Modified use of the Hemodialysis Reliable Outflow (HeRO) graft for salvage of threatened dialysis access.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 22633426.
- Also identified by DOI 10.1016/j.jvs.2012.04.013.
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Abstract
The Hemodialysis Reliable Outflow (HeRO) graft (Hemosphere Inc, Eden Prairie, Minn) offers a new option to provide upper extremity arteriovenous (AV) dialysis access in patients with central venous occlusive disease. Creative use of this device can allow for salvage of failing or threatened AV fistulas and grafts. We present two patients who underwent a modified implantation of the HeRO device for immediate salvage of a malfunctioning AV access. Ipsilateral central venous occlusions were successfully overcome by anastomosing a HeRO device to the existing AV access and tunneled across the chest to the contralateral internal jugular vein.
Medical subject headings
- Kidney Failure, Chronic
- Renal Dialysis
- Vascular Access Devices