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Peritoneal Dialysis Following Left Ventricular Assist Device Placement and Kidney Recovery: A Case Report

Acute kidney injury (AKI) complicates up to 50% of left ventricular assist device (LVAD) placements and up to 30% of these patients require dialysis. Despite advances in LVAD technology since the first-generation devices, the risk for AKI remains high. We present a case of a woman in her 50s with pr...

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Detalles Bibliográficos
Autores principales: Ajuria, Michael, Franz, Douglas D., Morris, John T., Abra, Graham, Hussein, Wael F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8178477/
https://www.ncbi.nlm.nih.gov/pubmed/34136789
http://dx.doi.org/10.1016/j.xkme.2020.12.009
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author Ajuria, Michael
Franz, Douglas D.
Morris, John T.
Abra, Graham
Hussein, Wael F.
author_facet Ajuria, Michael
Franz, Douglas D.
Morris, John T.
Abra, Graham
Hussein, Wael F.
author_sort Ajuria, Michael
collection PubMed
description Acute kidney injury (AKI) complicates up to 50% of left ventricular assist device (LVAD) placements and up to 30% of these patients require dialysis. Despite advances in LVAD technology since the first-generation devices, the risk for AKI remains high. We present a case of a woman in her 50s with previously stable stage C heart failure who developed critical cardiogenic shock and resultant AKI. She required continuous kidney replacement therapy both before and after placement of an LVAD. Following multiple inpatient and outpatient hemodialysis sessions complicated by hypotension, she was transitioned to peritoneal dialysis (PD). She tolerated PD well, and her kidney function continued to improve during the following weeks. After 6 weeks of outpatient PD, she recovered kidney function, allowing for cessation of dialysis. PD is a good option for patients with advanced heart failure who receive an LVAD due to gentler ultrafiltration, decreased risk for bacteremia, and better preservation of kidney function as compared with hemodialysis.
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spelling pubmed-81784772021-06-15 Peritoneal Dialysis Following Left Ventricular Assist Device Placement and Kidney Recovery: A Case Report Ajuria, Michael Franz, Douglas D. Morris, John T. Abra, Graham Hussein, Wael F. Kidney Med Case Report Acute kidney injury (AKI) complicates up to 50% of left ventricular assist device (LVAD) placements and up to 30% of these patients require dialysis. Despite advances in LVAD technology since the first-generation devices, the risk for AKI remains high. We present a case of a woman in her 50s with previously stable stage C heart failure who developed critical cardiogenic shock and resultant AKI. She required continuous kidney replacement therapy both before and after placement of an LVAD. Following multiple inpatient and outpatient hemodialysis sessions complicated by hypotension, she was transitioned to peritoneal dialysis (PD). She tolerated PD well, and her kidney function continued to improve during the following weeks. After 6 weeks of outpatient PD, she recovered kidney function, allowing for cessation of dialysis. PD is a good option for patients with advanced heart failure who receive an LVAD due to gentler ultrafiltration, decreased risk for bacteremia, and better preservation of kidney function as compared with hemodialysis. Elsevier 2021-02-17 /pmc/articles/PMC8178477/ /pubmed/34136789 http://dx.doi.org/10.1016/j.xkme.2020.12.009 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ajuria, Michael
Franz, Douglas D.
Morris, John T.
Abra, Graham
Hussein, Wael F.
Peritoneal Dialysis Following Left Ventricular Assist Device Placement and Kidney Recovery: A Case Report
title Peritoneal Dialysis Following Left Ventricular Assist Device Placement and Kidney Recovery: A Case Report
title_full Peritoneal Dialysis Following Left Ventricular Assist Device Placement and Kidney Recovery: A Case Report
title_fullStr Peritoneal Dialysis Following Left Ventricular Assist Device Placement and Kidney Recovery: A Case Report
title_full_unstemmed Peritoneal Dialysis Following Left Ventricular Assist Device Placement and Kidney Recovery: A Case Report
title_short Peritoneal Dialysis Following Left Ventricular Assist Device Placement and Kidney Recovery: A Case Report
title_sort peritoneal dialysis following left ventricular assist device placement and kidney recovery: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8178477/
https://www.ncbi.nlm.nih.gov/pubmed/34136789
http://dx.doi.org/10.1016/j.xkme.2020.12.009
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