Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2024 Jul;25(4):1347-1350.
doi: 10.1177/11297298231184310. Epub 2023 Jun 27.

Intrastent HeROgraft deployment as a catheter-sparing procedure

Carlos Veterano  1 , Henrique Guedes da Rocha  1 , Paulo Almeida  1   2 , Duarte Rego  1   2 , Pedro Sá Pinto  1   2 , Rui Almeida  1   2   3
Affiliations
Case Reports

Intrastent HeROgraft deployment as a catheter-sparing procedure

Carlos Veterano et al. J Vasc Access. 2024 Jul.

Abstract

Current vascular access (VA) practice adopts arteriovenous fistulas (AVF) as first option for haemodialysis, relegating arteriovenous grafts (AVG) for patients with exhausted upper limb venous patrimony. The Hemodialysis Reliable Outflow graft (HeRO®) is a device assuring direct venous outflow to the right atrium, thus avoiding central venous obstructive disease. Its use together with early access grafts avoids the need for central venous catheters (CVC) bridging periods. We report the deployment of the HeRO device using a previous stentgraft as pathway for the placement of the outflow component, in a patient with no-option for further autogenous upper limb access. This technique spared the usual central vein's exit point for the HeRO graft and, using an early-access dialysis graft, allowed for next-day successful haemodialysis.

Keywords: AV fistula; HeRO graft; dialysis access; new devices; prosthetic grafts; techniques and procedures.

PubMed Disclaimer

Conflict of interest statement

Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Publication types

MeSH terms

LinkOut - more resources