ArticleTherapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy2026
Effects of the Fluid Replacement Method During Online Hemodiafiltration on the Solute Removal Performance and Biocompatibility Using the Asymmetric Cellulose Triacetate Membrane.
Article in Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionPre-dilution online hemodiafiltration (Pre-HDF) is predominantly used in Japan, whereas post-dilution online HDF (Post-HDF) is more common in Europe. An asymmetric cellulose triacetate (ATA) membrane may improve biocompatibility. This study compared biocompatibility and solute removal performance between Pre- and Post-HDF using the ATA membrane.
methodsEight stable maintenance hemodialysis patients underwent both Pre- (60 L/session) and Post-HDF (12 L/session) using an ATA membrane. Blood flow rate was 250 mL/min, total dialysate flow rate was 500 mL/min, and treatment time was 4 h. Biocompatibility and solute removal parameters were evaluated.
resultsWhite blood cell and platelet counts showed mild decreases; inflammatory markers remained unchanged in both modalities. CD62P expression increased more in Post-HDF. Reduction rates of urea, creatinine, and α1-microglobulin were higher in Post-HDF, while β2-microglobulin was comparable. Albumin leakage was greater in Post-HDF.
conclusionsUsing the ATA membrane, Pre- and Post-HDF showed comparable biocompatibility, while Post-HDF provided superior solute removal performance.
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