The use of HeRo catheter in catheter-dependent dialysis patients with superior vena cava occlusion

The Journal of Vascular Access
Kathryn L DavisEleftherios S Xenos

Abstract

Hemodialysis (HD) patients with superior vena cava (SVC) occlusion have limited access options. Femoral access is commonly employed but is associated with high complication rates. Hemodialysis Reliable Outflow (HeRO) catheters can be used in tunneled catheter-dependent (TCD) patients who have exhausted other access options. The HeRO graft bypasses occlusion and traverses stenosis with outflow directly into the central venous circulation. At our institution we have used the inside-out central venous access technique (IOCVA) to traverse an occluded vena cava for HeRO graft placement. We review our experience with this technique. A retrospective chart review was conducted of patients with HeRO graft placement at our institution. All were dependent on a tunneled femoral dialysis catheter due to central venous occlusion (CVO). The IOCVA technique was used in each case. This technique was used as last resort for patients who had no other dialysis access option. Demographics, patency rates, complications, and mortality were recorded. A total of 11 HeRO grafts were placed in 11 patients from January 2012 to June 2013, with 100% technical success rate. Three grafts were ligated due to steal syndrome. Two grafts were lost due to thrombos...Continue Reading

References

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Citations

Nov 26, 2016·The Journal of Vascular Access·Chen Pong WongSivanathan Chandramohan
May 23, 2018·International Journal of Vascular Medicine·Ioannis BountourisKonstantinos Ioannis Avgerinos
Jun 19, 2019·Seminars in Dialysis·Mariana MureaShahriar Moossavi
Aug 12, 2020·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Charmaine E LokUNKNOWN National Kidney Foundation
Oct 24, 2020·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Pablo V UcedaSam S Ahn
Jul 25, 2019·Journal of Vascular Surgery Cases and Innovative Techniques·Brian M FreemanChristopher G Carsten

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