Slow isolated ultrafiltration for the treatment of congestive heart failure

摘要: Abstract Slow isolated ultrafiltration (UF) was used to remove excess water and sodium in refractory congestive heart failure (CHF) patients. Fifty-two patients (40 men, 12 women; age, 63.8 ± 10.2 years) presenting with CHF (class IV, New York Heart Association (NYHA)) were included the study. Forty-one had normal renal function, 11 various degrees of before episode cardiac decompensation. Cardiac disease caused by ischemia, hypertension, or a combination present majority (n = 28). UF performed all cases via venovenous modality using double-pump module (blood pumps) highly permeable membrane (AN69; Hospal, Lyon, France). The weight loss achieved restore dry 9.2 5.0 kg over 9.0 10.5 days satisfactory hemodynamic tolerances. Outcome 52 as follows: 13 (nonresponders) died during course treatment; 24 (responders) both temporary improvement for short long duration period; 15 (partial responders) degradation leading long-term treatment (intermittent dialysis). Interestingly, diuresis returned 39 responder In conclusion, offers simple effective means escape from cardio-renal vicious circle must be considered an integral tool modern CHF.