NDT Advance Access originally published online on October 26, 2004
Nephrology Dialysis Transplantation 2004 19(12):2965-2970; doi:10.1093/ndt/gfh502
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Nephrol Dial Transplant Vol. 19 No. 12 © ERA-EDTA 2004; all rights reserved
Editorial Review
Impact of the type of dialyser on the clinical outcome in chronic haemodialysis patients: does it really matter?
Department of Nephrology, Free University Medical Centre, de Boelelaan 1117, 1081 HV Amsterdam, The Netherlands
Correspondence and offprint requests to: M. J. Nubé, Department of Nephrology, Free University Medical Centre, de Boelelaan 1117, 1081 HV Amsterdam, The Netherlands. Email: m.j.nube@mca.nl
Keywords: bioincompatibility; cardiovascular disease; clinical outcome; dialyser; ESRD; flux; haemodialysis
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| Introduction |
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Despite the relative efficiency of modern equipment, haemodialysis (HD) remains inferior to normal kidney function for several reasons. First of all, HD treatment results in a weekly clearance of small molecular weight substances of only 1015 ml/min, as compared with 90120 ml/min for normal kidneys. Secondly, so-called middle molecules (MMs) as well as some larger peptides, which are normally excreted or metabolized by the healthy kidney, are cleared inadequately and will therefore accumulate in chronic HD (CHD) patients. Thirdly, various undesirable interactions, including both short- and long-term side effectstermed bio(in)compatibilitymay occur between the living organism and the extracorporeal circuit (ECC) [1].
In the last decades, a variety of new dialysers, differing in design, material, membrane surface area and permeability, have been developed. Very recently, one of the world's largest companies involved in the production and development of dialysers replaced its total set of low-flux (LF) dialysers by a
| Dialysers |
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| Bio(in)compatibility |
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| Solute mass transport |
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| Markers of endothelial dysfunction and cardiovascular disease |
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| Clinical data |
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| Conclusions |
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