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Rödl, S; Marschitz, I; Mache, CJ; Nagel, B; Koestenberger, M; Zobel, G.
Hemodiafiltration in infants with complications during peritoneal dialysis.
Artif Organs. 2012; 36(7): 590-593. Doi: 10.1111/j.1525-1594.2011.01434.x (- Case Report)
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Führende Autor*innen der Med Uni Graz
Roedl Siegfried
Co-Autor*innen der Med Uni Graz
Koestenberger Martin
Mache Christoph
Marschitz Ingrid Christine
Nagel Bert Hermann Philipp
Zobel Gerfried
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Abstract:
End-stage renal disease (ESRD) in neonates still has a high mortality, particularly in the first year of life. We present the combination of peritoneal dialysis (PD) with intermittent hemodiafiltration (iHDF) in neonates with ESRD. Four infants younger than 28 days were treated with PD and iHDF. Renal diagnoses leading to ESRD were cortical necrosis, prune belly syndrome, neonatal hemolytic uremic syndrome, and autosomal recessive polycystic kidney disease. Initially, three patients were on iHDF until PD was started. At the time when complications occurred during PD, patients were switched back to iHDF. iHDF was used five times as a bridge to PD in case of abdominal surgery. Two of the four patients were switched to iHDF because of peritoneal ultrafiltration failure due to recurrent peritoneal leaks. Once, iHDF became necessary due to refractory peritonitis. All four patients survived the first year of life. Two patients were transplanted successfully at an age of 35 and 22 months, respectively. The others are on renal replacement therapy, one on PD at the age of 28 months and one on iHDF at the age of 25 months, respectively. In case of PD complications, iHDF may be an appropriate bridge to achieve long-term survival until kidney transplantation.
Find related publications in this database (using NLM MeSH Indexing)
Hemodiafiltration - adverse effects Hemodiafiltration - methods
Humans -
Infant -
Infant, Newborn -
Kidney Failure, Chronic - complications Kidney Failure, Chronic - therapy
Kidney Transplantation -
Male -
Peritoneal Dialysis - adverse effects Peritoneal Dialysis - methods
Peritonitis - complications Peritonitis - therapy
Treatment Outcome -

Find related publications in this database (Keywords)
Infant
Peritoneal dialysis
Intermittent hemodiafiltration
Renal replacement therapy
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