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

被引：1
作者：
Ichihashi, Shigeo [1 ]
Iwakoshi, Shinichi [1 ]
Nakai, Takahiro [1 ]
Yamamoto, Yuji [1 ]
Hirose, Tomoaki [2 ]
Furuichi, Kinya [3 ]
Tamura, Yamato [4 ]
Tanaka, Toshihiro [1 ]
机构：
[1] Nara Med Univ, Dept Diagnost & Intervent Radiol, Kashihara, Japan
[2] Nara Med Univ, Dept Thorac & Cardiovasc Surg, Kashihara, Japan
[3] Saiseikai Suita Hosp, Dept Radiol, Kashihara, Japan
[4] Nara Prefecture Seiwa Med Ctr, Dept Cardiovasc Surg, Sango, Japan
来源：
INTERVENTIONAL RADIOLOGY | 2023年 / 8卷 / 02期
关键词：
critical limb ischemia; peripheral arterial disease; endovascular procedures; percutaneous deep venous arterialization; chronic limb-threatening ischemia;
D O I：
10.22575/interventionalradiology.2022-0025
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
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.
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收藏
页码：97 / 104
页数：8
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