Utilization of Deep Vein Arterialization for Limb Salvage

The utilization of deep vein arterialization (DVA) is a feasible and successful operative strategy for patients with severe chronic limb-threatening ischemia (CLTI) with no open or endovascular surgical options other than major limb amputation. The DVA technique creates a connection, either percutaneously or surgically, between a source of arterial inflow and venous outflow, allowing distal blood flow to heal chronic wounds that otherwise would have required amputation. In this case report, we describe a single patient with CLTI and nonreconstructable arterial disease and a chronic nonhealing wound who underwent a percutaneous DVA procedure with improvement in their ischemic rest pain and complete healing of their wound.