AQUAPHERESIS for Acute Decompensated Heart Failure in Adults – rationale and initial clinical experience in a single center
Journal Title: Postępy Nauk Medycznych - Year 2011, Vol 24, Issue 6
Abstract
20 consecutive patients presenting with acute decompensated diuretic-resistant heart failure were subjected to 1-11 sessions of isolated ultafiltration, followed by hemodialysis when biochemically indicated. There were no major technical nor clinical problems to remove 2500-3500 ml/session and reduce the body weight by even 12 or 30 kg. The crude mortality rate was 45% for the whole group, but only 27.3% in patients aged less than 80 years. One patient below the age of 80, out of 9 discharged, needed concomitant hemodialysis, but only one of those over 80 out of 5 in need for concomitant hemodialysis survived. We conclude ultrafiltration is a safe procedure that could be offered to diuretic resistant patients with severe congestive heart failure, but the ensuing need for concomitant hemodialysis is a bad prognostic factor, especially in patients over 80 years of age.
Authors and Affiliations
Ryszard Gellert, Dorota Daniewska, Danuta Kobus, Tomasz Żelek, Ewa Wolska, Wojciech Drewniak, Joanna Kotlarska
Keywords
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