BackTable Vascular & Interventional Ep. 590 Deep Venous Arterialization: Techniques & Outcomes with Dr. Miguel Montero Baker and Dr. Lucas M Ferrer Cardona
Nov 18, 2025
Dr. Miguel Montero-Baker and Dr. Lucas M Ferrer Cardona, innovative vascular surgeons, dive deep into the transformative technique of deep venous arterialization (DVA). They share personal insights on its evolution and the hybrid approaches that enhance outcomes. Discussions include the significance of patient selection and the role of family support in successful limb preservation. They also explore new devices like the Aveera Boomerang and the future of DVA, emphasizing ongoing research to refine these life-saving methods.
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From Academic Frustration To DVA Discovery
- Miguel described training in Germany and Arizona, then joining Baylor where heavily calcified tibials defeated standard revascularization.
- Exposure to Italian pioneers led him to learn venous arterialization and transform his treatment options.
Accidental AV Fistula That Sparked DVA Work
- Lucas described accidentally creating an AV fistula during bypass and learning DVA the next day from an Italian team.
- That first unexpected success turned him into a DVA advocate and changed his practice trajectory.
Hybrid Approach Matures Faster, Modulates Flow
- Hybrid open superficial venous arterialization matures faster and moderates flow via the great saphenous vein.
- It's beneficial when a good saphenous vein exists but limited by wound risks from incisions in frail patients.