Extracorporeal dialysis: techniques and adequacy - A
2013; Oxford University Press; Volume: 28; Issue: suppl 1 Linguagem: Inglês
10.1093/ndt/gft116
ISSN1460-2385
AutoresD. Steckiph, G. Calabrese, A. Bertucci, A. Mazzotta, G. Vagelli, M. Gonella, D. Stamopoulos, E. Manios, N. Papachristos, E. Grapsa, Grigorios Papageorgiou, V. Gogola, Benny So, Vivek Kumar Dey, Elaine Spalding, Carmelo Libetta, Pasquale Esposito, Elisabetta Margiotta, Pamela Maffioli, Aldo Bonaventura, L. Bianchi, Davide Romano, Teresa Rampino, Giuseppe De Rosa, Astrid Mauric, Ulrike Haug, Günter F. Enzinger, E. Kern-Derstvenscheg, A. Sluga, C. Ausserwinkler, Werner Beck, Alexander R. Rosenkranz, Vaibhav Maheshwari, Shah Muhammad Haroon, Yijun Loy, S. Lakshminarayanan, Gade Pandu Rangaiah, Titus Lau, D. Stamopoulos, N. Mpakirtzi, Maria Panagiotou, Despina Barbarousi, C. Matsouka, E. Grapsa, A. D. Bunani, Monika Kowalczyk, Piotr Bartnicki, Monika Banach, Jacek Rysz, P. Lentini, L. Zanoli, A. Granata, A. Contestabile, A. Basso, G. Berlingo, V. Pellanda, M. de Cal, Valeria De Grazia, A. Clementi, M. Insalaco, R. Dell'Aquila, Ayman Karkar, Mohamed A. Abdel-Rahman, A. R. Martins, L. Parreira, Ana Sofía Duque, Isilda Rodrigues, Anis Baffoun, M. A. Youssfi, Aicha Sayeh, Maher Béji, R. Ben Khadra, J. Hmida, M. Akazawa, H. Horiuchi, Yoriko Hori, A. Yamada, H Satou, S. Odamaki, Shuichi Nakai, K. Satou, Kentaro Aoki, Ikuo Saito, Y. Kamijo, Soshiro Ogata, Y. Ishibashi, F. Basso, Marzena Wojewódzka‐Żeleźniakowicz, D. Cruz, A. Giuliani, Lourdes Blanca Martos, Pasquale Piccinni, Claudio Ronco, J. Potier, Guillaume Queffeulou, J. Bouet, A. Nilsson, Jan Sternby, G. Grundstrom, Maria Alquist, Martina Ferraresi, Maria Cristina Di Vico, F. N. Vigotti, Maria Chiara Deagostini, S. Scognamiglio, Valentina Consiglio, R. Clari, Irene Moro, Elena Mongilardi, Piccoli Gb, Viktoria Hancock, S. Huang, A. Nilsson, G. Grundstrom, K. Nilsson Ekdahl, G. Calabrese, D. Steckiph, A. Bertucci, Clara Baldin, M. Petrarulo, Domenico Mancuso, G. Vagelli, M. Gonella, P. Inguaggiato, Giorgio Canepari, Graziella Gigliola, Castillo Ferrando, S. Meinero, Carmelo Sicuso, A. Pacitti, D. Stamopoulos, N. Mpakirtzi, E. Manios, N. Afentakis, E. Grapsa, Tadashi Tomo, K. Matsuyama, Tracy Nakata, Kazuhiko Ishida, Takashi Takeno, Jun‐ichi Kadota, J. Minakuchi, J. Kastl, Marcelo Merello, C. Boccato, Guido Giordana, Salvatore Mazzone, V. Moscardo, J. Kastl, Guido Giordana, Brigitte Reinhardt, R. Knaup, Wolfgang Krüger, David Tovbin, Si‐Hyun Kim, Lone S. Avnon, Moshe Zlotnik, S. Storch, Koichi Umimoto, Yoshimasa Shimamoto, Motohiro Suyama, Masahiro Miyata, E. Bosch Benitez-Parodi, E. E. Baamonde Laborda, Gladymar Pérez Chacón, J. I. Ramirez, Ana Ramírez Puga, Rodolfo Castaño Guerra, C Canton, M. M. Lago Alonso, Alceu de Oliveira Toledo, M. D. Checa Andres, F. E. Latif, Y. Mochida, Kaoru Matsumoto, K Morita, D. Tsutsumi, K. Ishioka, K. Maesato, Machiko