Early use conversion of the HeRO dialysis graft

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Early use conversion of the HeRO dialysis graft Earl Schuman, MD, Amy Ronfeld, RN Journal of Vascular Surgery Volume 53, Issue 6, Pages 1742-1744 (June 2011) DOI: 10.1016/j.jvs.2011.02.018 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 Stenosis is shown in the innominate vein. Journal of Vascular Surgery 2011 53, 1742-1744DOI: (10.1016/j.jvs.2011.02.018) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 A stiff guiding catheter wire has been inserted through the atrium to the inferior vena cava. Journal of Vascular Surgery 2011 53, 1742-1744DOI: (10.1016/j.jvs.2011.02.018) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 A 10-mm balloon is used for angioplasty. An 8-mm vein is the minimum diameter for passage of the outflow component. Journal of Vascular Surgery 2011 53, 1742-1744DOI: (10.1016/j.jvs.2011.02.018) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 4 The outflow component of the HeRO device is shown in the mid right atrium. Journal of Vascular Surgery 2011 53, 1742-1744DOI: (10.1016/j.jvs.2011.02.018) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 5 The HeRO device is transected lateral to the titanium connector and the corrugated section of graft. Journal of Vascular Surgery 2011 53, 1742-1744DOI: (10.1016/j.jvs.2011.02.018) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 6 The HeRO graft has been sutured to an early-use graft near the shoulder. Journal of Vascular Surgery 2011 53, 1742-1744DOI: (10.1016/j.jvs.2011.02.018) Copyright © 2011 Society for Vascular Surgery Terms and Conditions