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Ventricular-Assist Devices and Kidney Disease pp 161–175Cite as

Renal Replacement Therapies in Patients with Left Ventricular Assist Devices

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Abstract

Increasing use of implantable left ventricular assist devices (LVADs) is occurring as a bridge to transplant or as a destination therapy in individuals with dual heart and kidney organ dysfunction. LVAD recipients who develop kidney failure are associated with increased adverse outcomes, particularly those who require maintenance dialysis. Challenges unique to this LVAD population with kidney failure include dialysis modality selection, management of dialysis access, and hemodynamic monitoring during maintenance dialysis, Dual heart–kidney transplant may also be considered in a subgroup, although survival outcomes are similar to heart transplant alone. It is necessary for the nephrologist to understand the basic management of an LVAD recipient in clinical practice, as it pertains to kidney dysfunction, dialysis needs, and transplant considerations.

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Author information

Authors and Affiliations

  1. Renal-Electrolyte and Hypertension Division, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA

    Amanda K. Leonberg-Yoo

  2. Division of Cardiology, Department of Medicine, Heart Failure, Mechanical Assist and Cardiac Transplant Center, University of Pennsylvania, Philadelphia, PA, USA

    J. Eduardo Rame

  3. Penn Presbyterian Medical Center, Perleman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA

    Michael R. Rudnick

Authors
  1. Amanda K. Leonberg-Yoo
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  2. J. Eduardo Rame
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  3. Michael R. Rudnick
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Corresponding author

Correspondence to Amanda K. Leonberg-Yoo .

Editor information

Editors and Affiliations

  1. Director, Nephrology, Solid Organ Transplantation and Advanced Heart Failure Therapies, Advocate Christ Medical Center, University of Illinois, Oak Lawn, Illinois, USA

    Chaitanya Desai

  2. Clinical Associate Professor of Medicine University of Illinois, Clinical Director, Heart Transplantation and Mechanical Assistance, Advocate Christ Medical Center, Oak Lawn, Illinois, USA

    William G. Cotts

  3. Clinical Professor of Medicine, Section of Nephrology, University of Illinois at Chicago, College of Medicine, Advocate Christ Medical Center, Oak Lawn, Illinois, USA

    Edgar V. Lerma

  4. Associate Professor of Medicine, Division of Nephrology, Department of Medicine, Penn Presbyterian Medical Cente, Perleman School of Medicine of the University of Pennsylvania, Philadelphia, Pennsylvania, USA

    Michael R. Rudnick

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Leonberg-Yoo, A.K., Rame, J.E., Rudnick, M.R. (2018). Renal Replacement Therapies in Patients with Left Ventricular Assist Devices. In: Desai, C., Cotts, W., Lerma, E., Rudnick, M. (eds) Ventricular-Assist Devices and Kidney Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-74657-9_11

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  • DOI: https://doi.org/10.1007/978-3-319-74657-9_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74656-2

  • Online ISBN: 978-3-319-74657-9

  • eBook Packages: MedicineMedicine (R0)

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