HeRO Graft: Indications, Technique, Outcomes, and Secondary Intervention
D. Tabriz, Bülent Arslan
Abstract
The Hemodialysis Reliable Outflow (HeRO) graft is a nontraditional, surgical, and endovascularly placed access that offers options in failing arteriovenous fistula/arteriovenous graft or catheter-dependent patients. The HeRO graft provides a unique option and is specifically referred to in the 2019 Kidney Disease Outcomes Quality Initiative (KDOQI) vascular access update. The interventional radiologist has a role and opportunity to work collaboratively with surgeons in assisting with (1) the identification, selection, preparation for, and placement of HeRO grafts and (2) providing post-placement maintenance to ensure long-term patency.
Topics & Concepts
MedicineHEROCatheterSurgeryHemodialysisArteriovenous fistulaHemodialysis accessHemodialysis CatheterVascular accessGraft occlusionArteryComputer scienceArtificial intelligenceCentral Venous Catheters and HemodialysisVascular Procedures and ComplicationsDialysis and Renal Disease Management