HeRO Graft Overview with Dr. Lawson and Gage, PA–C
Hear how Dr. Jeffrey H. Lawson and Shawn M. Gage, PA–C describe HeRO Graft and its benefits.

The HeRO Graft is a fully subcutaneous vascular access system that bypasses the central venous system to provide reliable, continuous blood flow directly from a target artery to the heart. HeRO Graft is classified by the FDA as a graft but differs from a conventional AV graft since it has no venous anastomosis.

HeRO Graft Candidates

HeRO Graft - Hemodialysis Reliable Outflow
  • Catheter-dependent or approaching catheter-dependency
  • Failing fistulas or grafts due to central venous stenosis

HeRO Graft Benefits

Fewer infections

69% reduced infection rate compared with catheters1

Superior Dialysis Adequacy

1.7Kt/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 Components

HeRO Graft - Hemodialysis Reliable Outflow

Arterial Graft Component

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 Componentand has a 6mm to 5mm (ID). The Arterial Graft Component is cannulated using standard technique according to KDOQI guidelines.

Key Features

  • Beading (3-4cm) for kink resistance
  • Orientation line on graft to guide placement during tunneling
  • Titanium connector

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.

Key Features

  • No venous anastomosis
  • Reinforced 48 braid nitinol: kink & crush resistant
  • Removable and replaceable
  • Radiopaque band (at distal tip)
Venous Outflow Component5mm40cm (customizable) HeRO 1001
Arterial Graft Component 6mm (ePTFE), 6-5mm (connector)53cm (connector: 3cm)HeRO 1002
Accessory Component KitN/AN/AHeRO 1003


  1. Katzman, MD, et al., J Vasc Surg 2009.
  2. Gage et al., EJVES 2012.
  3. Dageforde et al., JSR 2012.
  4. Illig K. Management of Central Vein Stenoses and Occlusions: The Critical Importance of the Costoclavicular Junction. Semin Vasc Surg 24:113-118. 2011.