Reducing Catheter Dependency
The HeRO Graft is a hemodialysis access graft for patients who are failing fistulas or grafts or are catheter-dependent due to the blockage of veins leading to the heart.
HeRO Graft (Hemodialysis Reliable Outflow) is the ONLY fully subcutaneous AV access solution clinically proven to maintain long-term access for hemodialysis patients with central venous stenosis. HeRO Graft is classified by the FDA as a graft, but differs from a conventional AV graft since it has no venous anastomosis. It consists of two primary components:
The HeRO Graft Arterial Graft Component has a 6mm inner diameter (ID), 7.4mm outer diameter (OD), and is 53cm long, inclusive of the connector. It consists of an ePTFE hemodialysis graft with PTFE beading to provide kink resistance near the proprietary titanium connector. The titanium connector attaches the Arterial Graft Component to the Venous Outflow Component. The Arterial Graft Component is cannulated using standard technique according to KDOQI guidelines.
A proprietary Venous Outflow Component
The HeRO Graft Venous Outflow Component has a 5mm ID, 19F (6.3mm) OD, and is 40cm long. It consists of radiopaque silicone with braided nitinol reinforcement (for kink and crush resistance) and a radiopaque marker band at the distal tip.
See the HeRO Graft Instructions for use.
Is HeRO Graft for you?
The HeRO Graft may be right for you if you are:
- Failing your fistula or graft
- Fewer Infections: 69% reduced infection rate compared with catheters1
- Superior Dialysis Adequacy: 1.7 Kt/V, a 16% to 32% improvement compared with catheters1
- High Patency Rates: Up to 87% cumulative patency at 2 years1,2
- Cost Savings: A 23% average savings per year compared with catheters3
HeRO Graft may be the ideal solution for:
- Salvaging a failing fistula due to central venous stenosis
- Salvaging a failing AV graft due to central venous stenosis
- Converting a catheter-dependent patient
- Patients unable to achieve blood flow rates prescribed by their Doctor
- Patients unable to reach target Kt/V clearances during dialysis (KDOQI target clearances, Kt/V=1.4)
- Initial Experience and Outcome of a New Hemodialysis Access Device for Catheter-Dependent Patients.
Howard E. Katzman, Robert B. McLafferty, John R. Ross, Marc H. Glickman, Eric K. Peden and Jeffrey H. Lawson. JVS, Journal of Vascular Surgery, September 2009 Volume 50, Issue 3, Pages 600-607.e1
- Gage et al., EJVES 2012.
- Dageforde et al., JSR 2012.