PMID- 37388665 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230703 IS - 2468-4287 (Print) IS - 2468-4287 (Electronic) IS - 2468-4287 (Linking) VI - 9 IP - 3 DP - 2023 Sep TI - Off-the-shelf percutaneous deep vein arterialization for no-option chronic limb-threatening ischemia related to Buerger disease. PG - 101211 LID - 10.1016/j.jvscit.2023.101211 [doi] LID - 101211 AB - 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. CI - (c) 2023 Published by Elsevier Inc. on behalf of Society for Vascular Surgery. FAU - Smith, Justin A AU - Smith JA AD - Division of Vascular Surgery and Endovascular Therapy, Harrington Heart and Vascular Institute, Case Western Reserve University School of Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH. FAU - Kandala, Jagdesh AU - Kandala J AD - Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, Case Western Reserve University School of Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH. FAU - Turner, Jason Ty AU - Turner JT AD - Division of Vascular Surgery and Endovascular Therapy, Harrington Heart and Vascular Institute, Case Western Reserve University School of Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH. FAU - Cho, Jae S AU - Cho JS AD - Division of Vascular Surgery and Endovascular Therapy, Harrington Heart and Vascular Institute, Case Western Reserve University School of Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH. FAU - Shishehbor, Mehdi H AU - Shishehbor MH AD - Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, Case Western Reserve University School of Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH. LA - eng PT - Case Reports DEP - 20230516 PL - United States TA - J Vasc Surg Cases Innov Tech JT - Journal of vascular surgery cases and innovative techniques JID - 101701125 PMC - PMC10300406 OTO - NOTNLM OT - CLTI OT - DVA OT - Deep venous arterialization OT - No-option EDAT- 2023/06/30 13:11 MHDA- 2023/06/30 13:12 PMCR- 2023/05/16 CRDT- 2023/06/30 10:06 PHST- 2023/03/02 00:00 [received] PHST- 2023/04/05 00:00 [accepted] PHST- 2023/06/30 13:12 [medline] PHST- 2023/06/30 13:11 [pubmed] PHST- 2023/06/30 10:06 [entrez] PHST- 2023/05/16 00:00 [pmc-release] AID - S2468-4287(23)00120-X [pii] AID - 101211 [pii] AID - 10.1016/j.jvscit.2023.101211 [doi] PST - epublish SO - J Vasc Surg Cases Innov Tech. 2023 May 16;9(3):101211. doi: 10.1016/j.jvscit.2023.101211. eCollection 2023 Sep.