Anterior tibial artery to anterior tibial vein deep venous arterialization in a chronic limb-threatening ischemia patient with long-term limb preservation
Randomized trial evaluates deep venous arterialization outcomes in chronic limb-threatening ischemia, suggesting potential for limb preservation.
Key Points
To assess the effectiveness of deep venous arterialization (DVA) using the anterior tibial artery and anterior tibial vein for patients with chronic limb-threatening ischemia.
Patients with chronic limb-threatening ischemia were treated with deep venous arterialization using the anterior tibial artery and anterior tibial vein.
Assessment included 1-year amputation-free survival data and consideration of alternative conduits like posterior tibial artery.
Addressed the challenge of small artery disease or 'desert foot' affecting revascularization options.
Approximately 70% amputation-free survival at 1 year was reported for deep venous arterialization.
In end-stage renal disease, only 36.8% amputation-free survival at 6 months was observed.
The anterior tibial artery/anterior tibial vein option is considered viable despite anatomical challenges.