Noncardiogenic pulmonary edema induced by a molecular adsorbent recirculating system: case report
Noncardiogenic pulmonary edema is a well-recognized manifestation of acute lung injury which has been related, among others, to blood or blood-product transfusion, intravenous contrast injection, air embolism, and drug ingestion. We describe two cases of noncardiogenic pulmonary edema after use of a...
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| Veröffentlicht in: | Journal of artificial organs 2003-12, Vol.6 (4), p.282-285 |
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| creator | Doria, Cataldo MandalA, Lucio Scott, Victor L Marino, Ignazio R Gruttadauria, Salvatore Miraglia, Roberto Vitale, Claudio H Smith, Jan |
| description | Noncardiogenic pulmonary edema is a well-recognized manifestation of acute lung injury which has been related, among others, to blood or blood-product transfusion, intravenous contrast injection, air embolism, and drug ingestion. We describe two cases of noncardiogenic pulmonary edema after use of a molecular adsorbent recirculating system, a cell-free dialysis technique. Patients in this series presented at our institution to be evaluated for liver transplantation. Subsequently, they developed an indication for the molecular adsorbent recirculating system. Two patients of 30 (6.6%) treated with the molecular adsorbent recirculating system for acute-on-chronic liver failure and intractable pruritus had normal chest X-rays before treatment and developed severe pulmonary edema, in the absence of cardiogenic causes, following use of the molecular adsorbent recirculating system. For each patient we reviewed the history of blood or blood-product transfusion, echocardiograms if available, daily chest X-rays, and when available pre- and postmolecular adsorbent recirculating systemic blood pressure, central venous pressure, pulmonary arterial pressures, cardiac output, cardiac index, systemic vascular resistance index, and arterial blood gas. Our data suggest that the molecular adsorbent recirculating system may cause noncardiogenic pulmonary edema, possibly by an immune-mediated mechanism. |
| doi_str_mv | 10.1007/s10047-003-0233-9 |
| format | Article |
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We describe two cases of noncardiogenic pulmonary edema after use of a molecular adsorbent recirculating system, a cell-free dialysis technique. Patients in this series presented at our institution to be evaluated for liver transplantation. Subsequently, they developed an indication for the molecular adsorbent recirculating system. Two patients of 30 (6.6%) treated with the molecular adsorbent recirculating system for acute-on-chronic liver failure and intractable pruritus had normal chest X-rays before treatment and developed severe pulmonary edema, in the absence of cardiogenic causes, following use of the molecular adsorbent recirculating system. For each patient we reviewed the history of blood or blood-product transfusion, echocardiograms if available, daily chest X-rays, and when available pre- and postmolecular adsorbent recirculating systemic blood pressure, central venous pressure, pulmonary arterial pressures, cardiac output, cardiac index, systemic vascular resistance index, and arterial blood gas. Our data suggest that the molecular adsorbent recirculating system may cause noncardiogenic pulmonary edema, possibly by an immune-mediated mechanism.</description><identifier>ISSN: 1434-7229</identifier><identifier>EISSN: 1619-0904</identifier><identifier>DOI: 10.1007/s10047-003-0233-9</identifier><identifier>PMID: 14691671</identifier><language>eng</language><publisher>Japan: Springer Nature B.V</publisher><subject>Aged ; Aquaculture ; Blood pressure ; Disease Progression ; Fatal Outcome ; Hepatic Encephalopathy - diagnosis ; Hepatic Encephalopathy - therapy ; Humans ; Liver Failure, Acute - diagnosis ; Liver Failure, Acute - therapy ; Liver, Artificial - adverse effects ; Lungs ; Male ; Middle Aged ; Peritoneal Dialysis - adverse effects ; Peritoneal Dialysis - methods ; Pulmonary Edema - diagnostic imaging ; Pulmonary Edema - etiology ; Radiography, Thoracic ; Risk Assessment ; Severity of Illness Index</subject><ispartof>Journal of artificial organs, 2003-12, Vol.6 (4), p.282-285</ispartof><rights>Springer-Verlag Tokyo 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c324t-dd44fc0c48e1c47927be90599a9feeb3f6d6e13c2b66d17a8391193b64f26bd93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14691671$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Doria, Cataldo</creatorcontrib><creatorcontrib>MandalA, Lucio</creatorcontrib><creatorcontrib>Scott, Victor