Introduction: What is Deep Venous Arterialization (DVA): Past, Present, Future.- Section I: Patient Selection.- Chapter 1: Selecting the right patient candidate for DVA (clinical examination, imaging, wound location).- Chapter 2: Evaluating the Angiogram.- Chapter 3: Explaining DVA to the patient and family: Managing expectation.- Chapter 4: How to keep the wound stable till surgery.- Section II: Patient Preparation.- Chapter 4: Pedal Mapping (Duplex) and Evaluation of the Venous Anatomy of the Foot - how to do it and what am I looking for?.
- Chapter 5: Preoperative optimization of the patient: cardiac, respiratory, wound stability.- Section III: Procedure and Acute Post-operative Care.- Chapter 6: Overview of the Procedure and list of required equipment.- Chapter 7: Venous pedal access: tips, tricks, and technique.- Chapter 8: Arterial to Venous Crossing: tips, tricks and techniques.- Chapter 9: Classic perils and pitfalls with bailout strategies.- Chapter 10: Immediate Post operative Care: Pain management, Swelling Management, Offloading, Wound Care.- Chapter 11: Planning for Successful discharge: What does the DVA patient need to ensure success in the home or rehab: Antibiotic plan, wound management plan, mobility plan, medical management (anticoagulation and diabetic), and follow up.
- Section IV: Maintenance of the DVA Circuit.- Chapter 12: Imaging of the DVA circuit: who, what, where, when, and why?.- Chapter 13: When do we need to re-intervene to maintain patency of the circuit?.- Chapter 14: What intervention strategies will be required to maintain the circuit and how do we know it's working!.- Section V: Wound Care.- Chapter 15: What is the goal of wound care in the DVA patient post procedure?.- Chapter 16: How to Approach Wound Care to Keep the Wound Stable.- Chapter 17: Effective strategies to minimize debridement or disturbance to the wound bed.
- Chapter 18: What types of surgical procedures may be performed and when are they appropriate post DVA (toe & foot amputation versus debridement).- Chapter 19: When is the DVA mature enough for a transmetarasal amputation?.- Chapter 20: How to perform the perfect DVA Transmetarasal amputation: Tips, tricks and technique.- Chapter 21: Post operative care from a foot amputation or debridement: offloading and follow up.- Section VI: Life after a successful DVA.- Chapter 22: when can the patient walk again?.- Chapter 24: Prosthetics to ensure balance, function, and no more wounds!.- Chapter 25: Long term DVA follow up and outcomes.