Abstract
Venous congestion (backward failure) plays an important role in the pathogenesis of cardiorenal syndrome. These patients develop ascites, which is associated with patient’s discomfort and increased intra-abdominal pressure,1 contributing to diuretic resistance. Paracentesis of cardiac ascites is associated with clinical and renal improvement.2,3 Owing to direct access to the peritoneal cavity and better hemodynamic stability, ascites can be better controlled with peritoneal dialysis (PD) compared with extracorporeal ultrafiltration.
Published Version
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