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Overall patency was 59%, with no significant difference between saphenous and dorsal hand veins. Stasis, turbulence, decrease in blood velocity, change in flow pattern, stenosis in the anastomotic area or increase in compliance was detected in 10 patent grafts, but was not associated with symptoms. Six out of 13 non-patent grafted patients had severe or troublesome symptoms associated with accompanying nerve regeneration. To improve patency, careful microsurgical techniques, \u2018fit vein\u2019 and valveless grafts should be used. Dorsal hand veins are most appropriate for short defects. Patency should be evaluated soon after reconstruction.<\/jats:p>","DOI":"10.1177\/147323000303100515","type":"journal-article","created":{"date-parts":[[2013,2,27]],"date-time":"2013-02-27T14:22:28Z","timestamp":1361974948000},"page":"458-465","source":"Crossref","is-referenced-by-count":4,"title":["Forearm Arterial Vein Grafting: Problems and Alternative Solutions"],"prefix":"10.1177","volume":"31","author":[{"given":"A","family":"Bacako\u011fglu","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Division of Handsurgery, Dokuz Eyl\u00fcl University School of Medicine, Izmir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MH","family":"\u00d6zkan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Division of Handsurgery, Dokuz Eyl\u00fcl University School of Medicine, Izmir, 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