Intermittent outpatient based ECUM. A case report.

Abstract:

:Extracorporeal Ultrafiltration Method (ECUM) could be used in patients with refractory congestive heart failure (CHF). We have encountered a 56-year-old woman with refractory congestive heart failure (CHF) (NYHA II-III) due to coronary artery disease, complicated by moderately advanced diabetic nephropathy (Cr = 2.4 mg/dl). Due to the non-responsiveness to medical treatments, she has begun receiving the intermittent ECUM once or twice a week on an outpatient basis. ECUM effectively reduced cardiac preload and temporarily relieved her intractable respiratory distress. Based on our present clinical experience, we propose that one could consider an outpatient based intermittent ECUM as one of the useful therapeutic modalities to ameliorate refractory CHF.

journal_name

Acta Cardiol

journal_title

Acta cardiologica

authors

Kuriyama S,Tomonari H,Utsunomia Y,Matsui K,Sakai O

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

275-8

issue

3

eissn

0001-5385

issn

1784-973X

journal_volume

49

pub_type

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