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A well-conceived plan for the TPV graft is indispensable. A single photo voltaic aperture may be a reasonable choice, however, it's not always practically possible. While an SUV is suitable for most IRPPVs, a CUV might be preferable if the gap between the right anterior and posterior PVs proves problematic. Consequently, SUVs with fence venoplasty could alleviate tension associated with PV an