title: Balloon-assisted over-the-wire technique for placement of the venous outflow component of the Hemodialysis Reliable Outflow (HeRO) device.
abstract: A modified technique for placement of the venous outflow component (VOC) of the Hemodialysis Reliable Outflow (HeRO) device (Hemosphere Inc, Minneapolis, Minn) is described. The purpose of the technique is to improve the system's trackability and facilitate device insertion in patients with central venous occlusion. Device preparation requires placement of a 6-mm × 4-cm angioplasty balloon within the leading end of the VOC. The leading 2 cm of the balloon are placed just distal to the radiopaque marker of the VOC. The balloon is inflated to profile and locked in this position within the leading end of the VOC. The VOC and balloon combination is advanced over the wire through the 20F peel-away sheath provided by the manufacturer. The described technique was used to successfully implant the HeRO device in 12 patients with central venous occlusion. This technique is recommended for placement of the VOC of the HeRO device in patients with central venous occlusions.
authors.affiliation: Department of Radiology, Section of Interventional Radiology, Rush University Medical Center, Chicago, Ill. Electronic address: hectorferral@gmail.com.
authors.forename: Hector
authors.initials: H
authors.lastname: Ferral
authors.forename: George
authors.initials: G
authors.lastname: Behrens
authors.forename: Yanki
authors.initials: Y
authors.lastname: Tumer
authors.forename: Sebouh A
authors.initials: SA
authors.lastname: Gueyikian
authors.forename: Edward F
authors.initials: EF
authors.lastname: Hollinger
authors.forename: Stephen C
authors.initials: SC
authors.lastname: Jensik
mesh_terms: D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000295:instrumentation*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D061807:Catheter Obstruction / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D006435:Renal Dialysis; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome