@article{d498dcab7a7b45ae9b8dbc91e9b0278b,
title = "Peritoneal Dialysis Following Left Ventricular Assist Device Placement and Kidney Recovery: A Case Report",
abstract = "Acute kidney injury (AKI) complicates up to 50% of left ventricular assist device (LVAD) placements and up to 30% of these patients require dialysis. Despite advances in LVAD technology since the first-generation devices, the risk for AKI remains high. We present a case of a woman in her 50s with previously stable stage C heart failure who developed critical cardiogenic shock and resultant AKI. She required continuous kidney replacement therapy both before and after placement of an LVAD. Following multiple inpatient and outpatient hemodialysis sessions complicated by hypotension, she was transitioned to peritoneal dialysis (PD). She tolerated PD well, and her kidney function continued to improve during the following weeks. After 6 weeks of outpatient PD, she recovered kidney function, allowing for cessation of dialysis. PD is a good option for patients with advanced heart failure who receive an LVAD due to gentler ultrafiltration, decreased risk for bacteremia, and better preservation of kidney function as compared with hemodialysis.",
keywords = "LVAD, PD, heart failure, left ventricular assist device, peritoneal dialysis",
author = "Michael Ajuria and Franz, {Douglas D.} and Morris, {John T.} and Graham Abra and Hussein, {Wael F.}",
note = "Funding Information: Michael Ajuria, MD, Douglas D. Franz, MD, MPH, John T. Morris III, MD, Graham Abra, MD, and Wael F, Hussein, MBBS, MSc, MRCPI. Dr Ajuria is supported by the Satellite Hans Wolf Research fellowship award. Dr Franz is supported by a grant from the National Institute of General Medical Sciences, 1U54GN115458, and the University of Nebraska Medical Center for Heart and Vascular Research. Dr Abra and Mr Hussein are employees of Satellite Healthcare. The remaining authors declare that they have no relevant financial interests. The contents do not represent the National Institutes of Health or the US government. The authors declare that they have obtained consent from the patient reported in this article for publication of the information about him/her that appears within this Case Report. Received July 29, 2020. Evaluated by 2 external peer reviewers, with direct editorial input from the Editor-in-Chief. Accepted in revised form December 13, 2020. Funding Information: Dr Ajuria is supported by the Satellite Hans Wolf Research fellowship award. Dr Franz is supported by a grant from the National Institute of General Medical Sciences , 1U54GN115458, and the University of Nebraska Medical Center for Heart and Vascular Research. Publisher Copyright: {\textcopyright} 2021 The Authors",
year = "2021",
month = may,
day = "1",
doi = "10.1016/j.xkme.2020.12.009",
language = "English (US)",
volume = "3",
pages = "438--441",
journal = "Kidney Medicine",
issn = "2590-0595",
publisher = "Elsevier Inc.",
number = "3",
}