ALB and Hyponatremia: Studies showed that these devices decrease the need for paracentesis and can even improve quality of life.6,7 However, other studies report a higher incidence of adverse events, such as acute kidney injury (AKI) or hyponatremia.6 Hence, rehospitalization rates were increased compared with SOC.8 Besides presence of a device in the peritoneal cavity, daily low-volume taps without albumin substitution is the most eminent difference in contrast to patients receiving SOC.