Intraoperative continuous hemofiltration for metabolic management in acute aortoiliac occlusion

B. Van Der Hoven, J. I. Van Der Spoel, G. J. Scheffer, E. M. Spoelder, J. A. Rauwerda

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6 Citations (Scopus)


Acute aortoiliac occlusion, or Leriche's syndrome, carries a risk of the development of severe ischemia-reperfusion injury, characterized by electrolyte and acid-base balance disturbances. These injuries are often fatal, because of the rapid deterioration of multiple organ systems. We present a case in which we intraoperatively and postoperatively treated hyperkalemia and metabolic acidosis by high-volume, continuous, veno-venous hemofiltration, which is a recently developed form of continuous renal replacement therapy.

Original languageEnglish
Pages (from-to)599-602
Number of pages4
JournalJournal of Clinical Anesthesia
Issue number7
Publication statusPublished - 1 Nov 1998


  • Aortic occlusion, acute
  • Hemofiltration, venovenous
  • Ischemia-reperfusion injury
  • Leriche's syndrome
  • Renal failure, acute
  • Renal replacement therapy

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