Implant Procedure

HeRO Graft Implantation with Dr. Lawson
Dr. Jeffrey H. Lawson highlights the steps involved in implanting the HeRO Graft for dialysis patients.

The placement is similar to both tunneled cuff catheter placement and graft placement. It may require angioplasty of the central veins prior to placement of the Venous Outflow Component. The HeRO Graft implant can be done under general anesthesia or conscious sedation. The average procedure time is 60-90 minutes. Complete implant instructions are provided in the Instructions for Use manual.

Use of the HeRO Graft was clinically studied in the upper extremity utilizing the internal jugular vein. Central venous access through any other veins has NOT been studied and may increase the risk of adverse events not encountered in the clinical trial. Surgeons must use discretion in selecting appropriately sized target vessels to accommodate the 6.3mm outer diameter of the Venous Outflow Component based on each patient’s anatomy.

Venous Outflow Component

Utilizing percutaneous endovascular techniques, the Venous Outflow Component is placed in the central vein with the radiopaque distal tip in the mid to upper right atrium.

Arterial Graft Component

At the deltopectoral groove, the Titanium Connector on the Arterial Graft Component is joined with the Venous Outflow Component. A standard arterial anastomosis is performed to attach the Arterial Graft Component to the target inflow artery.

Implant Site Examples

Implant Examples

Dr. Marc Glickman Implants a HeRO Graft
Watch Dr. Marc Glickman implant the HeRO Graft in a patient with central venous stenosis.

HeRO Graft Animated Implant Overview
How to implant the HeRO Graft to traverse central venous stenosis in qualified patients.

Fistula or Graft Salvage

HeRO Graft is a fully subcutaneous solution that may be used to salvage a failing fistula or AV graft by bypassing central venous stenosis.