The Experts below are selected from a list of 87 Experts worldwide ranked by ideXlab platform
W Wilson H Tang - One of the best experts on this subject based on the ideXlab platform.
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renal failure requiring dialysis complicating Slow Continuous Ultrafiltration in acute heart failure importance of systolic perfusion pressure
Journal of Cardiac Failure, 2015Co-Authors: Edgard Wehbe, Maria Patarroyo, Randall C Starling, W Wilson H Tang, Jonathan J Taliercio, Joseph V Nally, Sevag DemirjianAbstract:Abstract Background Recent reports have raised concerns regarding renal outcomes in patients with decompensated acute heart failure (HF) treated with Slow Continuous Ultrafiltration (SCUF). The purpose of this study was to identify risk factors for renal failure (RF) requiring dialysis in patients with acute HF initiated on SCUF. Methods and Results We studied 63 consecutive patients with acute HF who required SCUF because of congestion refractory to hemodynamically guided intensive medical therapy. Median serum creatinine at SCUF initiation was higher in patients who developed RF requiring dialysis [2.5 (interquartile range 1.8–3.3) vs 1.6 (1.2–2.3) mg/dL; P P = .03]. Systolic perfusion pressure had a nonlinear association with RF requiring dialysis, with a threshold effect noted at 90 mm Hg. Twelve-month mortality in patients who were moved to dialysis versus those who were not was 95% versus 35%, respectively ( P Conclusions In patients with acute HF initiated on SCUF, onset of RF requiring dialysis is associated with high mortality. Systolic perfusion pressure which incorporates both perfusion and venous congestion parameters may present a modifiable risk factor for worsening RF during SCUF in acute HF patients.
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cardiorenal outcomes after Slow Continuous Ultrafiltration therapy in refractory patients with advanced decompensated heart failure
Journal of the American College of Cardiology, 2012Co-Authors: Maria Patarroyo, Edgard Wehbe, Mazen Hanna, David O Taylor, Randall C Starling, Sevag Demirjian, W Wilson H TangAbstract:Objectives: The purpose of this study was to examine the clinical outcomes of using Slow Continuous Ultrafiltration (SCUF) in patients with acute decompensated heart failure (HF) refractory to inte...
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abstract 11023 low systolic blood pressure at admission identifies patients with decompensated heart failure who are undergoing Slow Continuous Ultrafiltration at high risk of short term mortality
Circulation, 2011Co-Authors: Maria Patarroyo, Edgard Wehbe, Sevag Demirjian, Hanna Mazen, W Wilson H TangAbstract:Introduction Slow Continuous Ultrafiltration (SCUF) has emerged as a new therapeutic modality to improve volume overload and potentially reduce re-hospitalizations in decompensated heart failure pa...
S Verde - One of the best experts on this subject based on the ideXlab platform.
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Slow Continuous Ultrafiltration how many fluids must be taken out
Critical Care, 2009Co-Authors: G Guiotto, F Paladino, F Schiraldi, S Gligorova, S VerdeAbstract:Ultrafiltration (UF) is effective and safe in treating volume-overloaded patients with acute decompensated heart failure (ADHF) and diuretic resistance [1]. Accurate determination of the amount of fluid to be removed and maintenance of the circulating blood volume are critically important [2]. The inferior vena cava diameter (IVCD) and its collapsibility index (IVCCI) are compromised in ADHF patients due to high right atrial pressure [3]. We hypothesized that monitoring of IVCCI could be used to optimize fluid removal rate during UF.
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Slow Continuous Ultrafiltration just fluids
Critical Care, 2008Co-Authors: F Paladino, S Del Gaudio, G Guiotto, F Schiraldi, S VerdeAbstract:Slow Continuous Ultrafiltration (SCUF) is known to reduce extravascular water [1,2]. We hypothesized that, in acute decompensated heart failure, SCUF may reduce both the cardiac preload and the respiratory workload.
Zaccaria Ricci - One of the best experts on this subject based on the ideXlab platform.
