Traitement des insuffisances cardiaques refractaires par ultrafiltration extracorporelle

ABSTRACT

In order to precise the further and immediate effects of extracorporeal ultrafiltration [U.F.] during the refractory cardiac failures, a retrospective study has been performed. Ten patients, with phase III cardiac failure, presenting, 3 episodes of subclavian cathter U.F. These episodes have been well tolerated. The immediate results have been spectacular in 6 patients with a notable loss of weight, disapperance of aedemas, of functionnal gene and a resuming of diuresis. As to further resuls, 6 months later 5 patients died, 2 were lost of sight and remaining three are keeping a stable cardiac state under a digitalo-diuretic and vasodilating treatment. In conclusion, during the refractory cardiac failure, the U.F. can give forth good results in the immediate, in wait for an eventual more appropriate treatment