Cardiovascular Surgery and Interventions 2025, Vol 12, Num 1 Page(s): 093
Response to Letter to the Editor: Effectiveness of remote endarterectomy in superficial femoral artery occlusion
DOI: 10.5606/e-cvsi.2025.9635
Burak Koçak1, Bülent Mert2, Sinan Güzel3, Kamil Boyacıoğlu2
1Department of Cardiovascular Surgery, Niğde Training and Research Hospital, Niğde, Türkiye
2Department of Cardiovascular Surgery, Bağcılar Training and Research Hospital, İstanbul, Türkiye
3Department of Cardiovascular Surgery, Dörtyol Public Hospital, Hatay, Türkiye
As the authors, we would like to express our gratitude for your interest in our article.[1] During the writing of the manuscript and the performance of the surgical procedures, we were fully aware that the use of saphenous vein grafts typically yields the most favorable outcomes. However, the patient who underwent 24 femoropopliteal bypasses also had a distal circulation deficiency. We anticipated delayed and potentially complicated wound healing at the site of saphenous vein harvest due to this condition. Consequently, we opted to use prosthetic grafts in this case.

Saphenous vein grafts were employed in patients under the age of 18 and those with a history of trauma, as these patients did not have a history of peripheral arterial disease. However, since our study specifically focused on peripheral arterial disease, these patients were excluded from our analysis.

We greatly appreciate your insightful comments, which contribute significantly to the ongoing discussion in the literature. We believe that our study makes a meaningful contribution to the field in its current form.

Declaration of conflicting interests
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Funding
The authors received no financial support for the research and/or authorship of this article.

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