Left ventricular assist device patient maintained on home hemodialysis: A novel class of patients to the home dialysis population

被引:4
作者
Hanna, Ramy M. [1 ,2 ]
Cruz, Daniel [1 ,3 ]
Selamet, Umut [1 ,2 ]
Hasnain, Huma [1 ,2 ]
Kwon, Murray [1 ,4 ]
Baas, Arnold [1 ,3 ]
Wilson, James [1 ,2 ]
机构
[1] David Geffen UCLA Sch Med, 10833 Le Conte Ave, Los Angeles, CA 90095 USA
[2] Ronald Reagan Med Ctr, Dept Med, Div Nephrol, Los Angeles, CA USA
[3] Ronald Reagan Med Ctr, Dept Med, Div Cardiol, Los Angeles, CA USA
[4] Ronald Reagan Med Ctr, Dept Surg, Div Cardiothorac Surg, Los Angeles, CA USA
关键词
Home hemodialysis; cardiovascular; technical hemodialysis; FAILURE; HEART;
D O I
10.1111/hdi.12631
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Severe heart failure is increasingly being managed by cardiac transplantation, and in some cases mechanical support devices serve as destination therapies. Left ventricular assist devices (LVADs) were approved for destination therapy for end stage heart failure patients before the more advanced total artificial heart modality became available. One common complication of mechanical assist device placement is acute kidney injury. Historically, patients with mechanical support devices have had to have inpatient hemodialysis until combined heart kidney transplant. Though, some units have started accepting LVAD patients in outpatient dialysis clinics. The cost of in center hemodialysis remains high and home dialysis modalities are becoming increasingly popular. We report the first patient with an LVAD to undergo training and successful home hemodialysis while awaiting combined heart kidney transplantation.
引用
收藏
页码:E36 / E38
页数:3
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