Abstract：
The hemodialysis reliable outflow (HeRO) graft was designed for patients with failed arteriovenous accesses caused by an obstructed central venous outflow or patients who have exhausted all upper arm options. We describe a patient with severe stenosis of the superior vena cava (SVC) who experienced recurrent episodes of infection of permanent tunneled catheters, resulting in repeated hospitalizations. We successfully used the HeRO graft after angioplasty of the SVC. This indication for placing the HeRO graft has not been emphasized and mentioned previously in the literature. We also reviewed the literature regarding comparisons of this technique with other options.
摘要：
血液透析可靠流出（HeRO）移植物是为因中央静脉流出阻塞而导致动静脉通路失败的患者或用尽所有上臂选择的患者而设计的。我们描述了一名患有上腔静脉（SVC）严重狭窄的患者，该患者经历了永久性隧道导管感染的反复发作，导致反复住院。我们在SVC血管成形术后成功使用了HeRO移植物。先前在文献中没有强调和提到放置HeRO移植物的这一指示。我们还回顾了有关该技术与其他选项的比较的文献。
