Off-the-shelf percutaneous deep vein arterialization for no-option chronic limb-threatening ischemia related to Buerger disease

被引:2
作者
Smith, Justin A. [1 ]
Kandala, Jagdesh [2 ]
Turner, Jason Ty [1 ]
Cho, Jae S. [1 ,3 ]
Shishehbor, Mehdi H. [2 ]
机构
[1] Case Western Reserve Univ, Univ Hosp Cleveland, Div Vasc Surg & Endovascular Therapy, Sch Med,Med Ctr, Cleveland, OH USA
[2] Case Western Reserve Univ, Univ Hosp Cleveland, Harrington Heart & Vasc Inst, Div Cardiovasc Med,Sch Med,Med Ctr, Cleveland, OH USA
[3] Case Western Reserve Univ, Univ Hosp Cleveland, Harrington Heart & Vasc Inst, Div Vasc Surg & Endovasc Therapy,Sch Med,Med Ctr, 11100 Euclid Ave, Cleveland, OH 44106 USA
来源
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES | 2023年 / 9卷 / 03期
关键词
CLTI; Deep venous arterialization; DVA; No-option; VENOUS ARTERIALIZATION;
D O I
10.1016/j.jvscit.2023.101211
中图分类号
R61 [外科手术学];
学科分类号
摘要
Percutaneous deep venous arterialization (pDVA) is an important technique in the pursuit of limb salvage for a certain high-risk subset of patients with chronic limb-threatening ischemia (CLTI) considered to have "no option" owing to the lack of tibial or pedal targets for revascularization. pDVA seeks to establish an arteriovenous connection at the level of the tibial vessels, in addition to tibial and/or pedal venoplasty, to provide a pathway for arterial perfusion via the tibial and/or plantar venous system. A commercial system for pDVA exists; however, it is not yet approved by the U.S. Food and Drug Administration. In the present report, we detail a method of pDVA that uses commercially available devices for a patient with no-option CLTI related to Buerger disease. (J Vasc Surg Cases Innov Tech 2023;9:101211.)
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页数:6
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