HeRO Graft Animated Implant and Cannulation
A quick animation of how to implant the HeRO Graft and cannulate the ePTFE graft.
HeRO (Hemodialysis Reliable Outflow) Graft is a fully subcutaneous device implanted by a surgeon that provides continuous blood flow directly from an artery into the central venous system. HeRO Graft is FDA classified as a vascular graft prosthesis and is cannulated like a conventional upper arm graft. Follow KDOQI Guidelines for cannulation.
KDOQI Graft Cannulation Guidelines:
- Aseptic technique should be used for all cannulation
- Grafts generally should not be cannulated for at least two weeks after placement
- Swelling should have subsided so that palpation of the course of the graft can be performed
- Rotation of cannulation sites is needed to avoid pseudoaneurysm formation
HeRO Graft Considerations:
- A light tourniquet may be used to slightly dilate the graft
- Cannulate 3″ (8 cm) from the connector incision to avoid damage to the graft rings
- Follow dialysis unit protocol for cannulation distance from the arterial anastomosis incision
- If cannulating toward the anastomosis incision, stay at least the length of the fistula needle from the incision site
- Avoid the use of fistula clamps for hemostasis
Recognizing HeRO (Hemodialysis Reliable Outflow) Graft Patients:
HeRO Graft patients will typically have 3 incision sites:
- Venotomy site usually near the neck
- Connector site usually near the shoulder
- Arterial anastomosis site usually on the upper arm near the elbow or axilla
A HeRO Graft Patient Identification Card is also provided to patients following implant.
Care & Cannulation of a HeRO Graft used for Fistula or Graft Salvage
*If AVF is matured or AVG is incorporated. Follow your dialysis facility protocol for care and cannulation.