The authors present the case of a 64-year-old man with renal insufficiency and CLTI complicated by a nonhealing ulcer who was successfully revascularized using deep venous arterialization with zero iodinated contrast technique. The patient remained wound-free at a 2-year follow-up. 

This case report describes a successful endovascular revascularization technique which, along with a multidisciplinary approach, resulted in limb salvage with only a minor amputation.