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    The novel use of the Haemodialysis reliable outflow graft (HeRo) in intestinal failure patients with end-stage vascular access.

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    Author
    Dengu, Fungai
    Hunter, James
    Vrakas, Georgios
    Gilbert, James
    Date
    2020-09-30
    Journal
    The journal of vascular access
    Publisher
    Wichtig Publishing
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1177/1129729820961972
    Abstract
    Intestinal failure (IF) patients are dependent on central venous access to receive parenteral nutrition. Longstanding central venous catheters are associated with life-threatening complications including infections and thromboses resulting in multiple line exchanges and the development ofprogressive central venous stenosis or occlusion. The Haemodialysis Reliable Outflow (HeRO) graft is an arterio-venous device that has been successfully used in haemodialysis patients with 'end-stage vascular access'. We describe a case series of HeRO graft use in patients with IF and end-stage vascular access. Four HeRO grafts were inserted into IF patients with end-stage vascular access to facilitate or support intestinal transplantation. In all patients the HeRO facilitated immediate vascular access, supporting different combinations of parenteral nutrition, intravenous medications, fluids or renal replacement therapy with no bloodstream infections. In a highly complex group of IF patients with central venous stenosis/occlusion limiting conventional venous access or at risk of life-threatening catheter-related complications, a HeRO® graft can be a feasible alternative.
    Keyword
    Hemodialysis Reliable Outflow (HeRO) graft
    Prosthetic grafts
    catheters dialysis access
    central venous occlusion
    dialysis access
    intestinal transplant
    nutrition
    techniques and procedures
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/13849
    ae974a485f413a2113503eed53cd6c53
    10.1177/1129729820961972
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