L</creatorcontrib><creatorcontrib>Marino, Ignazio R</creatorcontrib><creatorcontrib>Gruttadauria, Salvatore</creatorcontrib><creatorcontrib>Miraglia, Roberto</creatorcontrib><creatorcontrib>Vitale, Claudio H</creatorcontrib><creatorcontrib>Smith, Jan</creatorcontrib><title>Noncardiogenic pulmonary edema induced by a molecular adsorbent recirculating system: case report</title><title>Journal of artificial organs</title><addtitle>J Artif Organs</addtitle><description>Noncardiogenic pulmonary edema is a well-recognized manifestation of acute lung injury which has been related, among others, to blood or blood-product transfusion, intravenous contrast injection, air embolism, and drug ingestion. We describe two cases of noncardiogenic pulmonary edema after use of a molecular adsorbent recirculating system, a cell-free dialysis technique. Patients in this series presented at our institution to be evaluated for liver transplantation. Subsequently, they developed an indication for the molecular adsorbent recirculating system. Two patients of 30 (6.6%) treated with the molecular adsorbent recirculating system for acute-on-chronic liver failure and intractable pruritus had normal chest X-rays before treatment and developed severe pulmonary edema, in the absence of cardiogenic causes, following use of the molecular adsorbent recirculating system. 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Academic</collection><jtitle>Journal of artificial organs</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Doria, Cataldo</au><au>MandalA, Lucio</au><au>Scott, Victor L</au><au>Marino, Ignazio R</au><au>Gruttadauria, Salvatore</au><au>Miraglia, Roberto</au><au>Vitale, Claudio H</au><au>Smith, Jan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Noncardiogenic pulmonary edema induced by a molecular adsorbent recirculating system: case report</atitle><jtitle>Journal of artificial organs</jtitle><addtitle>J Artif Organs</addtitle><date>2003-12-01</date><risdate>2003</risdate><volume>6</volume><issue>4</issue><spage>282</spage><epage>285</epage><pages>282-285</pages><issn>1434-7229</issn><eissn>1619-0904</eissn><abstract>Noncardiogenic pulmonary edema is a well-recognized manifestation of acute lung injury which has been related, among others, to blood or blood-product transfusion, intravenous contrast injection, air embolism, and drug ingestion. We describe two cases of noncardiogenic pulmonary edema after use of a molecular adsorbent recirculating system, a cell-free dialysis technique. Patients in this series presented at our institution to be evaluated for liver transplantation. Subsequently, they developed an indication for the molecular adsorbent recirculating system. Two patients of 30 (6.6%) treated with the molecular adsorbent recirculating system for acute-on-chronic liver failure and intractable pruritus had normal chest X-rays before treatment and developed severe pulmonary edema, in the absence of cardiogenic causes, following use of the molecular adsorbent recirculating system. For each patient we reviewed the history of blood or blood-product transfusion, echocardiograms if available, daily chest X-rays, and when available pre- and postmolecular adsorbent recirculating systemic blood pressure, central venous pressure, pulmonary arterial pressures, cardiac output, cardiac index, systemic vascular resistance index, and arterial blood gas. Our data suggest that the molecular adsorbent recirculating system may cause noncardiogenic pulmonary edema, possibly by an immune-mediated mechanism.</abstract><cop>Japan</cop><pub>Springer Nature B.V</pub><pmid>14691671</pmid><doi>10.1007/s10047-003-0233-9</doi><tpages>4</tpages></addata></record> |
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| subjects | Aged Aquaculture Blood pressure Disease Progression Fatal Outcome Hepatic Encephalopathy - diagnosis Hepatic Encephalopathy - therapy Humans Liver Failure, Acute - diagnosis Liver Failure, Acute - therapy Liver, Artificial - adverse effects Lungs Male Middle Aged Peritoneal Dialysis - adverse effects Peritoneal Dialysis - methods Pulmonary Edema - diagnostic imaging Pulmonary Edema - etiology Radiography, Thoracic Risk Assessment Severity of Illness Index |
| title | Noncardiogenic pulmonary edema induced by a molecular adsorbent recirculating system: case report |
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