Patients with no-option chronic limb-threatening ischemia are not candidates for conventional revascularization options and will inevitably require major amputation. Deep venous arterialization (DVA) is a potential option for these patients. A complete endovascular system to perform DVA has recently received great acclaim and US Foor and Drug Administration approval. https://www.roneverhart.com/VIZIO-M-SERIES-ELEVATE-5-1-2-IMMERSIVE-SOUND-BAR-WITH-DOLBY-ATMOS-AND-DTS-X/