When conventional revascularization fails, can deep venous arterialization offer a new lifeline to limb salvage? Dr. Lucas Ferrer Cardona, vascular surgeon at Ascension and Dr. Miguel Montero Baker, vascular surgeon and medical director at HOPE Clinical Innovation Center join host Dr. Sabeen Dhand for an insightful discussion on deep venous arterialization (DVA).

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This podcast is supported by:

RADPAD® Radiation Protection
https://www.radpad.com/

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SYNPOSIS

The doctors discuss the progression of deep venous arterialization, highlighting the benefits of open, endovascular, and hybrid approaches. They draw on their personal experiences to share key technical nuances and explore new devices such as the Aveera Boomerang device. They emphasize the critical role of patient selection, family support, and close postoperative surveillance, including weekly wound assessments and monthly ultrasound evaluations. Although currently FDA-approved for no-option chronic limb-threatening ischemia (CLTI), Dr. Baker notes that deep venous arterialization may hold promise even for patients earlier in the disease course.
The episode concludes by exploring future directions for deep venous arterialization, highlighting the ongoing need for research to advance limb preservation.

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TIMESTAMPS

00:00 - Introduction
03:15 - The Inspiration Behind Their Podcast
10:05 - Challenges and Success Stories in Vascular Surgery
10:29 - Exploring Deep Venous Arterialization (DVA)
25:16 - Hybrid Approaches and Patient Outcomes
32:06 - Evolution of Endovascular Techniques
37:33 - Patient Selection and Criteria
38:52 - Understanding the Biology of Procedures
43:57 - Exploring New Techniques and Devices
58:52 - Challenges and Considerations
01:01:51 - Final Thoughts

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RESOURCES

Hybrid superficial venous arterialization and endovascular deep venous arterialization
https://pubmed.ncbi.nlm.nih.gov/37404577/

Transcatheter Arterialization of Deep Veins in Chronic Limb-Threatening Ischemia
https://www.nejm.org/doi/full/10.1056/NEJMoa2212754