INTRAOPERATIVE CONTINUOUS HEMOFILTRATION FOR METABOLIC MANAGEMENT IN ACUTE AORTOILIAC OCCLUSION

Acute aortoiliac occlusion, or Leriche's syndrome, carries a risk of t he development of severe ischemia-reperfusion injury, characterized by electrolyte and acid-base balance disturbances. These injuries are of ten fatal, because of the rapid deterioration of multiple organ system s. 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 con tinuous renal replacement therapy. (C) 1998 by Elsevier Science Inc.