- A Hero graft is an arterial graft component, along with a connector. The titanium connector is responsible for attaching the arterial graft component to the venous outflow component.
- Venous outflow component made of silicon and a marker band at the distal tip. This component is inserted in to the internal jugular vein and it advances up into the right atrium. This can be done under ultrasound guidance.
HERO CATHETER PLACEMENT
The placement of hero catheter is similar to that of a tunneled catheter as well as a graft. The central veins at times need to go under angioplasty before an outflow component could be placed.
The 90 minute procedure is done under general anesthesia. The central venous outflow component is placed in the central vein using the percutaneous endovascular techniques. This way, the tip is somewhere in mid to upper right atrium.
The titanium connector joins both the components such that the arterial graft lies at the deltopectoral groove. An arterial anastomosis joins the arterial graft to the target artery.
ADVANTAGES OF HERO GRAFT/ CATHETER
- Reduction in the incidence of infections by 69 percent as compared to other catheters
- Superior dialysis adequacy
- No devices were removed due to patency issues