For Fistula or Graft Salvage Bypassing venous stenosis
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AVF to HeRO Graft anastomosis Fistula Salvage For Fistula or Graft Salvage • Bypassing venous stenosis • Preserving the access site AVG to HeRO Graft anastomosis Life Restoring Technologies

HeRO Graft for AVF or AVG Salvage Salvage Benefits HeRO (Hemodialysis Reliable Outflow) Graft is a fully subcutaneous solution used to salvage a failing fistula or AV graft by bypassing central venous stenosis. • Access Site Preservation: salvage a failing AVF or AVG to avoid using a new access site and bridging catheter1 • Removable & Replaceable: unlike a stent, HeRO Graft’s Venous Outflow Component can be removed & replaced if necessary Treatment Algorithm Failing AVF or AVG due to central venous stenosis Clinical & Cost Benefits • Fewer Infections: 69% reduced infection rate compared...

Procedure Overview Typically, a short segment of the ePTFE portion of HeRO Graft is anastomosed to an arteriovenous fistula (AVF) or arteriovenous graft (AVG). AVF to HeRO Graft anastomosis One advantage of this method, if the existing AVF is matured or AVG is incorporated, is that the access can be immediately cannulated. This eliminates the need for a bridging catheter. The benefit of not needing a bridging dialysis catheter is avoiding its associated risks for infection. Fistula Salvage HeRO Graft Arterial Graft Component HeRO Graft Venous Outflow Component Radiopaque Marker Band...

Clinical Data The following clinical cases involve HeRO Graft for the purpose of AVF or AVG salvage: AVF SALVAGE Chen G, et al. EJVES Extra. 2011; 22(4):e37-39. • Case report of patient with functioning AVF who developed arm edema due to occluded central venous system refractory to repeated endovascular treatment including two stent placements over two years. • Arm swelling resolved and AVF could be used immediately after being connected to HeRO Graft. • Remained functional 6 months later and no re-interventions were required. Bowers V, et al. VASA; 2010 Las Vegas, NV. J Vasc Access,...