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Updated: May 10, 2026

Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol
Published on: July 28, 2018
[Renal failure and recurrent episodes of flash pulmonary edema in a 70-year-old patient]
Ferruh Artunc1, Klaus Brechtel, Barbara Kattner
1Medizinische Klinik, Universitätsklinikum Tübingen. ferruh.artunc@med.uni-tuebingen.de
History And Admission Findings:
We report on a patient presenting with renal failure who developed mutliple episodes of flash pulmonary edema.
Investigations:
Volume retention due to ischemic nephropathy was found to be the cause.
Diagnosis, Treatment And Course:
She was diagnosed to have a high grade renal artery stenosis in a functional solitary kidney and underwent percutaneous angioplasty. After being anuric and dialysis-dependent, she regained her kidney function leading to resolution of the volume retention and could be weaned from dialysis.
Conclusions:
Ischemic nephropathy is often accompanied by recurrent episodes of flash pulmonary edema and responds well to an interventional treatment.
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