<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2500-5006</journal-id>
<journal-title><![CDATA[Revista Colombiana de Nefrología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. colom. nefrol.]]></abbrev-journal-title>
<issn>2500-5006</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Nefrología e Hipertensión Arterial]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2500-50062023000200006</article-id>
<article-id pub-id-type="doi">10.22265/acnef.10.2.664</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Injerto HeRO®, una alternativa híbrida para pacientes en hemodiálisis]]></article-title>
<article-title xml:lang="en"><![CDATA[Hero® graft, a hybrid alternative for patients in hemodialysis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez Marín]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villamizar Blanco]]></surname>
<given-names><![CDATA[Oscar Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castro Palacio]]></surname>
<given-names><![CDATA[Juan José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lopera Valle]]></surname>
<given-names><![CDATA[Johan Sebastián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Pontificia Bolivariana Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad CES Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Pontificia Bolivariana Departamento de Medicina Interna ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Antioquia Departamento de Radiología Intervencionista ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<volume>10</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2500-50062023000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2500-50062023000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2500-50062023000200006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Contexto: La enfermedad renal en etapa terminal es un problema de salud pública importante. Lograr y mantener el acceso vascular a largo plazo se vuelve difícil y desafiante en aquellos pacientes en hemodiálisis como terapia de remplazo renal. El dispositivo de injerto HeRO® (Merit Medical) ha surgido como una posible solución para pacientes con opciones limitadas para hemodiálisis.  Objetivo: En el presente artículo se realiza una revisión de las generalidades, las indicaciones, la costo-efectividad, las desventajas y las potenciales complicaciones de dicho dispositivo, por medio de una búsqueda de la literatura disponible hasta la fecha.  Métodología: Se realizó una búsqueda sistemática en la literatura de los estudios publicados sin limitación de idioma, con el fin de obtener mayor sensibilidad y arrojar mayores resultados en la búsqueda, usando las bases de datos electrónicas de Medline, Lilacs y Europe PMC hasta el 25 de agosto del 2022. Las palabras utilizadas para la búsqueda fueron "Renal Insufficiency, Chronic", "Dialysis", "Renal Dialysis", "Hero Graft access Device" y "Hero graft".  Resultados: El uso del dispositivo HeRO® tiene un futuro prometedor, ya que ofrece una forma novedosa de evitar los riesgos mortales de la dependencia prolongada del catéter. Así, se requerirá de una cuidadosa selección de pacientes, experiencia y creatividad en cirugía endovascular e intervencionismo, además de un manejo experimentado por proveedores de diálisis para promover y mantener resultados de calidad.  Conclusiones: Los resultados de calidad a largo plazo del injerto HeRO® definirán, en última instancia, su lugar en el ámbito del acceso vascular. El dispositivo ofrece una forma novedosa de evitar los riesgos mortales de la dependencia prolongada del catéter.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: End-stage renal disease is a major public health problem. Achieving and maintaining long-term vascular access becomes difficult and challenging in those patients on hemodialysis for renal replacement therapy. The HeRO® graft device (Merit Medical), has emerged as a possible solution for patients with limited options for hemodialysis.  Purpose: In this article, a review of the generalities, indications, cost-effectiveness, disadvantages and potential complications of said device is carried out through a search of the literature available to date.  Methodology: A systematic literature search of published studies without language limitation was performed in order to obtain greater sensitivity and yield higher search results, using the electronic databases of MEDLINE, LILACS and Europe PMC until August 25, 2022. The words used for the search were Renal Insufficiency, Chronic ", "Dialysis", Renal Dialysis ", "Hero Graft access Device.and "Hero graft".  Results: The use of the HeRO® device has a promising future as it offers a novel way to avoid the deadly risks of prolonged catheter dependence. Careful patient selection, experience and creativity in endovascular surgery and interventionism, as well as experienced management by dialysis providers, will be required to promote and maintain quality outcomes.  Conclusions: The long-term quality outcomes of the HeRO® graft will ultimately deine its place in the vascular access arena. The device offers a novel way to avoid the deadly risks of prolonged catheter dependence.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Injerto HeRO]]></kwd>
<kwd lng="es"><![CDATA[soluciones para hemodiálisis]]></kwd>
<kwd lng="es"><![CDATA[diálisis renal]]></kwd>
<kwd lng="es"><![CDATA[enfermedades renales]]></kwd>
<kwd lng="es"><![CDATA[radiología intervencionista]]></kwd>
<kwd lng="es"><![CDATA[nefrología]]></kwd>
<kwd lng="en"><![CDATA[HeRO graft]]></kwd>
<kwd lng="en"><![CDATA[Hemodialysis Solutions]]></kwd>
<kwd lng="en"><![CDATA[Renal Dialysis]]></kwd>
<kwd lng="en"><![CDATA[Kidney Diseases]]></kwd>
<kwd lng="en"><![CDATA[Interventional Radiology]]></kwd>
<kwd lng="en"><![CDATA[Nephrology]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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