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JOURNAL ARTICLE

Conversion of tunneled hemodialysis catheter into HeRO device can provide immediate access for hemodialysis

Julio C Vasquez, Jacob DeLaRosa, Fahim Rahim, Naeem Rahim
Vascular and Endovascular Surgery 2010, 44 (8): 687-90
20675310
Patients with central venous occlusion who are ''tunneled catheter dependent'' are a challenge for hemodialysis access. A relatively new option for them is the hemodialysis reliable outflow (HeRO) device that can be totally implanted subcutaneously. However, patients still require a tunneled hemodialysis catheter that is used until the HeRO device is mature, 4 to 6 weeks later. Here, we describe a conversion of an existing tunneled hemodialysis catheter into a HeRO device, which was combined with a ''self-sealing'' Flixene graft. This allowed almost immediate use of the HeRO device without the need for placement of a catheter.

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