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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. May 26, 2023; 15(5): 205-216
Published online May 26, 2023. doi: 10.4330/wjc.v15.i5.205
Published online May 26, 2023. doi: 10.4330/wjc.v15.i5.205
Extracorporeal veno-venous ultrafiltration in congestive heart failure: What’s the state of the art? A mini-review
Andrea Urbani, Filippo Pensotti, Andrea Provera, Marco Guazzi, Diego Castini, Cardiology Unit, Department of Health Sciences, San Paolo Hospital, University of Milan, Milan 20142, Italy
Andrea Galassi, Nephrology Unit, Department of Health Sciences, San Paolo Hospital, University of Milan, Milan 20142, Italy
Author contributions: All authors have made contributions to conception and design of this review, engaged in preparing the article or revising it analytically for essential intellectual content, gave final approval of the version to be published; and agree to be accountable for all aspects of the work.
Conflict-of-interest statement: The authors declare no conflict of interest regarding this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Andrea Urbani, MD, Staff Physician, Cardiology Department, San Paolo Hospital, University of Milan, Via Di Rudinì 8, Milan 20142, Italy. andrea.urbani@unimi.it
Received: December 27, 2022
Peer-review started: December 27, 2022
First decision: January 9, 2023
Revised: January 19, 2023
Accepted: April 24, 2023
Article in press: April 24, 2023
Published online: May 26, 2023
Processing time: 142 Days and 13.8 Hours
Peer-review started: December 27, 2022
First decision: January 9, 2023
Revised: January 19, 2023
Accepted: April 24, 2023
Article in press: April 24, 2023
Published online: May 26, 2023
Processing time: 142 Days and 13.8 Hours
Core Tip
Core Tip: This mini review aimed to evaluate the role of ultrafiltration in congestive heart failure and to compare this approach to standard therapy essentially based on diuretics. Evidences are still controversial and matter of debate, however it is clear that the use of ultrafiltration has beneficial effects on outcomes such as rehospitalization for heart failure and symptoms attenuation. This review of the literature also highlighted the pivotal role of a non-invasive multiparametric assessment of fluid overload to guide physicians through tailoring patient's decongestion.