Hemofiltration as short-term treatment for refractory congestive heart failure

Rimondini, Andrea; Cipolla, Carlo M.; Bella, Paolo Della; Grazi, S; Sisillo, Erminio; Susini, G.; Guazzi, Maurizio D.

doi:10.1016/0002-9343(87)90495-5

Cited by 119 publications

(65 citation statements)

References 11 publications

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“…During the last 5 years or so, bearing in mind earlier experience such as isolated ultrafiltration or continuous arteriovenous hemofiltration, we have perfected a new method defined as daily hemofiltration [8][9][10][11][12].…”

Section: Methodsmentioning

confidence: 99%

Daily Hemofiltration in Severe Heart Failure

Iorio¹,

Nacca²,

Simonelli³

et al. 1999

Mineral Electrolyte Metab

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Heart failure of class IV NYHA has a very severe prognosis. Its most frequent electrolytic alterations are hyponatremia, hypokalemia, and hypomagnesemia which can cause serious arrhythmias and sudden death. The regulation of the electrolytic equilibrium by means of pharmacological therapy becomes impossible in patients with severe heart failure resistant to strong doses of diuretics in the oligo-anuric phase. This study focused on the use of daily hemofiltration in a group of patients suffering from cardiac insufficiency of class IV NYHA. The results have been evaluated over 1 year.

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Section: Methodsmentioning

confidence: 99%

Daily Hemofiltration in Severe Heart Failure

Iorio¹,

Nacca²,

Simonelli³

et al. 1999

Mineral Electrolyte Metab

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show abstract

“…The trans membrane pressure must be varied individ ually in order to achieve the ultrafiltration rate desired. On the basis of invasive moni toring of patients undergoing ultrafiltration Rimondini et al [14] recommend fluid re moval not exceeding 500 ml/h. These rates of fluid removal avoid rapid reduction in intravascular volume with related hypoten sion and organ malperfusion and other com plications.…”

Section: Methodsmentioning

confidence: 99%

Ultrafiltration: A Rational Treatment for Heart Failure

LʼAbbate

Emdin²,

Piacenti³

et al. 1989

Cardiology

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Patients with late-stage congestive heart failure with significant fluid overload respond well to ultrafiltration. The response is relatively long-standing and includes enhanced responsiveness to diuretics. Ultrafiltration is simple and highly cost effective. Furthermore, it possesses many advantages over massive or drastic pharmacological therapy. In the following paper, we report our own experience and review the world literature.

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“…23,27-31 UF improves cardiac filling pressures, 28,29,[32][33][34][35] symptoms, exercise capacity, 32,33,36,37 and renal perfusion. 38 Serum sodium also improves…”

Section: Clinical Experience With Uf For Hfmentioning

confidence: 98%

Ultrafiltration for Congestive Heart Failure

Thorsgard¹,

Bart²

2009

Congestive Heart Failure

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Relief of congestive symptoms is a primary goal in treating heart failure. Ultrafiltration is a tool that can be used to safely remove sodium and water from whole blood at a controlled rate. Ultrafiltration decreases symptoms, relieves congestion, and improves hemodynamics, neurohormonal balance, and exercise capacity. This article describes the importance of congestion as a therapeutic target in heart failure and outlines the development of ultrafiltration as a treatment to address this important physiologic state.

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Hemofiltration as short-term treatment for refractory congestive heart failure

Cited by 119 publications

References 11 publications

Daily Hemofiltration in Severe Heart Failure

Daily Hemofiltration in Severe Heart Failure

Ultrafiltration: A Rational Treatment for Heart Failure

Ultrafiltration for Congestive Heart Failure

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