Successful use of the HeRO device to salvage a functional arteriovenous fistula and resolve symptoms of venous hypertension

Introduction: Hemodialysis Reliable Outflow (HeRO) (Hemosphere Inc, Minneapolis, MN, USA) vascular access device is a new long-term subcutaneous access designed for patients who have exhausted traditional peripheral access sites. Report: We describe the use of the HeRO device not to create new access but to resolve symptoms of venous hypertension and salvage still functional arteriovenous fistula (AVF) in a patient refractory to endovascular treatment of recurrent central venous occlusive disease (CVOD). Conclusion: This report reinforces the experience of other authors that the HeRO device is an effective means to salvage an AV access and relieve symptoms of venous hypertension.