Diuretic-resistant congestive heart failure treated successfully with peritoneal ultrafiltration
Agnieszka Próchnicka, Paweł Krzesiński, Katarzyna Hałas, Mirosław Dziuk, Stanisław Niemczyk, Zofia Wańkowicz, Agnieszka Próchnicka, Paweł Krzesiński, Katarzyna Hałas, Mirosław Dziuk, Stanisław Niemczyk, Zofia Wańkowicz
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.
Source: PubMed