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Nephrol Dial Transplant (2002) 17: 171-172
© 2002 European Renal Association-European Dialysis and Transplant Association

Letter and Reply

Predilution haemofiltration

Jeroen P. Kooman, Frank M. van der Sande and Karel M. L. Leunissen

Department of Internal Medicine University Hospital Maastricht Maastricht The Netherlands

Sir,

We read with interest the article by Altieri et al. [1] comparing haemodynamic effects of pre-dilution on-line haemofiltration and haemodialysis in a cross-over study. The main finding of a reduction in intra-session hypotensive episodes is in line with earlier data regarding post-dilution haemofiltration [2]. Nevertheless, we do not entirely agree with the interpretation of the results.

From the observation that the episodes of symptomatic hypotension progressively decreased and pre-dialytic mean arterial pressure increased, the authors conclude that it is inaccurate to attribute the difference in haemodynamic response during haemodialysis and haemofiltration treatment to a . . . [Full Text of this Article]

References

Paolo Altieri

Divisione di Nefrologia Ospedale San Michele Cagliari Italy


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C. H. Beerenhout, J. P. Kooman, A. J. Luik, S. G. J. Jeuken-Mertens, F. M. van der Sande, and K. M. L. Leunissen
Optimizing renal replacement therapy--a case for online filtration therapies?
Nephrol. Dial. Transplant., December 1, 2002; 17(12): 2065 - 2070.
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