Intraoperative continuous hemofiltration for metabolic management in acute aortoiliac occlusion.
Acute aortoiliac occlusion, or Leriche's syndrome, carries a risk of the development of severe ischemia-reperfusion injury, characterized by electrolyte and acid-base balance disturbances. These injuries are often fatal, because of the rapid deterioration of multiple organ systems. We present a case in which we intraoperatively and postoperatively treated hyperkalemia and metabolic acidosis by high-volume, continuous, veno-venous hemofiltration, which is a recently developed form of continuous renal replacement therapy.
van der Hoven
B
B
Department of Surgical Intensive Care, Free University Hospital, Amsterdam, The Netherlands.
van der Spoel
J I
JI
Scheffer
G J
GJ
Spoelder
E M
EM
Rauwerda
J A
JA
D000208:Acute Disease; D001011:Aorta / Q000601:surgery; D003404:Creatinine / Q000097:blood; D006440:Hemofiltration; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007430:Intraoperative Care; D007925:Leriche Syndrome / Q000150:complications / Q000378:metabolism* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology / Q000378:metabolism / Q000628:therapy; D011188:Potassium / Q000097:blood; D015427:Reperfusion Injury / Q000209:etiology / Q000378:metabolism / Q000517:prevention & control
D003404:Creatinine; D011188:Potassium