Simultaneous heparin extracorporeal LDL precipitation and hemodialysis. First clinical experience.

ASAIO transactions Pub Date : 1991-07-01
T Eisenhauer, U Müller, P Schuff-Werner, V W Armstrong, T Bosch, J Thiery, H Gurland, D Seidel
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Abstract

Simultaneous heparin extracorporeal LDL precipitation (HELP)-dialysis was carried out at weekly intervals in six patients with end-stage renal failure, associated hyperlipidemia, and a high risk of premature atherosclerosis. Evaluating 135 single treatments, a mean acute total cholesterol/LDL reduction of 31% and 39%, respectively, was found, while clearance of urinary substances was comparable to that in regular hemodialysis treatment. Treatment tolerance was excellent and no derangements in albumin, hemodialysis parameters, or blood coagulation were detected.

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同时肝素体外LDL沉淀和血液透析。第一次临床经验。
同时肝素体外低密度脂蛋白沉淀(HELP)透析对6例终末期肾功能衰竭、相关高脂血症和早期动脉粥样硬化高风险的患者进行每周一次的透析。评估135次单次治疗,发现急性总胆固醇/LDL平均分别降低31%和39%,而尿液物质清除率与常规血液透析治疗相当。治疗耐受性良好,未发现白蛋白、血液透析参数或凝血功能紊乱。
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Mechanism of dialysis-induced hypotension. Platelet preservation during cardiopulmonary bypass with iloprost and Duraflo-II heparin-coated surfaces. Peritoneal fluid kinetics during CAPD measured with intraperitoneal dextran 70. Influence of centrifugal blood pumps on the elasticity of erythrocytes. Reuse of "highly permeable" dialyzers with peroxyacetic acid as sole cleansing and disinfecting agent.
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