Key result
Accumulating case series suggest that peritoneal dialysis may serve as a promising chronic supportive therapy for managing refractory congestive heart failure in patients with cardiorenal syndrome type II.
Why the study?
Does peritoneal dialysis improve outcomes in patients with cardiorenal syndrome type II and diuretic-resistant congestive heart failure?
Does peritoneal dialysis improve outcomes in patients with cardiorenal syndrome type II and diuretic-resistant congestive heart failure?
This review highlights the rationale and accumulating evidence for using peritoneal dialysis as a maintenance therapy for diuretic-resistant heart failure in cardiorenal syndrome type II.
Hypothesis-generating for peritoneal dialysis in refractory cardiorenal syndrome; randomized trials needed before clinical adoption.
Cardiorenal syndrome (CRS) type II is a serious condition in which chronic cardiac abnormalities cause worsening kidney function, leading to permanent chronic kidney damage. Management of CRS type II coupled with diuretic-resistant congestive heart failure (CHF) has been an issue of dispute. However, since the early 1990s, reports indicating the clinical usefulness of peritoneal dialysis (PD) as maintenance therapy for intractable CHF in this population have been accumulating. The present manuscript reviews the mechanisms by which kidney dysfunction develops within CHF, and then examines recent experiences of PD as chronic supportive therapy for intractable CRS type II, reviews the contributing mechanisms, and discusses the rationale for using PD as a new therapeutic approach in the nonuremic setting of CHF.
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Masaaki Nakayama (2013) conducted a review in Refractory heart failure in cardiorenal syndrome type II. Peritoneal dialysis was evaluated. Accumulating case series suggest that peritoneal dialysis may serve as a promising chronic supportive therapy for managing refractory congestive heart failure in patients with cardiorenal syndrome type II.
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