Object

Title: The use of continuous veno-venous hemofiltration in patients with an advanced heart failure and at high risk of contrast induced nephropathy who undergone interventional cardiac procedures

Abstract:

Introductio nUse of contrast media in heart failure (HF) patients can cause a contrast-induced nephropathy (CIN), which can be prevented by a continuous veno-venous hemofiltration (CVVH). Aims To assess safety of CVVH, its influence on heart- and renal failure markers, risk of CIN and prognosis. Methods Half of 52 HF and renal failure patients undergoing coronary angiography/PCI were treated by CVVH (group A), while others were treated in a standard manner. Results In group A creatinine level decreased significantly at day 1 post PCI (161,87±63,4 vs 124,71±39,8 μmol/l, p=0,003), while it raised in group B (129,9±38,1 vs 136,4±43,6, p=0,049). In group A, NT-proBNP level dropped significantly but CRP level raised. CIN frequency in group A was non-significantly lower (15,4%, vs 26,9%, p=0,49). Female gender was an independent predictor of CIN (OR 2,15, CI (1,03-4,49), p=0,04). Puncture site bleedingincidence was higher in CVVH women. One-year survival was significantly higher in group A (p=0,03). Conclusions CVVH in HF patients decreases creatinine and NT-proBNP levels and non-significantly lowers CIN risk, probably providing 1-year survival benefit while increasing bleeding risk in women.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

choroby układu krążenia ; nefrologia

Degree grantor:

Uniwersytet Jagielloński. Collegium Medicum. Wydział Lekarski.

Promoter:

Andrzej Gackowski

Date issued:

2016

Format:

application/pdf

Identifier:

oai:dl.cm-uj.krakow.pl:4153

Call number:

ZB-126138

ControlNumberVIRTUA:

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Language:

pol

Access rights:

nieograniczony

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego- Collegium Medicum

Object collections:

Last modified:

May 24, 2021

In our library since:

Mar 22, 2017

Number of object content hits:

197

Number of object content views in PDF format

197

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/4153

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ZB-126138 May 24, 2021
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