Continuous arteriovenous hemofiltration--a new treatment in hypercalcemic crisis.
A case of hypercalcemic crisis, with accompanying anuria, due to recurrence of a parathyroid carcinoma and unresponsive to conventional medical treatment, was treated with continuous arteriovenous hemofiltration (CAVH). A maximum of 24 mmol of calcium was removed per 24 h by CAVH and serum calcium was temporarily normalized. Rising values during continued treatment necessitated acute parathyroidectomy. CAVH may represent a new treatment in hypercalcemic crisis, unresponsive to medical treatment.
Schou
H
H
Department of Anaesthesia, Odense University Hospital, Denmark.
Knudsen
F
F
D000328:Adult; D001002:Anuria / Q000209:etiology; D002277:Carcinoma / Q000150:complications / Q000601:surgery; D003131:Combined Modality Therapy; D005260:Female; D006440:Hemofiltration / Q000379:methods; D006801:Humans; D006934:Hypercalcemia / Q000188:drug therapy / Q000209:etiology / Q000628:therapy*; D009364:Neoplasm Recurrence, Local; D010257:Paraneoplastic Syndromes / Q000188:drug therapy / Q000209:etiology / Q000628:therapy*; D010282:Parathyroid Neoplasms / Q000150:complications / Q000601:surgery