Peer-reviewed veterinary case report
Pleural dialysis used to treat severe kidney failure in three cats
By Vernier, Mara E et al.·Published in Frontiers in veterinary science·2024·Department of Small Animal Medicine and Surgery, United States·View original on PubMed →
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Original publication title: Case report: use of pleural dialysis as an alternate means of renal replacement therapy in three cats.
- Species:
- cat
Plain-English summary
Three cats with severe kidney problems were brought to the emergency room because their blood tests showed high levels of waste products. Traditional treatments weren't working, so the veterinarians used a new method called pleural dialysis, which helps remove toxins from the body without the need for standard kidney treatments. All three cats improved during and after the procedure, with two of them going home healthy. Unfortunately, the third cat had to be humanely euthanized due to a poor prognosis.
People also search for: cat kidney disease treatment · pleural dialysis for cats · severe azotemia in cats · cat blood test high urea nitrogen
Abstract
OBJECTIVE: The objective of this case series is to describe the indications, methodology, and short-term outcomes of three cats with severe azotemia managed with pleural dialysis. CASE SUMMARY: Three cats were presented separately to the emergency room (ER) on referral for severe azotemia of varying etiologies. Despite aggressive medical and/or surgical management, none of the cats showed improvement in their blood urea nitrogen (BUN) or creatinine values. Renal replacement therapy was recommended, but for varying reasons, the patients were unable to undergo a traditional extracorporeal method, such as intermittent hemodialysis (IDH). Instead, pleural dialysis was performed, and all three cats showed improvement in their renal values during and after their treatment. No significant complications were documented as a result of pleural dialysis. Two of the three cats were discharged from the hospital and the third cat was humanely euthanized due to poor prognosis. NEW OR UNIQUE INFORMATION PROVIDED: Pleural dialysis is a novel therapeutic procedure that is not documented in veterinary or human literature. This method of renal replacement therapy was well-tolerated and had no reported complications. Careful case selection and risk-benefit analysis should be considered before attempting this procedure. Further studies are necessary to further define the utility of this therapeutic intervention, evaluate the incidence of complications, and determine long term outcomes following the procedure.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/39502953/