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Published on: July 19, 2018
Diuretic-resistant congestive heart failure treated successfully with peritoneal ultrafiltration
Agnieszka Próchnicka1, Paweł Krzesiński, Katarzyna Hałas
1Department of Internal Diseases, Nephrology and Dialysis, Military Institute of Medicine, Warsaw, Poland. aprochnicka@wim.mil.pl
Abstract:
We present a case of successful peritoneal ultrafiltration (pUF) treatment in a 60 year-old patient diagnosed with diuretic-resistant congestive heart failure fulfilling the criteria for type 2 cardio-renal syndrome. Six months of pUF treatment with one daily dialysis exchange with icodextrin as an osmotic agent resulted in better functional status (from IV to II/III NYHA class), quality of life and improvement of haemodynamic parameters measured by impedance cardiography. During the follow-up (six months), pUF was well tolerated by the patient and he did not require hospitalisation for decompensated heart failure.
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