Abstract
In open surgery and endovascular interventions, 14%–20% of patients with critical limb ischemia (CLI) are not considered suitable for any type of revascularization and are defined as “no-option” ( 1 Schreve M.A. Vos C.G. Vahl A.C. et al. Venous arterialization for salvage of critically ischaemic limbs: a systematic review and meta-analysis. Eur J Vasc Endovasc Surg. 2017; 53: 387-402 Abstract Full Text Full Text PDF PubMed Scopus (37) Google Scholar ). Totally percutaneous deep foot vein arterialization (p-DVA) is considered a possible alternative treatment for these patients ( 2 Kum S. Tan Y.K. Schreve M.A. et al. Midterm outcomes from a pilot study of percutaneous deep vein arterialization for the treatment of no-option critical limb ischemia. J Endovasc Ther. 2017; 24: 619-626 Crossref PubMed Scopus (37) Google Scholar , 3 Mustapha J.A. Saab F.A. Clair D. Schneider P. Interim results of the PROMISE I Trial to investigate the LimFlow system of percutaneous deep vein arterialization for the treatment of critical limb ischemia. J Invasive Cardiol. 2019; 3: 57-63 Google Scholar ). This is a report of a bilateral p-DVA, with institutional board approval and informed consent obtained from the patient.
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