title: Intraoperative continuous hemodiafiltration with selective venous drainage of ischemic limbs.
abstract: We report two cases of acute limb ischemia with threatened myonephropathic metabolic syndrome (MNMS) in which continuous hemodiafiltration (CHDF) was started before revascularization with selective drainage from the clamped femoral vein of ischemic limb and return of processed blood into the contralateral femoral vein. It was aimed to optimise the removal of metabolites which were produced by myolysis following reperfusion as well as to minimize the deviation of metabolites into the systemic circulation. Both cases had uneventful postoperative course without MNMS and the limbs were salvaged.
authors.affiliation: Department of Surgery II, Kochi Medical School, Kohasu, Oko-cho, Nankoku, Kochi, 783-8505, Japan. jm-kondo-nobuo@kochi-u.ac.jp
authors.forename: Nobuo
authors.initials: N
authors.lastname: Kondo
authors.forename: Seiichiro
authors.initials: S
authors.lastname: Wariishi
authors.forename: Hideaki
authors.initials: H
authors.lastname: Nishimori
authors.forename: Masaki
authors.initials: M
authors.lastname: Yamamoto
authors.forename: Takashi
authors.initials: T
authors.lastname: Fukutomi
authors.forename: Kazuki
authors.initials: K
authors.lastname: Kihara
authors.forename: Miwa
authors.initials: M
authors.lastname: Tashiro
authors.forename: Motone
authors.initials: M
authors.lastname: Kuriyama
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Orihashi
mesh_terms: D000368:Aged; D004322:Drainage; D017583:Hemodiafiltration / Q000379:methods*; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D035002:Lower Extremity / Q000098:blood supply* / Q000601:surgery; D008297:Male; D016896:Treatment Outcome