ANDRÉ VIALLET, M.D.; JEAN-PIERRE VILLENEUVE, M.D., M.SC.
To the editor: In their very informative paper in the May 1979 issue, Harmon and coworkers (1) have described their findings of disseminated intravascular coagulation in cirrhotic patients in whom a peritoneovenous shunt was installed. In their discussion, they state that extracorporeal ultrafiltration devices for the reinfusion of ascitic fluid have not been associated with laboratory evidence of disseminated intravascular coagulation.
In 1977, we reported our findings (2) in eight patients, with diuretic-resistant ascites due to cirrhosis, treated 11 times by reinfusion of concentrated ascitic fluid (Rhodiascit, Rhône-Poulenc, France). Coagulation abnormalities were found during 10 procedures. Significant drops of the
VIALLET A, VILLENEUVE J. Intravascular Coagulation and Ascitic-Fluid Infusion. Ann Intern Med. 1979;91:318–319. doi: 10.7326/0003-4819-91-2-318
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Published: Ann Intern Med. 1979;91(2):318-319.
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