Conversion of Tunneled Hemodialysis Catheter into HeRO Device Can Provide Immediate Access for Hemodialysis

Author:

Vasquez Julio C.1,DeLaRosa Jacob2,Rahim Fahim3,Rahim Naeem3

Affiliation:

1. Division of Thoracic and Cardiovascular Surgery, Portneuf Medical Center, Pocatello, Idaho, USA, Idaho State University, Pocatello, Idaho, USA,

2. Division of Thoracic and Cardiovascular Surgery, Portneuf Medical Center, Pocatello, Idaho, USA, Idaho State University, Pocatello, Idaho, USA

3. Division of Nephrology, Portneuf Medical Center, Pocatello, Idaho, USA

Abstract

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.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Surgery

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