Cell-Free and Concentrated Ascites Reinfusion Therapy during Hemodialysis for Intradialytic Hypotension and Intractable Ascites
A 60-year-old woman with POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome and intractable ascites presented with acute renal failure and received hemodialysis (HD) therapy. Due to frequent intradialytic hypotension, ultrafiltration with cell-free...
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| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Nephrology |
| Online Access: | http://dx.doi.org/10.1155/2022/7099227 |
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| author | Hideyuki Hayasaka Kiyonori Ito Susumu Ookawara Masaya Kofuji Takayuki Uchida Shunto Kawamura Ayumi Gomyo Haruhisa Miyazawa Yuichiro Ueda Keiji Hirai Shun-ichi Kimura Naoki Momose Shinichi Kako Yoshiyuki Morishita |
| author_facet | Hideyuki Hayasaka Kiyonori Ito Susumu Ookawara Masaya Kofuji Takayuki Uchida Shunto Kawamura Ayumi Gomyo Haruhisa Miyazawa Yuichiro Ueda Keiji Hirai Shun-ichi Kimura Naoki Momose Shinichi Kako Yoshiyuki Morishita |
| author_sort | Hideyuki Hayasaka |
| collection | DOAJ |
| description | A 60-year-old woman with POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome and intractable ascites presented with acute renal failure and received hemodialysis (HD) therapy. Due to frequent intradialytic hypotension, ultrafiltration with cell-free and concentrated ascites reinfusion therapy (CART) was performed to adequately manage the body fluid status and massive ascites. During HD with CART, her blood pressure was maintained compared with that during HD without CART, and an ultrafiltration volume of 3.7 L was achieved after HD with CART. In HD patients with intradialytic hypotension and massive ascites, the combination of CART and ultrafiltration during HD may be an effective therapeutic option for body-fluid management. |
| format | Article |
| id | doaj-art-73f28be374b04a8f861add38ea3d87f6 |
| institution | OA Journals |
| issn | 2090-665X |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Nephrology |
| spelling | doaj-art-73f28be374b04a8f861add38ea3d87f62025-08-20T02:06:48ZengWileyCase Reports in Nephrology2090-665X2022-01-01202210.1155/2022/7099227Cell-Free and Concentrated Ascites Reinfusion Therapy during Hemodialysis for Intradialytic Hypotension and Intractable AscitesHideyuki Hayasaka0Kiyonori Ito1Susumu Ookawara2Masaya Kofuji3Takayuki Uchida4Shunto Kawamura5Ayumi Gomyo6Haruhisa Miyazawa7Yuichiro Ueda8Keiji Hirai9Shun-ichi Kimura10Naoki Momose11Shinichi Kako12Yoshiyuki Morishita13Department of Clinical EngineeringDivision of NephrologyDivision of NephrologyDepartment of Clinical EngineeringDepartment of Clinical EngineeringDivision of HematologyDivision of HematologyDivision of NephrologyDivision of NephrologyDivision of NephrologyDivision of HematologyDepartment of Clinical EngineeringDivision of HematologyDivision of NephrologyA 60-year-old woman with POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome and intractable ascites presented with acute renal failure and received hemodialysis (HD) therapy. Due to frequent intradialytic hypotension, ultrafiltration with cell-free and concentrated ascites reinfusion therapy (CART) was performed to adequately manage the body fluid status and massive ascites. During HD with CART, her blood pressure was maintained compared with that during HD without CART, and an ultrafiltration volume of 3.7 L was achieved after HD with CART. In HD patients with intradialytic hypotension and massive ascites, the combination of CART and ultrafiltration during HD may be an effective therapeutic option for body-fluid management.http://dx.doi.org/10.1155/2022/7099227 |
| spellingShingle | Hideyuki Hayasaka Kiyonori Ito Susumu Ookawara Masaya Kofuji Takayuki Uchida Shunto Kawamura Ayumi Gomyo Haruhisa Miyazawa Yuichiro Ueda Keiji Hirai Shun-ichi Kimura Naoki Momose Shinichi Kako Yoshiyuki Morishita Cell-Free and Concentrated Ascites Reinfusion Therapy during Hemodialysis for Intradialytic Hypotension and Intractable Ascites Case Reports in Nephrology |
| title | Cell-Free and Concentrated Ascites Reinfusion Therapy during Hemodialysis for Intradialytic Hypotension and Intractable Ascites |
| title_full | Cell-Free and Concentrated Ascites Reinfusion Therapy during Hemodialysis for Intradialytic Hypotension and Intractable Ascites |
| title_fullStr | Cell-Free and Concentrated Ascites Reinfusion Therapy during Hemodialysis for Intradialytic Hypotension and Intractable Ascites |
| title_full_unstemmed | Cell-Free and Concentrated Ascites Reinfusion Therapy during Hemodialysis for Intradialytic Hypotension and Intractable Ascites |
| title_short | Cell-Free and Concentrated Ascites Reinfusion Therapy during Hemodialysis for Intradialytic Hypotension and Intractable Ascites |
| title_sort | cell free and concentrated ascites reinfusion therapy during hemodialysis for intradialytic hypotension and intractable ascites |
| url | http://dx.doi.org/10.1155/2022/7099227 |
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