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The construction of various types of access fistulas for hemodialysis has been known to be followed by ischemic symptoms distal to the anastomosis. The occurrence of a steal phenomenon as a complication of a PTFE (Gortex) fistula is often serious enough to necessitate taking down the fistula. A typical patient with this steal phenomenon is presented illustrating the value of banding the graft to reverse steal without significant threat of thrombosis.

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