{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T02:11:50Z","timestamp":1740103910271,"version":"3.37.3"},"reference-count":7,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,7,12]],"date-time":"2017-07-12T00:00:00Z","timestamp":1499817600000},"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":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Interventional catheterization procedures may be needed for patients with severe renal failure who are dependent on dialysis. To avoid the risk of fluid overload and electrolyte derangement during complex procedures in this oliguric\/anuric patient population, we performed intra\u2010procedural dialysis, either continuous renal replacement therapy (CRRT) or continous cycling peritoneal dialysis (CCPD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective review of a cohort of pediatric patients, ages 0\u201318 years, with dialysis\u2010dependent renal failure who received CRRT or CCPD during catheterization procedures from January 2013 to March 2016.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eight patients underwent a total of nine interventional catheterization procedures while receiving intra\u2010procedural dialysis. Median age was 4.5 years (range 8 months to 17 years) and weight, 11.6 kg (11.2\u201362.6 kg). Six patients had end\u2010stage renal disease (ESRD) and two patients had acute kidney injury (AKI), one due to hepatorenal syndrome and one due to multifactorial causes associated with congenital heart disease. The most common reason for catheterization was occlusive venous thrombosis requiring recanalization. CRRT was used during five cases and CCPD during four cases. Median procedure time was 337 min (95\u2013651 min) and median contrast dose 4.2 mL\u00a0kg<jats:sup>\u22121<\/jats:sup> (1.2\u20138.2 mL\u00a0kg<jats:sup>\u22121<\/jats:sup>). Euvolemia was maintained based on pre\u2010 and post\u2010catheterizations weights, and no significant electrolyte abnormalities occurred based on lab monitoring during and post\u2010procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Intra\u2010procedural dialysis using CRRT or CCPD enables even small pediatric patients with severe renal failure to undergo long and complex interventional catheterizations by reducing the risk of fluid overload and electrolyte abnormalities. Collaboration between nephrology, cardiology, and dialysis teams is necessary for successful management of this challenging patient population.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.27188","type":"journal-article","created":{"date-parts":[[2017,7,12]],"date-time":"2017-07-12T06:47:44Z","timestamp":1499842064000},"page":"784-789","source":"Crossref","is-referenced-by-count":0,"title":["Intra\u2010procedural continuous dialysis to facilitate interventional catheterization in pediatric patients with severe renal failure"],"prefix":"10.1002","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0924-797X","authenticated-orcid":false,"given":"Angeline D.","family":"Opina","sequence":"first","affiliation":[{"name":"Lillie Frank Abercrombie Section of Cardiology, Baylor College of Medicine, and Texas Children's Hospital Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Athar M.","family":"Qureshi","sequence":"additional","affiliation":[{"name":"Lillie Frank Abercrombie Section of Cardiology, Baylor College of Medicine, and Texas Children's Hospital Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eileen","family":"Brewer","sequence":"additional","affiliation":[{"name":"Renal Section Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewa","family":"Elenberg","sequence":"additional","affiliation":[{"name":"Renal Section Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Swartz","sequence":"additional","affiliation":[{"name":"Renal Section Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mini","family":"Michael","sequence":"additional","affiliation":[{"name":"Renal Section Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henri","family":"Justino","sequence":"additional","affiliation":[{"name":"Lillie Frank Abercrombie Section of Cardiology, Baylor College of Medicine, and Texas Children's Hospital Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,7,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12268"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(01)00983-4"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1744-9987.12252"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa023204"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2013.10.037"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2005.08.002"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26399"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.27188","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.27188","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T03:56:43Z","timestamp":1696046203000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.27188"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,12]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,11]]}},"alternative-id":["10.1002\/ccd.27188"],"URL":"https:\/\/doi.org\/10.1002\/ccd.27188","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"type":"print","value":"1522-1946"},{"type":"electronic","value":"1522-726X"}],"subject":[],"published":{"date-parts":[[2017,7,12]]}}}