Clinical case presents successful venous arterialization improving limb salvage in a no-option elderly patient, suggesting new possibilities.
This clinical case report describes an 80-year-old no-option diabetic patient with chronic limb-threatening ischemia and severe vascular disease. The patient presented with wet gangrene and underwent an unsuccessful revascularization attempt, followed by minor amputation complicated by poor wound healing. Due to persistent ischemia and surgical dehiscence, the patient underwent a transcatheter deep venous arterialization procedure, resulting in improved perfusion, wound healing, and limb salvage. This case highlights the potential of venous arterialization as a limb-saving option in carefully selected elderly patients, emphasizing the importance of a multidisciplinary and individualized approach.
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Massacesi et al. (2025) studied this question.
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