The Vascular & Vein Institute of the South is proud to announce that Dr. Prateek K. Gupta recently performed the first and second percutaneous Deep Venous Arterialization (DVA) procedures in the region using the LimFlow device, marking an important advancement in limb-saving treatment options for patients with severe peripheral artery disease.
The patient treated with this innovative procedure presented with gangrene of the left toe and no arterial blood flow below the ankle prior to intervention. With no remaining traditional surgical or endovascular treatment options available, the limb was at imminent risk for a below-knee amputation.
Dr. Gupta successfully performed the Deep Venous Arterialization procedure, creating a connection between the posterior tibial artery and vein, which arterializes the vein and restores blood flow to the foot. By rerouting blood through the venous system, the procedure allows oxygenated blood to reach the foot and promote healing where arterial circulation had previously failed.
Images from the case show the patient’s toe ulcer prior to treatment and the transformation following intervention, highlighting the dramatic difference achieved through this advanced limb-preserving technique.
Deep Venous Arterialization (DVA) is designed for patients with critical limb ischemia who have exhausted standard treatment options. In cases where there are no patent arteries below the ankle—sometimes referred to as a “desert foot”—the procedure creates a new pathway for blood flow by connecting an artery to a vein, allowing blood to reach the foot through the venous system.
This innovative treatment offers new hope for patients who have previously been told amputation is their only option. It also reflects the Vascular & Vein Institute of the South’s commitment to delivering the most advanced vascular and endovascular therapies available in the Mid-South.
Patients and referring physicians seeking a second opinion for critical limb ischemia, severe peripheral artery disease, or limb-threatening vascular conditions are encouraged to contact the Vascular & Vein Institute of the South to learn more about advanced limb preservation options.

