Volume 22, Issue 4, Pages e37-e39 (October 2011)

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Volume 22, Issue 4, Pages e37-e39 (October 2011) Successful Use of the HeRO Device to Salvage a Functional Arteriovenous Fistula and Resolve Symptoms of Venous Hypertension G.J. Chen, J.E. Anaya-Ayala, N. Ismail, C.J. Smolock, M.G. Davies, E.K. Peden EJVES Extra Volume 22, Issue 4, Pages e37-e39 (October 2011) DOI: 10.1016/j.ejvsextra.2011.06.008 Copyright © 2011 European Society for Vascular Surgery Terms and Conditions

Figure 1 Contrast venography demonstrating the tight stenosis in the junction of the right subclavian and brachiocephalic veins (black arrow) (A) the extent of multiple stents (Between white arrows) can be observed in the preoperative Chest X ray (B). The outflow component of the HeRO device (white arrow) was positioned over the wire with its tip in the right atrium (C), and then connected to the graft component of the device. The graft (between the two black arrows not observed in this fluoroscopic study) was then tunnelled down and connected to the cephalic vein via end-to-end anastomosis (D). EJVES Extra 2011 22, e37-e39DOI: (10.1016/j.ejvsextra.2011.06.008) Copyright © 2011 European Society for Vascular Surgery Terms and Conditions

Figure 2 Diagram illustrates the use of the HeRO device in this particular case. The outflow component crosses a long venous segment from cephalic vein to the right atrium; the hollow arrow indicates the venotomy site, the previously stented portion is located between the black arrows. Subsequently the graft component is connected to the cephalic vein in end-to-end fashion. EJVES Extra 2011 22, e37-e39DOI: (10.1016/j.ejvsextra.2011.06.008) Copyright © 2011 European Society for Vascular Surgery Terms and Conditions