Ultrafiltration for the treatment of diuretic-resistant, recurrent, acute decompensated heart failure: Experience in a single center

Journal of Cardiovascular Medicine

Volumn 11, Issue 8, 2010, Pages 599-604

  De Maria, Elia ^a   Pignatti, Foliero ^a   Patrizi, Giampiero ^a   Benenati, P Mario ^a   Ricci, Silvio ^a   Cappelli, Stefano ^a  

^a B Ramazzini Hospital   (Italy)

Author keywords

acute heart failure; kidney failure; ultrafiltration

Indexed keywords

ALDOSTERONE ANTAGONIST; ANGIOTENSIN RECEPTOR ANTAGONIST; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; FUROSEMIDE; HEPARIN; DIURETIC AGENT;

ADULT; AGED; ANTICOAGULATION; ARTICLE; BLEEDING; CLINICAL ARTICLE; CONGESTIVE HEART FAILURE; CONTINUOUS HEMOFILTRATION; CONTROLLED STUDY; DIALYSIS; DIURETIC THERAPY; FEMALE; HEART LEFT VENTRICLE EJECTION FRACTION; HOSPITALIZATION; HUMAN; HYPOTENSION; INTRAVENOUS CATHETER; KIDNEY FUNCTION; MALE; MORTALITY; TREATMENT DURATION; ULTRAFILTRATION; ACUTE DISEASE; CATHETERIZATION; DRUG EFFECTS; DRUG RESISTANCE; ELECTROLYTE BALANCE; FEMORAL VEIN; HEART FAILURE; HEART LEFT VENTRICLE FUNCTION; HEART STROKE VOLUME; HEMOFILTRATION; HOSPITAL READMISSION; ITALY; KIDNEY DISEASES; MIDDLE AGED; PATHOPHYSIOLOGY; RECURRENT DISEASE; RETROSPECTIVE STUDY; SEVERITY OF ILLNESS INDEX; TIME; TREATMENT FAILURE; VERY ELDERLY;

ACUTE DISEASE; AGED; AGED, 80 AND OVER; CATHETERIZATION, PERIPHERAL; DIURETICS; DRUG RESISTANCE; FEMALE; FEMORAL VEIN; HEART FAILURE; HEMOFILTRATION; HOSPITALIZATION; HUMANS; ITALY; KIDNEY DISEASES; MALE; MIDDLE AGED; PATIENT READMISSION; RECURRENCE; RETROSPECTIVE STUDIES; SEVERITY OF ILLNESS INDEX; STROKE VOLUME; TIME FACTORS; TREATMENT FAILURE; VENTRICULAR FUNCTION, LEFT; WATER-ELECTROLYTE BALANCE;

EID: 77955680556     PISSN: 15582027     EISSN: None     Source Type: Journal    
DOI: 10.2459/JCM.0b013e3283383275     Document Type: Article

References (24)