Oka, H. Moriya, S. Hidaka, T. Ohtake, S. Kobayashi, A. Ficheux, Nathalie Gayrard, Flore Duranton, C. Guzmán, Ilan Szwarc, J. Bismuth-Mondolfo, Philippe Brunet, Marie-Françoise Servel, Àngel Argilés, Nikolaos Tsikliras, S. Mademtzoglou, Elias V. Balaskas, M. Zeid, Ahmad E. Mostafa, M. N. Mowafy, EhabFawzy Abdo, Omed Amin, A. Ksiazek, W. Zaluska, J. Waniewski, M. Debowska, A. Wojcik-Zaluska, Michelle Elias, Arnaud François, Erika Nnang Obada, Hans K. Lorenzo, B Charpentier, A. Durrbach, Séverine Beaudreuil, Goran Imamović, Daniele Marcelli, I. Bayh, R Hrvacević, Sonja Kapun, A. Grassmann, L. Scatizzi, Jelena Maslovarić, R. Daelemans, Sofie Mesens, E. A. Mohamed, A. Wafae, H. Kawtar, H. Amine, K. Driss, B. Mohammed,
Tópico(s)Renal Transplantation Outcomes and Treatments
ResumoIntroduction and Aims:The biofeedback on TMP, as UltraControl (UC, Gambro), enhances and automatically adjusts the convective volume in hemodiafiltration online (OL-HDF).Moreover, the results of recent RCTs on postdilution OL HDF, such as CONTRAST and TURKISH, suggest that OL-HDF with high convective volume can improve the patient survival.This study evaluated the convective performances of UC in post-dilution OL-HDF on two dialysis machines: AK200 ULTRA S (AK) and ARTIS.Methods: We enrolled 14 stable pts (63±12 yrs), already treated by OL-HDF, in a sequential design study of two weeks for each monitor.Both monitors automatically set the infusion volume by a biofeedback on TMP (described by Teatini et al.Blood Purif 2011), while AK measures the TMP value by 3 points formula (Pre-filter, venous and inlet dialysate pressure) and uses a TMP step of 25mmHg, ARTIS works with 4 points (Pre-filter, venous, inlet and outlet dialysate pressure) and TMP step of 20mmHg.For each patient the remaining technical parameters were kept unchanged.The infusion volume, TMP and Pre-filter pressure (PFP) were hourly collected.All the pts were treated with 2.1 m2 Polyflux H (Gambro).The descriptive analysis was based on the mean ± standard deviation.Inferential statistics included two tailed t-test for paired data, considering a probability value of less than 0.05 as significant.Results: No differences were found on main dialytic parameters, such as Qb (371±10 vs 370±12 ml/min, p=0.978), treatment time (265±16 vs 266±16 min, p=0.334) and total weight loss (1.8±0.7 vs 1.8±0.7 L, p=0.739), between the two periods.The ARTIS system reached a smooth higher infusion volume (27.0±2.5Lvs 25.8±2.3L,p 20 L) in postdilution OL HDF with AK and ARTIS machine.The introduction of 4 points TMP measuring and a smaller increment TMP step resulted in more optimize TMP setpoint, leading to an increase of infusion volume and reduction of the intra-patient variability on ARTIS machine.Therefore UltraControl system on ARTIS seems to be the best technique for Postdilution OL-HDF.
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