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This trial will look at the effectiveness and patient acceptance of ultrafiltration therapy in an outpatient setting.
The purpose of this study is to determine if ambulatory patients who suffer from heart failure and hypervolemia can be safely and effectively treated in an outpatient infusion clinic. The results from this trial will be useful in planning a larger, randomized trial comparing usual care and ultrafiltration for this patient population in similar ambulatory settings.
Full description
This is a pilot study to assess the feasibility, effectiveness, safety and patient acceptance of ultrafiltration in ambulatory patients with heart failure and hypervolemia. The results will be useful in planning a larger clinical trial.
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Inclusion and exclusion criteria
Inclusion Criteria:
Patients will be recruited from the cardiology clinic at Hennepin County Medical Center. Patients are eligible for the study if they are:
Older than 18
Not pregnant
Have heart failure with worsening hypervolemia despite oral diuretics
Have at least two of the following signs or symptoms of hypervolemia: JVD, edema >1+, rales pulmonary edema on chest x-ray, orthopnea or PND
Not more than 10 kg above their usual baseline weight
Have, in the opinion of the treating physician, a need for a minimum of 2 liters of volume removal
Exclusion Criteria:
Systolic blood pressure < 90 mmHg
Serum creatinine > 3.0 mg/dL
Hematocrit >45 %
Uncontrolled arrhythmias
Need for hospitalization
Require renal replacement therapy
Contraindication to anticoagulation with heparin
Poor venous access.
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Data sourced from clinicaltrials.gov
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