{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T16:11:16Z","timestamp":1790611876037,"version":"4.1.0"},"reference-count":10,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T00:00:00Z","timestamp":1601424000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>\n                    Intestinal failure (IF) patients are dependent on central venous access to receive parenteral nutrition. Longstanding central venous catheters are associated with life-threatening complications including infections and thromboses resulting in multiple line exchanges and the development ofprogressive central venous stenosis or occlusion. The Haemodialysis Reliable Outflow (HeRO) graft is an arterio-venous device that has been successfully used in haemodialysis patients with \u2018end-stage vascular access\u2019. We describe a case series of HeRO graft use in patients with IF and end-stage vascular access. Four HeRO grafts were inserted into IF patients with end-stage vascular access to facilitate or support intestinal transplantation. In all patients the HeRO facilitated immediate vascular access, supporting different combinations of parenteral nutrition, intravenous medications, fluids or renal replacement therapy with no bloodstream infections. In a highly complex group of IF patients with central venous stenosis\/occlusion limiting conventional venous access or at risk of life-threatening catheter-related complications, a HeRO\n                    <jats:sup>\u00ae<\/jats:sup>\n                    graft can be a feasible alternative.\n                  <\/jats:p>","DOI":"10.1177\/1129729820961972","type":"journal-article","created":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T04:11:17Z","timestamp":1601439077000},"page":"1021-1025","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["The novel use of the Haemodialysis reliable outflow graft (HeRo\n                    <sup>\u00ae<\/sup>\n                    ) in intestinal failure patients with end-stage vascular access"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2072-9574","authenticated-orcid":false,"given":"Fungai","family":"Dengu","sequence":"first","affiliation":[{"name":"Oxford Transplant Centre, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Hunter","sequence":"additional","affiliation":[{"name":"Oxford Transplant Centre, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK"},{"name":"Renal Transplantation and Nephrology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios","family":"Vrakas","sequence":"additional","affiliation":[{"name":"Oxford Transplant Centre, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK"},{"name":"Division of Transplantation, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Gilbert","sequence":"additional","affiliation":[{"name":"Oxford Transplant Centre, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,9,30]]},"reference":[{"key":"bibr1-1129729820961972","doi-asserted-by":"crossref","unstructured":"Klek S, Forbes A, Gabe S, et al. Management of acute intestinal failure: a position paper from the European Society for Clinical Nutrition and Metabolism (ESPEN) Special Interest Group. Clin Nutr 2016; 35(6): 1209\u20131218. https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0261561416300267?via%3Dihub (accessed 14 December 2018).","DOI":"10.1016\/j.clnu.2016.04.009"},{"key":"bibr2-1129729820961972","doi-asserted-by":"crossref","unstructured":"Deshpande KS. Total parenteral nutrition and infections associated with use of central venous catheters. Am J Crit Care 2003; 12(4): 326\u2013327, 380. http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/12882062 (accessed 11 December 2018).","DOI":"10.4037\/ajcc2003.12.4.326"},{"key":"bibr3-1129729820961972","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2017.11.002"},{"key":"bibr4-1129729820961972","doi-asserted-by":"crossref","unstructured":"Santarpia L, Buonomo A, Pagano MC, et al. Central venous catheter related bloodstream infections in adult patients on home parenteral nutrition: prevalence, predictive factors, therapeutic outcome. Clin Nutr 2016; 35(6): 1394\u20131398. https:\/\/www.sciencedirect.com\/science\/article\/pii\/S026156141600100X (accessed 14 December 2018).","DOI":"10.1016\/j.clnu.2016.03.009"},{"key":"bibr5-1129729820961972","doi-asserted-by":"crossref","unstructured":"Al Shakarchi J, Nath J, McGrogan D, et al. End-stage vascular access failure: can we define and can we classify? Clin Kidney J 2015; 8(5): 590\u2013593. https:\/\/academic.oup.com\/ckj\/article-lookup\/doi\/10.1093\/ckj\/sfv055 (accessed 28 November 2019).","DOI":"10.1093\/ckj\/sfv055"},{"key":"bibr6-1129729820961972","doi-asserted-by":"crossref","unstructured":"Versleijen MWJ, Huisman\u2013de Waal GJ, Kock MC, et al. Arteriovenous Fistulae as an Alternative to central venous catheters for delivery of long-term home parenteral nutrition. Gastroenterology 2009;136(5): 1577\u20131584. http:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0016508509001838 (accessed 14 December 2018).","DOI":"10.1053\/j.gastro.2009.02.005"},{"key":"bibr7-1129729820961972","doi-asserted-by":"crossref","unstructured":"Hunter JP, Knight SR, Inston N, et al. The United Kingdom and Ireland experience of the haemodialysis reliable outflow graft for vascular access. J Vasc Access 2019; 20(1): 12\u201318. http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29681225 (accessed 13 December 2019).","DOI":"10.1177\/1129729818770588"},{"key":"bibr8-1129729820961972","doi-asserted-by":"crossref","unstructured":"Beathard GA, Lok CE, Glickman MH, et al. Definitions and end points for interventional studies for arteriovenous dialysis access. Clin J Am Soc Nephrol 2018; 13(3): 501\u2013512. http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28729383 (accessed 17 December 2018).","DOI":"10.2215\/CJN.11531116"},{"key":"bibr9-1129729820961972","doi-asserted-by":"crossref","unstructured":"Surowiec SM, Fegley AJ, Tanski WJ, et al. Endovascular management of central venous stenoses in the hemodialysis patient: results of percutaneous therapy. Vasc Endovascular Surg. 2004; 38(4): 349\u2013354. http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15306953 (accessed 27 December 2018).","DOI":"10.1177\/153857440403800407"},{"key":"bibr10-1129729820961972","doi-asserted-by":"crossref","unstructured":"Al Shakarchi J, Houston JG, Jones RG, et al. A review on the hemodialysis reliable outflow (HeRO) graft for haemodialysis vascular access. Eur J Vasc Endovasc Surg 2015; 50(1): 108\u2013113. https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1078588415002725?via%3Dihub (accessed 11 December 2018).","DOI":"10.1016\/j.ejvs.2015.03.059"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1129729820961972","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1129729820961972","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1129729820961972","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:17:11Z","timestamp":1777691831000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1129729820961972"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,30]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1177\/1129729820961972"],"URL":"https:\/\/doi.org\/10.1177\/1129729820961972","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,30]]}}}