HeRO graft

Q: What is HeRO graft?

Answer: HeRO graft stands for Hemodialysis Reliable Outflow (HeRO) graft. HeRO graft is the last salvage access for patients who have exhausted all other conventional upper extremities Arterio-Venous (AV) fistula graft sites. The objective is to preserve the thigh access sites for future use. HeRO graft provides outflow for patients with central venous stenosis or occlusion. At one end it is anastomosed proximally to the brachial artery or another inflow artery, and another end to central venous circulation through the internal jugular vein, subclavian vein, or other veins that provides access into the central circulation with the distal tip of the catheter is positioned in the right atrium. 

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Reference:

Al Shakarchi J, Houston JG, Jones RG, Inston N. A Review on the Hemodialysis Reliable Outflow (HeRO) Graft for Haemodialysis Vascular Access. Eur J Vasc Endovasc Surg 2015; 50:108.