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Early infection risk with primary versus staged Hemodialysis Reliable Outflow (HeRO) graft implantation  Andrew S. Griffin, MD, Shawn M. Gage, PA-C, Jeffrey.

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Presentation on theme: "Early infection risk with primary versus staged Hemodialysis Reliable Outflow (HeRO) graft implantation  Andrew S. Griffin, MD, Shawn M. Gage, PA-C, Jeffrey."— Presentation transcript:

1 Early infection risk with primary versus staged Hemodialysis Reliable Outflow (HeRO) graft implantation  Andrew S. Griffin, MD, Shawn M. Gage, PA-C, Jeffrey H. Lawson, MD, PhD, Charles Y. Kim, MD  Journal of Vascular Surgery  Volume 65, Issue 1, Pages (January 2017) DOI: /j.jvs Copyright © 2016 Society for Vascular Surgery Terms and Conditions

2 Fig Example of an intentionally staged Hemodialysis Reliable Outflow (HeRO; Merit Medical, South Jordan, Utah) insertion in a 67-year-old man with a history of multiple prior bilateral extremity permanent accesses and endovascular procedures. A, A contrast-enhanced magnetic resonance angiography maximal projection image demonstrates extensive occlusion of all of the central veins of the chest. B, A digitally subtracted venogram from the right internal jugular vein demonstrates chronic occlusion of the central veins, including a superior vena cava- to-left brachiocephalic vein stent. C, After recanalization to the right atrium, a tunneled central venous catheter is inserted across the extensive venous occlusions as a placeholder for guidewire access during HeRO graft insertion. D, A chest radiograph demonstrates a successfully inserted HeRO device with the tip in the right atrium performed 3 weeks after recanalization. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

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