Safety and efficacy of a modified HeRO dialysis device in achieving early graft cannulation: A single-institution experienceHemodialysis Reliable Outflow (HeRO) grafts (Merit Medical Systems, Inc, South Jordan, Utah) provide a means for access in catheter-dependent hemodialysis patients but typically ...
(i.e., have exhausted all other access options, such as arteriovenous fistulas and grafts). • Are not candidates for upper extremity fistulas or grafts due to poor venous outflow as determined by a history of previous access failures or venography. • Are failing fistulas or grafts due ...
However, the incidence of central vein occlusion and associated complications with HeRO grafts is unknown. We present the first case of gastrointestinal bleeding from downhill esophageal varices secondary to HeRO – graft-related SVC occlusion. View Full Article (HTML) Enhanced Article (HTML) Get ...
On the continuum of the preferred order of providing hemodialysis access, this device falls between dialysis grafts and tunneled catheters. The infection rate and incidence of venous stenoses is lower when using this device, as compared to central venous catheters. Secondary intervention rates are ...
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...
Mean number of hemodialysis catheters, arteriovenous grafts, and arteriovenous fistulae per patient before implant were 7.2, 1.4, and 1.9, respectively. The overall infection rate was 20% (n = 8), with a device-adjusted infection rate of 1.09/1000 device-days, with seven occurring in patients...
Arteriovenous graftsHemodialysis accessVenous occlusive diseaseIntroduction Central venous occlusive disease is a common cause of upper extremity, arteriovenous (AV) access dysfunction in hemodialysis patients. When refractory to balloon angioplasty, treatment options include central venous stenting and the ...
After multiple failed access attempts, patients can run out of options and become catheter dependent. At our institution, we place HeRO grafts in...doi:10.1111/sdi.12619Patrick OnkkaRoger RodbyJohn Wiley & Sons, Ltd.Seminars in Dialysis
2. To do a cost analysis of performing and maintaining HeRO dialysis access over a 1 year period versus AVGs.Materials and MethodsCharts of all patients undergoing grafts and HeRO placement between 2009 and 2011 were reviewed to 1-year follow-up. Patency was assessed a...
2. To do a cost analysis of performing and maintaining HeRO dialysis access over a 1 year period versus AVGs. Materials and Methods Charts of all patients undergoing grafts and HeRO placement between 2009 and 2011 were reviewed to 1-year follow-up. Patency was assessed according to \\{SIR\...