Fatal Budd-Chiari syndrome associated with Hemodialysis Reliable Outflow (HeRO) graft

J Vasc Access. 2024 Sep;25(5):1677-1681. doi: 10.1177/11297298231192125. Epub 2023 Aug 14.

Abstract

Population aging and prolonged time on dialysis pose challenges to vascular access for nephrologists and vascular surgeons. HeRO grafts are an option used for patients with central venous obstruction and without the possibility of other vascular access on upper limbs. Some long-term complications, namely access thrombosis, infection, and limb ischemia, have already been reported. There are few data on thromboembolic complications associated with this device. We report the first case in the literature of Budd-Chiari Syndrome associated with the HeRO graft.

Keywords: HeRO graft; Techniques and procedures; dialysis access; prosthetic grafts; thrombosis.

Publication types

  • Case Reports

MeSH terms

  • Arteriovenous Shunt, Surgical* / adverse effects
  • Blood Vessel Prosthesis Implantation* / adverse effects
  • Blood Vessel Prosthesis Implantation* / instrumentation
  • Blood Vessel Prosthesis*
  • Budd-Chiari Syndrome* / diagnosis
  • Budd-Chiari Syndrome* / etiology
  • Budd-Chiari Syndrome* / therapy
  • Fatal Outcome
  • Female
  • Graft Occlusion, Vascular / diagnostic imaging
  • Graft Occlusion, Vascular / etiology
  • Graft Occlusion, Vascular / physiopathology
  • Graft Occlusion, Vascular / therapy
  • Humans
  • Kidney Failure, Chronic / diagnosis
  • Kidney Failure, Chronic / therapy
  • Male
  • Middle Aged
  • Prosthesis Design
  • Renal Dialysis*
  • Treatment Outcome