Abstract
The Hemodialysis Reliable Outflow (HeRO) graft is a nontraditional, surgical, and
endovascularly placed access that offers options in failing arteriovenous fistula/arteriovenous
graft or catheter-dependent patients. The HeRO graft provides a unique option and
is specifically referred to in the 2019 Kidney Disease Outcomes Quality Initiative
(KDOQI) vascular access update. The interventional radiologist has a role and opportunity
to work collaboratively with surgeons in assisting with (1) the identification, selection,
preparation for, and placement of HeRO grafts and (2) providing post-placement maintenance
to ensure long-term patency.
Keywords
HeRO graft - hemodialysis - vascular access - central venous stenosis - interventional
radiology
