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Summary: The assessment of congestion and its treatment are integral in heart failure pathophysiology and outcomes. Renal venous congestion and its suboptimal response to diuretic-based and novel pharmacological therapeutic regimens have thus positioned ultrafiltration as a promising therapeutic option for patients with acute decompensated heart failure. As a corollary, peritoneal dialysis has had success establishing itself as a relevant therapeutic option for chronic cardiorenal syndrome in patients with heart failure. Key Messages: Herein, we will discuss the pathophysiologic basis of ultrafiltration and peritoneal dialysis in heart failure with a review of the relevant clinical trials on safety and efficacy profiles in these patient populations. <\/jats:p>","DOI":"10.1159\/000541931","type":"journal-article","created":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T16:00:48Z","timestamp":1728489648000},"page":"588-599","source":"Crossref","is-referenced-by-count":2,"title":["The Art of Ultrafiltration, from Pump to 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