Role of Percutaneous Deep Venous Arterialization for Patients with Chronic Limb-threatening Ischemia

Efficacy of percutaneous deep venous arterialization (pDVA) has been reported for patients with no-option chronic limb-threatening ischemia (CLTI). In the countries where a manufactured device dedicated for pDVA has not been reimbursed, pDVA using the off-the-shelf technique has alternatively spread...

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Bibliographic Details
Published in:Interventional Radiology 2023/07/01, Vol.8(2), pp.97-104
Main Authors: Ichihashi, Shigeo, Iwakoshi, Shinichi, Nakai, Takahiro, Yamamoto, Yuji, Hirose, Tomoaki, Furuichi, Kinya, Tamura, Yamato, Tanaka, Toshihiro
Format: Article
Language:English
Subjects:
chronic limb-threatening ischemia
critical limb ischemia
endovascular procedures
percutaneous deep venous arterialization
peripheral arterial disease
Pictorial
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Summary:Efficacy of percutaneous deep venous arterialization (pDVA) has been reported for patients with no-option chronic limb-threatening ischemia (CLTI). In the countries where a manufactured device dedicated for pDVA has not been reimbursed, pDVA using the off-the-shelf technique has alternatively spread. The off-the-shelf techniques for arteriovenous fistula (AVF) creation reported are as follows: AV spear technique, venous arterialization simplified technique (VAST), and a use of penetration guidewire or a reentry device. Technical success rates of the procedures are similar to those using the dedicated device. pDVA could be a last resort for the patients with no-option CLTI, including those suffering from stump ulcer after major limb amputation or those with occluded surgical bypass.
ISSN:2432-0935
2432-0935
DOI:10.22575/interventionalradiology.2022-0025