Peritoneal dialysis combined with extracorporeal ultrafiltration in refractory heart failure: A case report

摘要

Editor: We report a patient who was successfully treated with peritoneal dialysis (PD) combined with the isolated extracorporealultrafiltration method (ECUM). A 75-year-old man with diabetic renal failure was referred to our hospital for PD start. The patient had 3-vessel coronary artery disease ineligible for revas-cularization. His left ventricular ejection fraction was 30%, and he had systemic edema and pulmonary congestion. At the start of PD, daily urine output was 400 ml_. Dialysate-to-plasma ratio of creatinine at 4 hours was elevated at 0.88.