{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T08:52:23Z","timestamp":1759481543004},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2002,12,30]],"date-time":"2002-12-30T00:00:00Z","timestamp":1041206400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2003,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Acute renal failure (ARF) requiring hemodialysis after percutaneous coronary interventions (PCI) is a serious complication with poor prognosis. Hemodialysis\u2010induced hypotension may have deleterious cardiovascular effects, especially in high\u2010risk patients. Ultrafiltrate removal and simultaneous fluid replacement with a solution similar to plasma for high\u2010volume controlled hydration can be obtained with hemodynamic stability by continuous veno\u2010venous hemofiltration (CVVH). We prospectively assessed the safety and effectiveness of percutaneous CVVH (Y\u2010shaped double\u2010lumen catheter, circuit originating from and terminating in the femoral vein) in 33 consecutive patients (23 men and 10 women; mean age, 69 \u00b1 9 years) who, after PCI, developed oligo\u2010anuric ARF, associated in 20 of them with congestive heart failure. All patients received a concomitant infusion of furosemide (500\u20131,000 mg\/day) and dopamine (2 \u03bcg\/kg\/min). During CVVH, the average fluid volume replacement and body fluid net reduction were 1,000 \u00b1 247 and 75 \u00b1 48 ml\/hr, respectively. Treatment with CVVH continued for 4.7 \u00b1 2.7 days and corrected fluid overload in all cases. No patient experienced systemic hypotension or hypovolemia. Diuresis recovered in 32 (97%) patients, who showed a parallel improvement of renal function parameters. One patient required chronic dialysis. In\u2010hospital and 1\u2010year mortality was 9.1% and 27.3%, respectively. In conclusion, our data indicate that CVVH is a safe and effective therapy of radiocontrast\u2010induced ARF following PCI. It temporarily replaces renal function without deleterious cardiovascular effects, allowing the kidney to recover from the nephrotoxic injury. However, despite promising early results, large randomized trials are required to define the role of CVVH in ARF after PCI. Cathet Cardiovasc Intervent 2003;58:59\u201364. \u00a9 2003 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ccd.10373","type":"journal-article","created":{"date-parts":[[2003,1,1]],"date-time":"2003-01-01T02:20:36Z","timestamp":1041387636000},"page":"59-64","source":"Crossref","is-referenced-by-count":27,"title":["Continuous veno\u2010venous hemofiltration for the treatment of contrast\u2010induced acute renal failure after percutaneous coronary interventions"],"prefix":"10.1002","volume":"58","author":[{"given":"GianCarlo","family":"Marenzi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio 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