PMID- 14763038
OWN - NLM
STAT- MEDLINE
DCOM- 20040227
LR  - 20071115
IS  - 1197-8554 (Print)
IS  - 1197-8554 (Linking)
VI  - 19
DP  - 2003
TI  - Long-term automated peritoneal dialysis in patients with refractory congestive 
      heart failure.
PG  - 77-80
AB  - Patients with severe congestive heart failure (CHF), mainly class IV on the New 
      York Heart Association (NYHA) scale, became refractory to standard medical 
      therapy. The factor that favored that evolution was renal insufficiency with 
      inadequate renal perfusion. Our objectives in the present study were to make a 
      preliminary assessment of the usefulness of automated peritoneal dialysis (APD) 
      for the treatment of volume overload in those patients. Our study was carried out 
      in the peritoneal dialysis unit of the clinical hospital of Pontificia 
      Universidad Catolica de Chile. We studied 3 non uremic patients with refractory 
      CHF secondary to ischemic cardiomyopathy, severe secondary lung hypertension (> 
      70 mmHg), and associated moderate renal insufficiency. The patients (2 women and 
      1 man) ranged in age from 55 years to 68 years. A Tenckhoff double-cuff 
      peritoneal catheter was placed in each patient, and peritoneal dialysis was 
      carried out using the nightly intermittent peritoneal dialysis (NIPD) modality. 
      The treatment used was appropriate to obtain a gradual removal of fluids: 
      dialysate dextrose at 1.5% and 2.5%, 4-5 cycles, and total volume of 10-12 L per 
      night. All three patients were able to remain at home, with no signs of 
      hypervolemia. The frequency and length of hospitalizations decreased on average 
      from 59 days pre-APD to 37 days post-APD. No hospitalizations for cardiac 
      problems occurred, and the mean survival was 11 months (range: 6-22 months). This 
      preliminary observation suggests that APD could be offered as an effective 
      treatment for helping to remove fluids in patients with refractory CHF, reducing 
      the number and length of hospitalizations, and improving quality of life.
FAU - Ortiz, Ana M
AU  - Ortiz AM
AD  - Nephrology Department, Pontificia Universidad Catolica, Santiago, Chile.
FAU - Acosta, Pamela A
AU  - Acosta PA
FAU - Corbalan, Ramon
AU  - Corbalan R
FAU - Jalil, Jorge E
AU  - Jalil JE
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Canada
TA  - Adv Perit Dial
JT  - Advances in peritoneal dialysis. Conference on Peritoneal Dialysis
JID - 9104803
SB  - IM
MH  - Aged
MH  - Female
MH  - Heart Failure/*therapy
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Peritoneal Dialysis/methods
EDAT- 2004/02/07 05:00
MHDA- 2004/02/28 05:00
CRDT- 2004/02/07 05:00
PHST- 2004/02/07 05:00 [pubmed]
PHST- 2004/02/28 05:00 [medline]
PHST- 2004/02/07 05:00 [entrez]
PST - ppublish
SO  - Adv Perit Dial. 2003;19:77-80.