title: Prospective analysis of Hemodialysis Reliable Outflow (HeRO) vascular access graft vs. cuffed catheter access in hemodialysis.
abstract: 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.
authors.forename: Robert
authors.initials: R
authors.lastname: Provenzano
authors.forename: Paula
authors.initials: P
authors.lastname: LaFleur
authors.forename: Lori
authors.initials: L
authors.lastname: McFadden
authors.forename: Matthew
authors.initials: M
authors.lastname: LaFleur
authors.forename: David
authors.initials: D
authors.lastname: Lorelli
mesh_terms: D001166:Arteriovenous Shunt, Surgical; D002408:Catheters, Indwelling; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D006435:Renal Dialysis / Q000379:methods*; D062666:Vascular Access Devices