Demonstrates improved wound healing in limb-threatening ischemia with surgical venous arterialization, suggesting enhanced outcomes.
INTRODUCTION: In chronic limb-threatening ischemia (CLTI), especially with diabetes and dialysis dependence, below-the-ankle arterial lesions and severe calcification often limit distal bypass options. While surgical distal venous arterialization (sDVA) can restore perfusion, achieving wound healing requires additional surgical strategies such as free flap transfer to provide adequate soft tissue coverage.
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Nakai et al. (2026) studied this question.
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