Central venous stenosis is a common and serious vascular complication among long-term hemodialysis patients that can lead to the loss of vascular access and a diminished life expectancy.
The 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.
Key Features & Benefits (compared to catheters)
The Super HeRO Adapter and Support Seal system expands upon the clinically proven HeRO Graft by allowing surgeons to utilize other standard wall and early cannulation vascular graft options.
The current clinical approach when treating dialysis patients with chronically occluded central veins is to use another vein if a subsequent central venous catheter is needed. Failed venous access attempts may prevent permanent arteriovenous access, increasing patient morbidity and the overall cost of care.4Designed to gain central venous access, the Surfacer System works by inserting the device through the right femoral vein and navigating it up through the patient’s venous system with an exit point in the right internal jugular vein, the optimal location for placing a central venous catheter.
Compared to in-center hemodialysis, home dialysis patient advantages include more profound improvements in blood pressure control, better kidney disease-related quality of life, and shorter recovery time from dialysis treatments. Such benefits are also associated with peritoneal dialysis (PD) compared to in-center hemodialysis.
We offer a line of Flex-neck PD Catheters that are available in various shapes and sizes to accommodate tunneling techniques and exit site options. Our adult catheters have an internal diameter of 3.5 mm, allowing up to 30% higher flow rates than competitors (with 2.6 mm internal diameter). Infant catheters are available in one and two cuff configurations. Each catheter kit contains a unique stenciling system for improved placement accuracy.
Hemodialysis access failures take a great toll on a patient’s quality of life. Frequent hospital admissions, invasive diagnostic tests, and open and endovascular reinterventions are associated with increased morbidity.6 Maintaining vessel patency in hemodialysis patients is critical; however, surgical access durability is temporary at best, with half-life for arteriovenous grafts lasting approximately one year and arteriovenous fistulas providing only slightly better outcomes.6 A common failure of hemodialysis access is stenosis or occlusion of the dialysis outflow circuit. Obstructions caused by cellular migration and tissue accumulation across graft ePTFE layers can be a contributing factor.
Addressing this clinical challenge, Merit Medical® introduced the Merit WRAPSODY™, a novel endoprosthesis designed with a revolutionary cell-impermeable middle graft layer. With this unique feature, the Merit WRAPSODY Endoprosthesis inhibits transmural cellular migration without the use of drug bonding, helping to prevent obstructions from forming within the endoprosthesis.
PLEASE NOTE: This product page is intended only for an audience outside of the United States as the Merit WRAPSODY Endoprothesis is not approved or available for sale in the United States. By going to the WRAPSODY’s product page, you are acknowledging you are not viewing this information for use within the United States.
From unique, life-saving devices for dialysis access to accessories for everything in between – including catheters, balloons, torque devices and more, Merit offers a full portfolio of products designed with both patients and physicians in mind.
Our line of Prelude® Sheath Introducers are part of the innovative family of Merit vascular access products. These products offer excellent transitions, kink resistance, smooth insertion, and more to make accessing your patient easy and convenient. The hemostasis valve minimizes blood leakage during procedures and these introducers are available in custom kit options to meet your clinical needs.
As the most patent catheters on the market, the Centros (without side holes) and the CentrosFLO (with side holes) long-term hemodialysis catheters feature self-centering curved tips which automatically center the catheter ports within the middle of the vessel to maintain optimal blood flow and minimal recirculation rates, enhancing overall catheter performance.
ProGuide chronic dialysis catheters are designed for optimal patient comfort, ease of insertion, and maintenance. Multiple kit options are available for insertions through a valved peel-away sheath or over-the-wire placements.
The Dynamis AV is a dilatation balloon catheter indicated for the treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae.
When it comes to peripheral intervention, having a wide variety of available product and treatment options is important. The Advocate PTA balloon catheter portfolio facilitates demand for versatility by combining unique configurations into a broad matrix of balloon sizes and catheter lengths.
The basixTOUCH provides expanded capacity for inflation. With 35 ATM pressure capability and 30 mL syringe volume, the basixTOUCH is ideal for any interventional lab using high-pressure, large-volume balloons. With wider threads and quick-release handle, the basixTOUCH offers rapid inflation and deflation to busy labs that need top efficiency.
Operable with one hand, this ergonomic torque device is designed to enhance manipulation of the guide wire tip. Simply squeeze and release.
The Slip-Not Suture Retention Device helps manage bleeding after an AV fistula intervention by utilizing a novel method to secure your purse-string suture. Suture tension adjustments are achieved at the push of a button.
The OuTake Catheter Extractor is a convenient, simple, and cost-effective device used to remove tunneled double lumen hemodialysis catheters with an ingrown cuff.
In this webinar, gain an overview and learn about components of percutaneous PD with Dr. Peter B. Hathaway, a nationally recognized leader in PD catheter placement.
Course topics include:
Earn continuing education credits with our Virtual Dialysis Access CE Program. Designed for nurses, dialysis technicians, and other healthcare professionals, this program offers and overview of dialysis access by outlining the types of access available and the order of preference for use.
Program topics include:
To register for these virtual training opportunities as well as learn about our Think Dialysis Access™ physician education program, visit here.
To better aid physicians in dialysis access cases, we also have a dedicated team of dialysis access clinical specialists who understand the intricacies of hemodialysis and PD and are ready to support you. From explaining correct Merit product use to on-site troubleshooting, Merit clinical specialists are available to assist. Connect with a Merit clinical specialist today.
A significant part of improving dialysis care is ensuring patients understand their treatment options. Ask4PD.com is a patient education site powered by Merit that’s dedicated to helping patients understand dialysis care, especially PD. Individuals have access to helpful resources, including patient and healthcare professional testimonials.