In vivo clearance and elimination of nine marker substances during hemofiltration with different membranes

Int J Artif Organs. 1992 Jul;15(7):408-12.

Abstract

The handling of low, middle and high molecular weight markers was examined in seven stable dialysis patients during hemofiltration with different membranes. Four membranes were examined in a randomized, crossover order (polysulfone, polyamide, AN69 polyacrylonitrile, Asahi polyacrylonitrile) by measuring plasma and dialysate concentrations of phosphate, creatinine, vitamin B12, beta 2-microglobulin, furanic acid, hippuric acid, retinol-binding protein, alpha-1-antitrypsin, and albumin. Sieving coefficients and plasma clearances of beta 2-microglobulin or retinol-binding protein were markedly or slightly lower during hemofiltration with the Asahi polyacrylonitrile membrane than with the other membranes (highest removal with polysulfone/AN69 polyacrylonitrile membranes). No differences of obvious clinical relevance could be seen between the four membranes. A high beta 2-microglobulin removal rate might be important to prevent dialysis-associated amyloidosis.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Creatinine / analysis
  • Creatinine / blood
  • Dialysis Solutions / chemistry
  • Hemofiltration*
  • Hippurates / analysis
  • Hippurates / blood
  • Humans
  • Kidney Failure, Chronic / therapy*
  • Membranes, Artificial*
  • Middle Aged
  • Molecular Weight
  • Phosphates / analysis
  • Phosphates / blood
  • Random Allocation
  • Renal Dialysis*
  • Retinol-Binding Proteins / analysis
  • Retinol-Binding Proteins, Plasma
  • Serum Albumin / analysis
  • Vitamin B 12 / analysis
  • Vitamin B 12 / blood
  • beta 2-Microglobulin / analysis

Substances

  • Dialysis Solutions
  • Hippurates
  • Membranes, Artificial
  • Phosphates
  • Retinol-Binding Proteins
  • Retinol-Binding Proteins, Plasma
  • Serum Albumin
  • beta 2-Microglobulin
  • Creatinine
  • Vitamin B 12
  • hippuric acid