Isolated ultrafiltration in the treatment of fluid overload in cardiogenic shock.
Dramatic improvement in measured hemodynamic values, arterial blood gas values, and renal function was quickly achieved by the use of isolated ultrafiltration in a patient with cardiogenic shock refractory to medical management. Swift venous access was obtained by femoral catheterization, and the rapid removal of 3,500 mL of ultrafiltrate was well tolerated. This technique may afford another mode of therapy in patients with refractory cardiogenic shock associated with severe volume overload.
D002404:Catheterization; D005260:Female; D005268:Femoral Vein; D006801:Humans; D007022:Hypotension / Q000150:complications / Q000628:therapy; D008875:Middle Aged; D011654:Pulmonary Edema / Q000150:complications / Q000378:metabolism / Q000628:therapy; D012770:Shock, Cardiogenic / Q000150:complications / Q000378:metabolism / Q000628:therapy*; D014462:Ultrafiltration