{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T08:07:55Z","timestamp":1753862875583,"version":"3.41.2"},"reference-count":10,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,6,20]],"date-time":"2023-06-20T00:00:00Z","timestamp":1687219200000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Chronic limb\u2010threatening ischemia (CLTI) with severe below\u2010the\u2010ankle (BTA) lesions is often difficult to revascularize with endovascular treatment (EVT) and surgical treatment. We present a case of successful limb salvage using percutaneous deep venous arterialization (pDVA) in a patient with CLTI whose BTA lesion reconstruction failed. A 57\u2010year\u2010old man with diabetes mellitus and end\u2010stage renal failure on maintenance hemodialysis was referred to our hospital because of gangrene in the second and third toes of his left foot. EVT was repeated for the anterior tibial artery, posterior tibial artery (PTA), dorsal foot artery, and plantar artery lesions; however, revascularization below the ankle was unsuccessful. As the infection had spread to the sole of the foot, below\u2010the\u2010knee amputation was indicated, but the patient refused. Therefore, we performed pDVA on the left PTA simultaneously with a Lisfranc amputation. An arteriovenous fistula was created at the ankle joint using a Venous Arterialization Simplified Technique and a guidewire was inserted into the plantar vein. Balloon dilatation from PTA to the plantar vein was performed to complete the pDVA. Although repeated EVT was required to maintain blood flow in the pDVA, skin grafting was performed 3\u2009months after the pDVA, the wound completely healed, and he was discharged 6\u2009months after the DVA. The pDVA can be an option for limb salvage in patients with no\u2010option CLTI who are confronted by imminent amputation.<\/jats:p>","DOI":"10.1002\/ccr3.7589","type":"journal-article","created":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T04:38:21Z","timestamp":1687322301000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Percutaneous deep venous arterialization with balloon angioplasty salvaged a life\u2010threatening critical limb in a hemodialysis patient after repeated pedal angioplasty failed: A case report"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0499-1599","authenticated-orcid":false,"given":"Tomonari","family":"Takagi","sequence":"first","affiliation":[{"name":"Cardiovascular Center Takatsu General Hospital  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Miyamoto","sequence":"additional","affiliation":[{"name":"Cardiovascular Center Takatsu General Hospital  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norihiko","family":"Ohura","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Kyorin University Hospital  Mitaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasutaka","family":"Yamauchi","sequence":"additional","affiliation":[{"name":"Cardiovascular Center Takatsu General Hospital  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,6,20]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.14924\/dermatol.119.7"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24370"},{"issue":"3","key":"e_1_2_15_4_1","first-page":"57","article-title":"Interim results of the PROMISE I trial to investigate the LimFlow system of percutaneous deep vein arterialization for the treatment of critical limb ischemia","volume":"31","author":"Mustapha JA","year":"2019","journal-title":"J Invasive Cardiol"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1583\/05-1638MR"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/152660281771928"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-018-2020-2"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/152660282092217"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/152660281775021"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/152660281983098"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics11061008"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.7589","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T16:04:56Z","timestamp":1692547496000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.7589"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1002\/ccr3.7589"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.7589","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"type":"print","value":"2050-0904"},{"type":"electronic","value":"2050-0904"}],"subject":[],"published":{"date-parts":[[2023,6]]},"assertion":[{"value":"2023-03-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e7589"}}