Modified use of the Hemodialysis Reliable Outflow (HeRO) graft for salvage of threatened dialysis access.

Bassan J. Allan, Angela T. Prescott, Marwan Tabbara, Arash Bornak, Lee J. Goldstein

Research output: Contribution to journalArticle

8 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1127-1129
Number of pages3
JournalJournal of Vascular Surgery
Issue number4
StatePublished - 2012
Externally publishedYes


ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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