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Ultrafiltration in patients with hypervolemia and congestive heart failure
Blood Purification, 2004Co-Authors: C Ronco, Zaccaria Ricci, Alessandra Brendolan, Rinaldo Bellomo, Francesco BedogniAbstract:Fluid overload may occur in patients with myocardial dysfunction and different clinical problems. Myocoardial dysfunction may be a consequence of heart dilatation with reduced contractility, ventricular stiffness with diastolic dysfunction or the consequence of myocardial injury or circulating myocardial depressant factors as seen in sepsis. In all cases, cardiac support can be achieved by the optimization of fluid balance, the reduction in organ edema and the restoration of desirable levels of pre- and afterload. Several reports have shown that myocardial elastance can improve after hemofiltration with restoration of adequate fluid balance. In such conditions, Continuous extracorporeal therapy may result in remarkable cardiovascular stability with maintenance of hemodynamic parameters, including mean arterial pressure, heart rate and systemic vascular resistance. Such stability, which is achieved through the Slow Continuous Ultrafiltration and Continuous refilling of the intravascular volume from the interstitium, enables the stability of the circulating blood volume and the preservation of organ perfusion. This is also crucial for renal recovery during acute renal failure.
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hemodynamic response to fluid withdrawal in overhydrated patients treated with intermittent Ultrafiltration and Slow Continuous Ultrafiltration role of blood volume monitoring
The Cardiology, 2001Co-Authors: Claudio Ronco, Rinaldo Bellomo, Zaccaria RicciAbstract:Fluid overload may occur in patients with congestive heart failure, especially when there is associated acute renal failure. When the pharmacological approach is not sufficient to maintain the patient
Maria Patarroyo - One of the best experts on this subject based on the ideXlab platform.
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renal failure requiring dialysis complicating Slow Continuous Ultrafiltration in acute heart failure importance of systolic perfusion pressure
Journal of Cardiac Failure, 2015Co-Authors: Edgard Wehbe, Maria Patarroyo, Randall C Starling, W Wilson H Tang, Jonathan J Taliercio, Joseph V Nally, Sevag DemirjianAbstract:Abstract Background Recent reports have raised concerns regarding renal outcomes in patients with decompensated acute heart failure (HF) treated with Slow Continuous Ultrafiltration (SCUF). The purpose of this study was to identify risk factors for renal failure (RF) requiring dialysis in patients with acute HF initiated on SCUF. Methods and Results We studied 63 consecutive patients with acute HF who required SCUF because of congestion refractory to hemodynamically guided intensive medical therapy. Median serum creatinine at SCUF initiation was higher in patients who developed RF requiring dialysis [2.5 (interquartile range 1.8–3.3) vs 1.6 (1.2–2.3) mg/dL; P P = .03]. Systolic perfusion pressure had a nonlinear association with RF requiring dialysis, with a threshold effect noted at 90 mm Hg. Twelve-month mortality in patients who were moved to dialysis versus those who were not was 95% versus 35%, respectively ( P Conclusions In patients with acute HF initiated on SCUF, onset of RF requiring dialysis is associated with high mortality. Systolic perfusion pressure which incorporates both perfusion and venous congestion parameters may present a modifiable risk factor for worsening RF during SCUF in acute HF patients.
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cardiorenal outcomes after Slow Continuous Ultrafiltration therapy in refractory patients with advanced decompensated heart failure
Journal of the American College of Cardiology, 2012Co-Authors: Maria Patarroyo, Edgard Wehbe, Mazen Hanna, David O Taylor, Randall C Starling, Sevag Demirjian, W Wilson H TangAbstract:Objectives: The purpose of this study was to examine the clinical outcomes of using Slow Continuous Ultrafiltration (SCUF) in patients with acute decompensated heart failure (HF) refractory to inte...
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abstract 11023 low systolic blood pressure at admission identifies patients with decompensated heart failure who are undergoing Slow Continuous Ultrafiltration at high risk of short term mortality
Circulation, 2011Co-Authors: Maria Patarroyo, Edgard Wehbe, Sevag Demirjian, Hanna Mazen, W Wilson H TangAbstract:Introduction Slow Continuous Ultrafiltration (SCUF) has emerged as a new therapeutic modality to improve volume overload and potentially reduce re-hospitalizations in decompensated heart failure pa...
Fernando Schiraldi - One of the best experts on this subject based on the ideXlab platform.
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inferior vena cava collapsibility to guide fluid removal in Slow Continuous Ultrafiltration a pilot study
Intensive Care Medicine, 2010Co-Authors: Giovanna Guiotto, Mario Masarone, Fiorella Paladino, Enrico Ruggiero, Sean Scott, Sossio Verde, Fernando SchiraldiAbstract:Objective To investigate whether ultrasound determination of the inferior vena cava diameter (IVCD) and its collapsibility index (IVCCI) could be used to optimize the fluid removal rate while avoiding hypotension during Slow Continuous Ultrafiltration (SCUF).