Usefulness of short-term peripheral ambulatory

Medicina clinica · Aug 2023

Usefulness of short-term peripheral ambulatory ultrafiltration in heart failure refractory to diuretics. Initial experience.

In heart failure congestion is the most common symptom and diuretic resistance is frequent. This study aims to analyse whether short-term peripheral outpatient ultrafiltration (UF) is useful and safe in these patients. ⋯ In outpatients with heart failure and diuretic resistance, short-course peripheral UF was effective and safe.

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- Borja Guerrero Cervera, Raquel López-Vilella, Ignacio Sánchez Lázaro, Rafael Carbonell Vayá, Donoso TrenadoVíctorVServicio de Cardiología, Hospital Universitari i Politècnic La Fe, Valencia, España; Unidad de Insuficiencia Cardiaca y Trasplante, Hospital Universitari i Politècnic La Fe, Valencia, España., and Almenar BonetLuisLServicio de Cardiología, Hospital Universitari i Politècnic La Fe, Valencia, España; Unidad de Insuficiencia Cardiaca y Trasplante, Hospital Universitari i Politècnic La Fe, Valencia, España; Departamento de Medicina, Universidad de Vale.
- Servicio de Cardiología, Hospital Universitari i Politècnic La Fe, Valencia, España. Electronic address: borja_vlc95@hotmail.com.
- Med Clin (Barc). 2023 Aug 25; 161 (4): 154157154-157.
Introduction And ObjectiveIn heart failure congestion is the most common symptom and diuretic resistance is frequent. This study aims to analyse whether short-term peripheral outpatient ultrafiltration (UF) is useful and safe in these patients.Material And MethodsThe first 5 patients ultrafiltrated for diuretic resistance in a fast-track unit of a referral hospital for 12hours were analysed.ResultsThese patients were on treatment with at least 3 oral diuretics; UF made it possible to reduce and/or withdraw some of them. The volume extracted during the procedure was 1520±271ml. There were significant changes in diuresis (PreUF: 1360±164, PostUF: 1670±254ml; P=.035), weight (PreUF: 69.6±14, PostUF: 66.2±15kg; P=.0001) and creatinine (PreUF: 2.1±0.3, PostUF: 1.8±0.4mg; P= 0.023).ConclusionsIn outpatients with heart failure and diuretic resistance, short-course peripheral UF was effective and safe.Copyright © 2023 Elsevier España, S.L.U. All rights reserved.

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Usefulness of short-term peripheral ambulatory ultrafiltration in heart failure refractory to diuretics. Initial experience.

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