Peritoneal dialysis improves quality-of-life in a left ventricular assist device destination therapy patient-a case report.

ABSTRACT:

Background

Progressive renal insufficiency is frequent in heart failure patients with a left ventricular assist device (LVAD). The optimal strategy for long-term dialysis in LVAD patients and its effect on quality-of-life in these patients remain to be determined.

Case summary

Our 55-year-old patient with pre-existing renal insufficiency received an LVAD as destination therapy because of advanced ischaemic heart failure. Six years after implantation, he developed end-stage renal disease for which peritoneal dialysis (PD) was initiated. Left ventricular assist device flow alterations during ultrafiltration did not cause clinical or technical problems. The patient's exercise capacity increased and quality-of-life improved. Over 7.5 years after LVAD implantation and 16 months a

SUBMITTER: Koppel CJ 

PROVIDER: S-EPMC8523880 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature