Nonuremic indication for peritoneal dialysis for refractory heart failure in cardiorenal syndrome type II: Review and perspective

Masaaki Nakayama

Research output: Contribution to journalReview articlepeer-review

12 Citations (Scopus)

Abstract

Cardiorenal syndrome (CRS) type II is a serious condition in which chronic cardiac abnormalities cause worsening kidney function, leading to permanent chronic kidney damage. Management of CRS type II coupled with diuretic-resistant congestive heart failure (CHF) has been an issue of dispute. However, since the early 1990s, reports indicating the clinical usefulness of peritoneal dialysis (PD) as maintenance therapy for intractable CHF in this population have been accumulating. The present manuscript reviews the mechanisms by which kidney dysfunction develops within CHF, and then examines recent experiences of PD as chronic supportive therapy for intractable CRS type II, reviews the contributing mechanisms, and discusses the rationale for using PD as a new therapeutic approach in the nonuremic setting of CHF.

Original languageEnglish
Pages (from-to)8-14
Number of pages7
JournalPeritoneal Dialysis International
Volume33
Issue number1
DOIs
Publication statusPublished - 2013 Jan 1

Keywords

  • Cardiorenal syndrome type II
  • Congestive heart failure
  • Nonuremic indications

ASJC Scopus subject areas

  • Nephrology

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