Long-term results of dialysis therapy with a highly permeable membrane.
A five-year study of short-term dialysis using highly permeable polyacrylonitrile membrane AN 69 was started in March 1973 to compare the effects of AN 69 and Cuprophan membrane (CM). The time of dialysis was calculated for each patient on the basis of vitamin B12 clearance of the dialyzer and the residual glomerular filtration rate. For the study, 101 patients (38,555 dialysis sessions) who had been dialyzed for more than six months were selected. They were divided into three groups: Group I (n = 31) patients treated with AN 69 only; Group II (n = 31) patients treated with CM; Group III (n = 39) patients treated first with the CM and then with AN 69. Patients treated with AN 69 had higher levels of plasma urea but no particular metabolic disturbances were observed. The dialysis sessions were significantly better tolerated with AN 69 than with CM, however, the main advantage of using AN 69 is the shortening of dialysis time. The duration of dialysis was 9.5 +/- 0.2 hours per week with AN 69 and 16.4 +/- 0.2 hours per week with CM. Shortening of dialysis time permits better social rehabilitation of the patients. The shorter dialysis was not associated with any recognizable side effects that could be demonstrated by routine clinical and biological analysis.
D000180:Acrylic Resins / Q000627:therapeutic use*; D001806:Blood Urea Nitrogen; D002482:Cellulose / Q000031:analogs & derivatives / Q000627:therapeutic use; D006801:Humans; D007408:Intestinal Absorption / Q000187:drug effects; D007676:Kidney Failure, Chronic / Q000503:physiopathology / Q000534:rehabilitation / Q000628:therapy*; D007677:Kidney Function Tests; D008134:Long-Term Care; D008567:Membranes, Artificial; D008903:Minerals / Q000378:metabolism; D010539:Permeability; D006435:Renal Dialysis / Q000379:methods*; D014807:Vitamin D / Q000627:therapeutic use
D000180:Acrylic Resins; D008567:Membranes, Artificial; D008903:Minerals; D014807:Vitamin D; C010504:polyacrylonitrile; D002482:Cellulose; C009865:cuprammonium cellulose