniques, and outcomes for this last-resort treatment.

Area of Science:

  • Vascular Surgery
  • Peripheral Arterial Disease Management
  • Limb Salvage Procedures

Background:

  • Critical limb-threatening ischemia (CLTI) presents significant morbidity and mortality risks.
  • Limited treatment options for CLTI often lead to major amputation.
  • Deep venous arterialization (DVA) is a limb salvage strategy for

Purpose of the Study:

  • To provide an updated review of deep venous arterialization (DVA) for CLTI.
  • To discuss indications, techniques, and outcomes of DVA.
  • To explore variations in DVA methods and devices.

Main Methods:

  • Comprehensive literature review on DVA in CLTI.
  • Analysis of procedural and technical considerations for DVA.
  • Exploration of different DVA techniques and devices.

Main Results:

  • DVA serves as a crucial option for CLTI patients with no other surgical recourse.
  • The review details various strategies for creating DVA conduits.
  • Outcomes and patient expectations associated with DVA are discussed.

Conclusions:

  • DVA is a vital last-resort intervention for limb salvage in CLTI.
  • Updated information on DVA indications and techniques is essential for clinicians.
  • Further exploration of DVA variations can optimize patient outcomes.

Keywords:
chronic limb-threatening ischemiadeep venous arterializationendovascular therapyinterventional radiologyperipheral arterial disease

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