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J Vasc Surg. 2011 Jun;53(6):1742-4. doi: 10.1016/j.jvs.2011.02.018. Epub 2011 Apr 16.

Early use conversion of the HeRO dialysis graft.

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  • 1Legacy Oregon Surgical, Portland, OR, USA.


Although more challenging to place, the HeRO device (Hemosphere Inc, Eden Prairie, Minn) provides the dialysis access-challenged patient the opportunity to have an upper extremity graft rather than being dependent on a catheter or requiring a lower extremity access. A major difficulty with the HeRO is the need for a concomitant dialysis catheter until the graft matures. This has been associated with a large number of bacteremia episodes. Currently available early-access grafts have patency rates similar to standard polytetrafluoroethylene. We have modified the HeRO insertion technique to combine its attributes with those of an early-use graft. In the five patients presented in this report, we confirm that this new technique can give the patient a graft that is functional ≤72 hours and obviate the need for a concomitant catheter. This results in an infection-free access over the follow-up period.

Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

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