- Presents an in-depth guide to deep venous arterialization (DVA)
- Written by expert authors
- Offers a step-by-step approach from patient selection to post-operative wound care
This book presents an in-depth guide to transcatheter arterialization of the deep veins (TADV).
TADV or deep venous arterialization (DVA) is an emerging technological and clinical solution for patients with peripheral artery disease who have no options for limb salvage based on conventional vascular techniques. It serves to salvage limbs in patients who would otherwise be amputated. For TADV to be successful in preventing amputation patient selection, pre-procedure imaging, technical expertise, and post-operative wound management must be optimized. The book takes a step-by-step approach to TADV to guide the clinical team through the patient journey from meeting a potential candidate for TADV through to saving the leg. Chapters provide a reference for patient selection, procedural steps, and post-operative wound care management.
This is an ideal guide for vascular surgeons, interventional radiologists, interventional cardiologists, trainees, and all medical professionals caring for patients with severe peripheral artery disease potentially facing amputation.
Table of ContentsSelecting the Correct Patient Candidate- Evaluating the Angiogram
- Preprocedural Wound Considerations
- Explaining TADV to the Patient and Family
Patient Preparation- Duplex Pedal Mapping for Case Preparation
- Preoperative Optimization of the Patient
Procedure and Acute Post-operative Care- Overview of TADV and Required Equipment
- Pedal Venous Access
- Procedural Steps
- Immediate Postoperative Care
- Post-TADV Care Plan
Post-procedure Care and Maintenance- Imaging the TADV Circuit
- Circuit Maintenance and Optimization
- Wound Care
- TADV and Beyond: Postoperative Care of the Patient with Forefoot Amputation
