Borja Guerrero Cervera, Raquel López-Vilella, Ignacio Sánchez Lázaro, Rafael Carbonell Vayá, Víctor Donoso Trenado, Luis Almenar Bonet
Medicina clinica 2023 Aug 25In 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. The first 5 patients ultrafiltrated for diuretic resistance in a fast-track unit of a referral hospital for 12hours were analysed. These 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). In 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.
Borja Guerrero Cervera, Raquel López-Vilella, Ignacio Sánchez Lázaro, Rafael Carbonell Vayá, Víctor Donoso Trenado, Luis Almenar Bonet. Usefulness of short-term peripheral ambulatory ultrafiltration in heart failure refractory to diuretics. Initial experience]. Medicina clinica. 2023 Aug 25;161(4):154-157
PMID: 37244855
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