Extracorporeal Techniques in Kidney Failure

Blood Purif. 2024;53(5):343-357. doi: 10.1159/000533258. Epub 2023 Sep 12.

Abstract

During the last decades, various strategies have been optimized to enhance clearance of a variable spectrum of retained molecules to ensure hemodynamic tolerance to fluid removal and improve long-term survival in patients affected by kidney failure. Treatment effects are the result of the interaction of individual patient characteristics with device characteristics and treatment prescription. Historically, the nephrology community aimed to provide adequate treatment, along with the best possible quality of life and outcomes. In this article, we analyzed blood purification techniques that have been developed with their different characteristics.

Keywords: End-stage kidney disease; Hemodiafiltration; Hemodialysis; Hemofiltration; Ultrafiltration; Uremic toxins.

Publication types

  • Practice Guideline

MeSH terms

  • Acute Kidney Injury* / etiology
  • Acute Kidney Injury* / therapy
  • Hemodiafiltration* / methods
  • Hemofiltration* / methods
  • Humans
  • Kidney Failure, Chronic* / therapy
  • Quality of Life
  • Renal Dialysis / methods