Why is filtration treatment for CHF not widespread?

[texasgal1966]

This questions is for one of the docs.  I am wondering if you think we will see more patients in the future getting filtration-type treatments for their CHF?  As a Telemetry RN in an acute care facility, I see frequent admissions and then subsequent readmissions (over and over) for exacerbation of CHF.  Our hospital has core measures that we follow on every CHF patient in order to ensure an Echo has been done within the past 6 mos and if warrented a Rx for an ACE inhibitor.  Despite this (along with tons of patient education) the readmsissions for CHF patients keep us busy.

Is the reason we do not see more filtration treatments is because of expense? Safety?  Meds are better?
Thanks!

[texasgal1966]

Thanks, doc!

[Dr J Singh]

Hi,
There’s no evidence to support the use of the filtration treatment being used for the CHF being in any better than the standard medical therapy for the same. It is used in patients of renal failure with fluid retention and not in patients of CHF without any underlying renal failure. I sincerely hope that helps. Take care.