Open AccessChronic Hemodialysis in a Patient with Left Ventricular Assist Device
Author(s) -
Amr Idris,
Georges Lolay,
Ana Lía Castellanos,
Navin Rajagopalan,
Maya Guglin
Publication year - 2015
Publication title -
the vad journal
Language(s) - English
Resource type - Journals
ISSN - 2378-2706
DOI - 10.14434/vad.v1i0.27927
Subject(s) - medicine , hemodialysis , dialysis , renal replacement therapy , kidney disease , cardiology , volume overload , heart failure , ventricular assist device , intensive care medicine , chronic renal failure , refractory (planetary science) , renal function , physics , astrobiology
Renal dysfunction in the setting of heart failure is a common medical problem. This dysfunction can range from reversible ischemic changes to renal failure requiring renal replacement therapy. Patients who are candidates for mechanical circulatory support with left ventricular assistant device (LVAD) pose unique challenge with respect to receiving dialysis. We present a 47 year old patient who required renal replacement therapy peri-implantation of LVAD for management of acute on chronic kidney disease, and was discharged for chronic hemodialysis in an outpatient setting. In this report we highlight the challenges of managing volume overload in patients with impaired renal function refractory to optimal medical therapy as well as the possibility of implanting LVADs in patients on hemodialysis.