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- W4243871532 abstract "We greatly appreciate the remarks of Dr. H. Dardik and his interest in our work on distal arteriovenous fistulas, and we are grateful for the opportunity to respond to his commentary. The main reason to ligate the proximal vein is indeed to prevent venous steal and to reduce local turbulence. We agree that this concept has still to be proven in a prospective randomized study. Unfortunately, microcirculatory parameters can not, as yet, be used to predict the graft patency or the closure. At present, we analyze all our crural and distal pedal bypasses to search for a predictable potential of these parameters. So far, the microcirculatory blood flow is directly related to the graft patency: a patent graft induces the improvement of capillary hemodynamics. An occluded bypass results in a compromised microcirculatory blood flow. We agree with Dr. Dardik that the role of distal arteriovenous fistulas should no longer be subject to scepticism, the more so because other studies have shown the complementary value of this procedure. 1Harris PL Bakron A Enabi L Nott DM ePTFE grafts for femoro-crural bypass—improved results with combined adjuvant venous cuff and arteriovenous fistula?.Eur J Vasc Surg. 1993; 7: 528-533Abstract Full Text PDF PubMed Scopus (33) Google Scholar" @default.
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- W4243871532 date "1994-04-01" @default.
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- W4243871532 title "Reply" @default.
- W4243871532 doi "https://doi.org/10.1016/s0741-5214(94)70055-9" @default.
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