ALB and Hyponatremia: Thus, albumin infusion in these patients remains a matter of debate.4 However, PPCD has already been reported in patients with Alfapump, and our data indicate that complications occur with increasing drainage volumes, even in the setting of low-volume paracentesis.15 In our cohort, none of the patients received regular albumin infusion after drainage and albumin was only administered for other indications like SBP, AKI, or hyponatremia.