Use of a rate-limited ultrafiltration circuit with centrifugal ventricular assist.
Renal insufficiency and pulmonary edema are frequently observed in patients who require centrifugal ventricular assist for postcardiotomy ventricular failure. We describe a technique of using a rate-limited ultrafiltration device in parallel with the assist device circuit to remove excess intravascular volume.
Curtis
J J
JJ
Division of Cardiothoracic Surgery, University of Missouri, Columbia.
Deese
L R
LR
Walls
J T
JT
Boley
T M
TM
D002303:Cardiac Output, Low / Q000209:etiology / Q000628:therapy; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D006353:Heart-Assist Devices; D006440:Hemofiltration; D006801:Humans; D011654:Pulmonary Edema / Q000209:etiology / Q000628:therapy; D051437:Renal Insufficiency / Q000209:etiology / Q000628:therapy; D014462:Ultrafiltration