scholarly journals PS178. Expanded Use of the Hemodialysis Reliable Outflow (HeRO) Vascular Access Device for Permanent Dialysis Access in Patients with Total Central Venous Occlusion

2011 ◽  
Vol 53 (6) ◽  
pp. 76S
Author(s):  
Patrick J. O'Brien ◽  
Charles Y. Kim ◽  
Shawn M. Gage ◽  
Jeffrey H. Lawson
2019 ◽  
Vol 40 (6) ◽  
pp. 674-680 ◽  
Author(s):  
Kelly A. Cawcutt ◽  
Richard J. Hankins ◽  
Teresa A. Micheels ◽  
Mark E. Rupp

AbstractThis narrative review addresses vascular access device choice from peripheral intravenous catheters through central venous catheters, including the evolving use of midline catheters. The review incorporates best practices, published algorithms, and complications extending beyond CLABSI and phlebitis to assist clinicians in navigating complex vascular access decisions.


2018 ◽  
Vol 19 (4) ◽  
pp. 410-411 ◽  
Author(s):  
Anatoly Loskutov ◽  
Atman Dave ◽  
Christie Gooden ◽  
Nathan A Saucier ◽  
Kenneth H Cho ◽  
...  

2019 ◽  
Vol 160 (31) ◽  
pp. 1231-1234
Author(s):  
Péter Legeza ◽  
Dávid Garbaisz ◽  
Zoltán Szeberin ◽  
Péter Sótonyi

Abstract: Creating durable vascular access has become more complicated with the improvement of the management and with the increasing survival of patients with end-stage renal disease. HeRO (Hemodialysis Reliable Outflow) graft allows to maintain vascular access on the upper limb in patients with the presence of bilateral central venous occlusion. Our institute was the first in Hungary to perform a HeRO graft implantation in a patient receiving regular hemodialysis. Our objective was to present our findings with this recent innovation. Case report, medical documentation and imaging studies were reviewed. The patient (73-year-old, female) has been receiving hemodialysis since 12 years with the history of several arteriovenous fistula (AVF) creations, thrombectomies, use of central venous catheter in both sides. Following the occlusion of a left cubital arterio-venous fistula, none of the conventional vascular access types could have been performed due to bilateral subclavian vein occlusion. Successful HeRO graft implantation was performed. The patient underwent graft thrombectomy and endovascular intervention 7 and 12 months after the original procedure. After both reoperations, the graft functioned well for hemodialysis. HeRO graft can be a good alternative to central venous catheters and lower limb arterio-venous grafts in cases of bilateral central venous occlusion. Orv Hetil. 2019; 160(31): 1231–1234.


2013 ◽  
Vol 18 (2) ◽  
pp. 103-113 ◽  
Author(s):  
Nancy Kramer ◽  
Darcy Doellman ◽  
Michelle Curley ◽  
Jill L. Wall

Abstract Central vascular access device (CVAD) care for infants and children in home settings is challenging due to small catheter sizes, patient activity, and variation in care and maintenance practices. CVADs require detailed care to prevent complications and unnecessary line replacement. Guidelines that address CVAD care and maintenance for pediatric home-based patients do not exist. This article reviews evidence-based central venous catheter maintenance practices for pediatric home care patients.


2015 ◽  
Vol 29 (1) ◽  
pp. 90-97 ◽  
Author(s):  
Elizabeth A. Kudlaty ◽  
Jeanne Pan ◽  
Matthew T. Allemang ◽  
Daniel E. Kendrick ◽  
Vikram S. Kashyap ◽  
...  

2011 ◽  
Vol 13 (2) ◽  
pp. 157-162 ◽  
Author(s):  
William C. Jennings ◽  
Gregg A. Miller ◽  
M. Zachary Coburn ◽  
C. Anthony Howard ◽  
Michael A. Lawless

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