title: Intraoperative continuous hemofiltration for metabolic management in acute aortoiliac occlusion.
abstract: 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.
authors.affiliation: Department of Surgical Intensive Care, Free University Hospital, Amsterdam, The Netherlands.
authors.forename: B
authors.initials: B
authors.lastname: van der Hoven
authors.forename: J I
authors.initials: JI
authors.lastname: van der Spoel
authors.forename: G J
authors.initials: GJ
authors.lastname: Scheffer
authors.forename: E M
authors.initials: EM
authors.lastname: Spoelder
authors.forename: J A
authors.initials: JA
authors.lastname: Rauwerda
mesh_terms: 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
chemical_list: D003404:Creatinine; D011188:Potassium