Surgical Deep Vein Arterialization: Adding To The Armamentarium Of Complex Limb Salvage

This initial experience describes surgical DVA using a prosthetic conduit in conjunction with an AV fistula at the distal anastomosis in patients with threatened limb loss and severely disadvantaged tibial runoff. Although evidence for long-term efficacy is uncertain, preliminary outcomes warrant further investigation as this technique may allow for surgical revascularization resulting in limb preservation for patients with no other alternative than amputation.