Ultrafiltration trough peritoneal dialysis in refractory congestive heart failure patients: one center experience

Authors : Ayşegül ORUÇ, Mehmet Fethullah AYDIN, Abdulmecit YİLDİZ, Mahmut YAVUZ, Mustafa GÜLLÜLÜ, Kamil DİLEK, Alparslan ERSOY

Pages : 118-122

Doi:10.46310/tjim.768289

View : 23 | Download : 8

Publication Date : 2020-10-29

Article Type : Research Paper

Abstract :Background: Hypervolemia is an important consequence of heart failure insert ignore into journalissuearticles values(HF); that leads to poor quality of life and frequent hospitalizations. Ultrafiltration insert ignore into journalissuearticles values(UF); with dialysis is an option for HF patients who are resistant or inappropriate for diuretics. Peritoneal dialysis insert ignore into journalissuearticles values(PD); can be a long-term efficient solution for hypervolemia in appropriate HF patients. Material and Methods: We retrospectively evaluated PD patients in our center in order to determine the ones whose indication was UF for volume control because of HF between January 2015 and January 2020. Results: 4 insert ignore into journalissuearticles values(2 females, 68.75±4.27 years old); HF patients who had a poor volume control on diuretic based regimen were on PD for UF. PD treatment was planned as a daily single exchange with icodextrin in whom all had preserved renal function. In one patient one daily exchange with an amino acid-based PD solution was added. The exchange volume was between 1000 and 1500 mL, dwell time was 9 to 14 hours, and UF was 200 to 1100 mL. During the follow-up, patients lost adequate weight and none of them were hospitalized because of hypervolemia. Conclusions: UF through PD in HF patients provides effective volume control, relief of symptoms, and avoids frequent hospitalizations. A single daily exchange with icodextrin can be adequate for hypervolemic, well-selected HF patients.
Keywords : ULTRAFILTRATION, PERITONEAL DIALYSYS, HEART FAILURE