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.