PMID- 18045037 OWN - NLM STAT- MEDLINE DCOM- 20080303 LR - 20071129 IS - 0211-6995 (Print) IS - 0211-6995 (Linking) VI - 27 IP - 5 DP - 2007 TI - [Peritoneal dialyisis role in heart failure treatment, experience in our center]. PG - 605-11 AB - Peritoneal dialysis is a renal replacement therapy indicated in patients with an unstable hemodynamic status. It has been used, by ultrafiltration, preferably in those patients with congestive heart failure refractory to conventional medical therapy. We present the experience of our center with five patients who were affected by severe congestive heart failure [Class IV on the New York Heart Association (NYHA) scale] and diverse stages of chronic renal failure, who received this therapy. Icodextrin has been used as an osmotic agent to induce ultrafiltration. The follow-up period ranged between 5 and 14 months (9.8 +/- 3.7 months). The results that we have found are similar to those of other studies: we observed a significant improvement in quality of life and a reduction in morbidity and hospitalization rates in all our patients. But it seems to be necessary to make a prospective randomized controlled trial with more number of individuals to confirm these promising facts, to clarify the impact on the survival, and to analyze the cost-benefit for treating patients suffering from refractory, end stage congestive heart failure. FAU - Diez Ojea, B AU - Diez Ojea B AD - Seccion de Nefrologia, Hospital Valle del Nalon, Riano-Langreo (Asturias). beaojea@hotmail.com FAU - Rodriguez Suarez, C AU - Rodriguez Suarez C FAU - Vidau, P AU - Vidau P FAU - Gago, E AU - Gago E FAU - Diaz Molina, B AU - Diaz Molina B FAU - Martin Fernandez, M AU - Martin Fernandez M FAU - Garcia Cueto, C AU - Garcia Cueto C LA - spa PT - Case Reports PT - English Abstract PT - Journal Article PT - Review TT - Papel de la dialisis peritoneal en el tratamiento de la insuficiencia cardiaca. Experiencia en nuestro centro. PL - Spain TA - Nefrologia JT - Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia JID - 8301215 SB - IM MH - Aged MH - Female MH - Heart Failure/complications/*therapy MH - Humans MH - Kidney Failure, Chronic/complications/*therapy MH - Male MH - Middle Aged MH - *Peritoneal Dialysis MH - Retrospective Studies RF - 34 EDAT- 2007/11/30 09:00 MHDA- 2008/03/04 09:00 CRDT- 2007/11/30 09:00 PHST- 2007/11/30 09:00 [pubmed] PHST- 2008/03/04 09:00 [medline] PHST- 2007/11/30 09:00 [entrez] PST - ppublish SO - Nefrologia. 2007;27(5):605-11.