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Related Concept Videos

Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
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Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...

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Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
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HeRO Vascular Access Device.

Marc H Glickman1

  • 1Vascular and Transplant Specialists, Virginia Beach, VA 23452, USA. MHGLICKM@sentara.com

Seminars in Vascular Surgery
|September 6, 2011
PubMed
Summary
This summary is machine-generated.

The HeRO Vascular Access Device offers a safer alternative to tunneled dialysis catheters (TDC) for chronic hemodialysis, significantly reducing infectious complications and mortality risks. This device is a preferred option for catheter-dependent patients needing long-term vascular access.

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Last Updated: May 29, 2026

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Published on: June 12, 2021

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Infectious Diseases

Background:

  • Chronic hemodialysis often requires vascular access, with tunneled dialysis catheters (TDC) posing significant risks.
  • TDC use is linked to high rates of infectious complications and increased patient mortality.
  • Alternative vascular access methods are crucial for improving patient outcomes in chronic hemodialysis.

Purpose of the Study:

  • To evaluate the HeRO Vascular Access Device as an alternative to TDC for chronic hemodialysis.
  • To compare the incidence of infectious complications between the HeRO device and TDC.
  • To assess the efficacy and safety of the HeRO device in catheter-dependent patients.

Main Methods:

  • Retrospective analysis of patients undergoing chronic hemodialysis with either TDC or the HeRO Vascular Access Device.
  • Comparison of infectious complication rates, secondary patency, and device placement success.
  • Evaluation of patient outcomes and mortality associated with each access type.

Main Results:

  • The HeRO Vascular Access Device demonstrated significantly lower infectious complication rates compared to TDC.
  • Secondary patency for the HeRO device was comparable to prosthetic accesses.
  • Successful placement of the HeRO device was achieved in over 90% of catheter-dependent patients.

Conclusions:

  • The HeRO Vascular Access Device is a safer and effective alternative to TDC for chronic hemodialysis.
  • HeRO device use is associated with reduced infectious complications and favorable patency rates.
  • Chronic hemodialysis via the HeRO Device is preferable to TDC, especially when other access options are limited.