1. Costanzo MR. The role of ultrafiltration in the management of heart failure. Congest Heart Fail 2008; 14:19-24.
2. Wertman BM, Gura V, Schwarz ER. Ultrafiltration for the management of acute decompensated heart failure. J Card Fail 2008; 14:754-759.
3. Elison DH. Diuretic therapy and resistance in congestive heart failure. Cardiology 2001; 96:132-143. (Pubitemid 34114123)
4. European Society of Cardiology; Heart Failure Association of the ESC (HFA); European Society of Intensive Care Medicine (ESICM), Dickstein K, Cohen-Solal A, Filippatos G, McMurray JJ, Ponikowski P, Poole-Wilson PA, et al., ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Eur J Heart Fail 2008; 10:933-989.
5. Tovena DM, Pedrinazzi C, Ogliari V, De Petri G, Mileti M, Inama G. Non-pharmacological therapy oh heart failure: ultrafiltration. G Ital Cardiol 2008; 9 (Suppl 1-10):118S-122S.
6. Butler J, Forman DE, Abraham WT, Gottlieb SS, Loh E, Massie BM, et al. Relationship between heart failure treatment and development of worsening renal function among hospitalized patients. Am Heart J 2004; 147:331-338. (Pubitemid 38176835)
7. McCurley JM, Hanlon SU, Wei SK, Wedam EF, Michalski M, Haigney MC. Furosemide and the progression of left ventricular dysfunction in experimental heart failure. J Am Coll Cardiol 2004; 44:1301-1307. (Pubitemid 39208889)
8. Silverstein ME, Ford CA, Lysaght MJ, Henderson LW. Treatment of severe fluid overload by ultrafiltration. N Engl J Med 1974; 291:747-751.
9. Guazzi MD, Agostoni P, Perego B, Lauri G, Salvioni A, Giraldi F, et al. Apparent paradox of neurohormonal axis inhibition after body fluid volume depletion in patients with chronic congestive heart failure and water retention. Br Heart J 1994; 72:534-539. (Pubitemid 24375746)
10. Marenzi G, Lauri G, Grazi M, Assanelli E, Campodonico J, Agostoni P. Circulatory response to fluid overload removal by extracorporeal ultrafiltration in refractory congestive heart failure. J Am Coll Cardiol 2001; 38:963-968. (Pubitemid 32912695)
11. Asaba H, Bergstrom J, Furs P,Shaldon S, Wiklund S. Treatment of diuretic-resistant fluid retention with ultrafiltration. Acta Med Scand 1978; 204:145-149. (Pubitemid 9024648)
12. Clark WR, Paganini E, Weinstein D, Bartlett R, Sheinfield G, Ronco C. Extracorporeal ultrafiltration for acute exacerbations of chronic heart failure: report from the acute dialysis quality initiative. Int J Artif Organs 2005; 28:466-476. (Pubitemid 40823647)
13. Jaski BE, Ha J, Denys BG, Lamba S, Trupp RJ, Abraham WT. Peripheral inserted veno-venous ultrafiltration for rapid treatment of volume overloaded patients. J Card Fail 2003; 9:227-231. (Pubitemid 36734320)
14. Costanzo MR, Saltzberg M, O'Sullivan J, Sobotka P. Early ultrafiltration in patients with decompensated heart failure and diuretic resistance. J Am Coll Cardiol 2005; 46:2047-2051. (Pubitemid 41713590)
15. Costanzo MR, Guglin ME, Saltzberg MT, Jessup ML, Bart BA, Teerlink JR, et al., UNLOAD Trial Investigators. Ultrafiltration versus intravenous diuretics for patients hospitalized for acute decompensated heart failure. J Am Coll Cardiol 2007; 49:675-683. (Pubitemid 46205043)
16. Liang KV, Hiniker AR, Williams AW, Karon BL, Greene EL, Redfield MM. Use of a novel ultrafiltration device as a treatment strategy for diuretic resistant, refractory heart failure: initial clinical experience in a single center. J Cardiac Fail 2006; 12:707-714.
17. Marenzi G, Gauzzi M, Lauri G, Perego GB, Sganzerla P, Agostoni P. Body fluid withdrawal with isolated ultrafiltration effects persistent improvement of functional capacity in patients with chronic congestive heart failure. Furosemide does not produce the same result. Cardiologia 1994; 39:763-772. (Pubitemid 24099216)
18. Agostoni P, Marenzi G. Sustained benefit from ultrafiltration in moderate congestive heart failure. Cardiology 2001; 96:183-189. (Pubitemid 34114128)
19. Bart B, Boyle A, Bank AJ, Anand I, Olivari MT, Kraemer M, et al. Ultrafiltration versus usual care for hospitalized patients with heart failure. RAPID CHF Trial. J Am Coll Cardiol 2005; 46:2043-2046.
20. Kazory A, Ross EA. Contemporary trends in the pharmacological and extracorporeal management of heart failure. A nephrologic perspective. Circulation 2008; 117:975-983. (Pubitemid 351272594)
21. Kazory A, Ejaz AA, Ross EA. The UNLOAD Trial: a nephrologic standpoint. J Am Coll Cardiol 2007; 50:820.
22. Ghali JK, Vaitkevicius P. Fluid removal: are we any wiser? J Card Fail 2008; 14:6-8.
23. Kazory A, Ross EA. Ultrafiltration for decompensated heart failure: renal implications. Heart 2009; 95:1047-1051.
24. Rogers HL, Marshall J, Bock J, Dowling TC, Feller E, Robinson S, Gottlieb SS. A randomized controlled trial of the renal effects of ultrafiltration as compared to furosemide in patients with acute decompensated heart failure. J Card Fail 2008; 14:1-5.