Improved patency of prosthetic arteriovenous grafts with an acute anastomotic angle and flow diffuser Albert G. Hakaim, MDa, Matthew N. Nalbandian, MDb,

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Improved patency of prosthetic arteriovenous grafts with an acute anastomotic angle and flow diffuser Albert G. Hakaim, MDa, Matthew N. Nalbandian, MDb, Jennifer K. Heller, MDc, Arun C. Chowla, MDa, W.Andrew Oldenburg, MDa Journal of Vascular Surgery Volume 37, Issue 5, Pages 1032-1035 (May 2003) DOI: 10.1067/mva.2003.187 Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

A, PTFE graft transected 2 cm from distal end A, PTFE graft transected 2 cm from distal end. B, Transected PTFE graft incised 1 cm at superior aspect of distal end. C, Venotomy with initial incision 2 cm longitudinally, then extended 1 cm at 45-degree angles, for total venotomy length of 3 cm. D, Completed anastomosis with continuous 7-0 polypropylene sutures initiated at heel, toe, and corners of vein. Journal of Vascular Surgery 2003 37, 1032-1035DOI: (10.1067/mva.2003.187) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions