Comparative clinical trial of regional anticoagulation for hemodialysis.
The regional anticoagulating effects of FUT-175 (protease inhibitor), and regional or low dose heparinization (RH or LH) were examined comparatively by randomized controlled protocol on 157 hemodialysis (HD) patients with hemorrhagic complications. Increases in bleeding because of HD were milder in FUT as compared with RH and LH, and the bleeding time after needle removal was significantly shorter in FUT than that in heparin. During HD, the prolongation of celite activated coagulation time (CCT) of the intracorporeal blood was significantly milder in FUT than in heparin and that of blood passing through the dialyzer was increased in FUT compared with LH. FUT showed no prolongation of CCT after HD. These results indicate that FUT is a more useful and safer anticoagulant for HD patients with hemorrhagic complications than any regional anticoagulating method using heparin (RH or LH).
Akizawa
T
T
Showa University Fujigaoka Hospital, Yokohama, Japan.
Kitaoka
T
T
Sato
M
M
Koshikawa
S
S
Hirasawa
Y
Y
Kazama
M
M
Mimura
N
N
Ota
K
K
D000925:Anticoagulants / Q000627:therapeutic use; D001550:Benzamidines; D001760:Bleeding Time; D002986:Clinical Trials as Topic; D005260:Female; D006146:Guanidines / Q000627:therapeutic use*; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006493:Heparin / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D011480:Protease Inhibitors / Q000627:therapeutic use*; D011897:Random Allocation; D006435:Renal Dialysis / Q000009:adverse effects*
D000925:Anticoagulants; D001550:Benzamidines; D006146:Guanidines; D011480:Protease Inhibitors; D006493:Heparin; C032855:nafamostat