SCAI 2026 Treatment and Management of Complex Peripheral Arterial Disease-Extreme CLTI Deep Vein Arterialization, Dr. N'Dandu

Extreme CLTI Deep Vein Arterialization, Dr. N'Dandu

Video Transcription

Video Summary

A 45-year-old woman with diabetes, dialysis-dependent renal failure, PAD, and severe calcified tibial disease had a nonhealing foot wound that progressed despite multiple endovascular interventions and partial foot amputation. Because bypass was not feasible and standard revascularization failed, the team performed deep venous arterialization (DVA) by connecting an artery to a vein to deliver blood to the foot. After technical challenges, the wound gradually improved and ultimately healed. The speaker emphasized DVA’s potential to promote lasting collateral circulation and wound healing in patients nearing amputation.

Asset Caption

closed captions are computer-generated

Keywords

deep venous arterialization

nonhealing foot wound

peripheral artery disease

dialysis-dependent renal failure

wound healing