Prospective analysis of Hemodialysis Reliable Outflow (HeRO) vascular access graft vs. cuffed catheter access in hemodialysis

The Hemodialysis Reliable Outflow (HeRO) graft was compared to the cuffed catheter in end-stage renal disease patients. All consented patients were evaluated for HeRO graft placement. Eligible patients that did not receive a graft were enrolled in the control group. Participants who had not exhauste...

Full description

Saved in:
Bibliographic Details
Published in:Nephrology news & issues 2015-11, Vol.29 (12), p.30-37
Main Authors: Provenzano, Robert, LaFleur, Paula, McFadden, Lori, LaFleur, Matthew, Lorelli, David
Format: Article
Language:English
Subjects:
Arteriovenous Shunt, Surgical
Catheters, Indwelling
Female
Humans
Kidney Failure, Chronic - therapy
Male
Middle Aged
Nursing
Prospective Studies
Quality of Life
Renal Dialysis - methods
Vascular Access Devices
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The Hemodialysis Reliable Outflow (HeRO) graft was compared to the cuffed catheter in end-stage renal disease patients. All consented patients were evaluated for HeRO graft placement. Eligible patients that did not receive a graft were enrolled in the control group. Participants who had not exhausted peripheral venous access sites suitable for fistulas and grafts were excluded. Differences in quality of life and incidence of bacteremia, vascular interventions, hospitalizations, and death were evaluated over one year. In thirty-three patients included in the analysis--16 HeRO, 17 control--significantly fewer bacteremia events (93.8% vs. 64.7%) and a significantly increased number of vascular interventions (64.7% vs. 25%) were reported for the HeRO versus Control group. The increased interventions in the HeRO group may be due to the two-step placement process.
ISSN:0896-1263