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- Title
Optimization of the convection volume in online post-dilution haemodiafiltration: practical and technical issues.
- Authors
Chapdelaine, Isabelle; de Roij van Zuijdewijn, Camiel L. M.; Mostovaya, Ira M.; Lévesque, Renée; Davenport, Andrew; Blankestijn, Peter J.; Wanner, Christoph; Nubé, Menso J.; Grooteman, Muriel P. C.
- Abstract
In post-dilution online haemodiafiltration (ol-HDF), a relationship has been demonstrated between the magnitude of the convection volume and survival. However, to achieve high convection volumes (>22 L per session) detailed notion of its determining factors is highly desirable. This manuscript summarizes practical problems and pitfalls that were encountered during the quest for high convection volumes. Specifically, it addresses issues such as type of vascular access, needles, blood flow rate, recirculation, filtration fraction, anticoagulation and dialysers. Finally, five of the main HDF systems in Europe are briefly described as far as HDF prescription and optimization of the convection volume is concerned.
- Subjects
HEMODIAFILTRATION; PROGRESSION-free survival; BLOOD filtration; HEMODIALYSIS patients; CHRONIC kidney failure
- Publication
Clinical Kidney Journal, 2015, Vol 8, Issue 2, p191
- ISSN
2048-8505
- Publication type
Article
- DOI
10.1093/ckj/sfv003