Successful Use of the HeRO Device to Salvage a Functional Arteriovenous Fistula and Resolve Symptoms of Venous Hypertension

AbstractIntroductionHemodialysis Reliable Outflow (HeRO) (Hemosphere Inc, Minneapolis, MN, USA) vascular access device is a new long-term subcutaneous access designed for patients who have exhausted traditional peripheral access sites.ReportWe describe the use of the HeRO device not to create new access but to resolve symptoms of venous hypertension and salvage still functional arteriovenous fistula (AVF) in a patient refractory to endovascular treatment of recurrent central venous occlusive disease (CVOD).ConclusionThis report reinforces the experience of other authors that the HeRO device is an effective means to salvage an AV access and relieve symptoms of venous hypertension