Francisco Maduell , José Jesús Broseta , Diana Rodríguez-Espinosa , Lida María Rodas , Miquel Gómez , Marta Arias-Guillén , Néstor Fontseré , Manel Vera , Maria del Carmen Salgado , Nayra Rico , Rosa Ramos
{"title":"新一代螺旋酮透析器的功效和安全性比较","authors":"Francisco Maduell , José Jesús Broseta , Diana Rodríguez-Espinosa , Lida María Rodas , Miquel Gómez , Marta Arias-Guillén , Néstor Fontseré , Manel Vera , Maria del Carmen Salgado , Nayra Rico , Rosa Ramos","doi":"10.1016/j.nefro.2024.02.005","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>New generation helixone dialyzers has recently been developed as part of the ongoing effort to improve dialyzer hemocompatibility and avoid adverse reactions to synthetic dialyzers. This study aimed to assess the performance and albumin loss of this new dialyzer series in hemodiafiltration and compare it with the previous generation helixone series.</p></div><div><h3>Material and methods</h3><p>A prospective study was conducted in 19 patients. Each patient underwent eight dialysis sessions with the same routine dialysis parameters; only the dialyzer varied: FX60 CorDiax, FX CorAL 60, FX600 CorDiax, FX CorAL 600, FX80 CorDiax, FX CorAL 80, FX800 CorDiax, and FX CorAL 800. The reduction ratios (RR) of urea, creatinine, β<sub>2</sub>-microglobulin, myoglobin, kappa-free immunoglobulin light chains (κFLC), prolactin, α<sub>1</sub>-microglobulin, α<sub>1</sub>-acid glycoprotein, lambda immunoglobulin light chains (λFLC), and albumin were compared intra-individually. Dialysate albumin loss was also measured.</p></div><div><h3>Results</h3><p>All treatments were well tolerated. The mean amount of replacement fluid ranged from 31 to 34<!--> <!-->litres. Comparison of dialysis treatments showed no differences between small molecules and even up to those the size of β<sub>2</sub>-microglobulins. Little differences were found between myoglobin, κFLC, prolactin, α<sub>1</sub>-microglobulin, and λFLC RRs, and only FX80 CorDiax was slightly superior to the others. Mean dialysate albumin losses were similar, with less than 2.5<!--> <!-->grams lost in each dialyzer. The FX80 CorDiax showed slightly higher global removal scores than the other dialyzers evaluated, except for FX CorAL 800.</p></div><div><h3>Conclusion</h3><p>The new generation helixone dialyzers series has been updated to minimise the risk of adverse reactions, while maintaining the effectiveness and albumin loss achieved by the previous most advanced helixone generation.</p></div>","PeriodicalId":18997,"journal":{"name":"Nefrologia","volume":"44 3","pages":"Pages 354-361"},"PeriodicalIF":2.0000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S021169952400016X/pdfft?md5=2e453e9cfb8175b9515cc67280765dbe&pid=1-s2.0-S021169952400016X-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Comparación de la eficacia y seguridad de la nueva generación dializadores de helixona\",\"authors\":\"Francisco Maduell , José Jesús Broseta , Diana Rodríguez-Espinosa , Lida María Rodas , Miquel Gómez , Marta Arias-Guillén , Néstor Fontseré , Manel Vera , Maria del Carmen Salgado , Nayra Rico , Rosa Ramos\",\"doi\":\"10.1016/j.nefro.2024.02.005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>New generation helixone dialyzers has recently been developed as part of the ongoing effort to improve dialyzer hemocompatibility and avoid adverse reactions to synthetic dialyzers. This study aimed to assess the performance and albumin loss of this new dialyzer series in hemodiafiltration and compare it with the previous generation helixone series.</p></div><div><h3>Material and methods</h3><p>A prospective study was conducted in 19 patients. Each patient underwent eight dialysis sessions with the same routine dialysis parameters; only the dialyzer varied: FX60 CorDiax, FX CorAL 60, FX600 CorDiax, FX CorAL 600, FX80 CorDiax, FX CorAL 80, FX800 CorDiax, and FX CorAL 800. The reduction ratios (RR) of urea, creatinine, β<sub>2</sub>-microglobulin, myoglobin, kappa-free immunoglobulin light chains (κFLC), prolactin, α<sub>1</sub>-microglobulin, α<sub>1</sub>-acid glycoprotein, lambda immunoglobulin light chains (λFLC), and albumin were compared intra-individually. Dialysate albumin loss was also measured.</p></div><div><h3>Results</h3><p>All treatments were well tolerated. The mean amount of replacement fluid ranged from 31 to 34<!--> <!-->litres. Comparison of dialysis treatments showed no differences between small molecules and even up to those the size of β<sub>2</sub>-microglobulins. Little differences were found between myoglobin, κFLC, prolactin, α<sub>1</sub>-microglobulin, and λFLC RRs, and only FX80 CorDiax was slightly superior to the others. Mean dialysate albumin losses were similar, with less than 2.5<!--> <!-->grams lost in each dialyzer. 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Comparación de la eficacia y seguridad de la nueva generación dializadores de helixona
Introduction
New generation helixone dialyzers has recently been developed as part of the ongoing effort to improve dialyzer hemocompatibility and avoid adverse reactions to synthetic dialyzers. This study aimed to assess the performance and albumin loss of this new dialyzer series in hemodiafiltration and compare it with the previous generation helixone series.
Material and methods
A prospective study was conducted in 19 patients. Each patient underwent eight dialysis sessions with the same routine dialysis parameters; only the dialyzer varied: FX60 CorDiax, FX CorAL 60, FX600 CorDiax, FX CorAL 600, FX80 CorDiax, FX CorAL 80, FX800 CorDiax, and FX CorAL 800. The reduction ratios (RR) of urea, creatinine, β2-microglobulin, myoglobin, kappa-free immunoglobulin light chains (κFLC), prolactin, α1-microglobulin, α1-acid glycoprotein, lambda immunoglobulin light chains (λFLC), and albumin were compared intra-individually. Dialysate albumin loss was also measured.
Results
All treatments were well tolerated. The mean amount of replacement fluid ranged from 31 to 34 litres. Comparison of dialysis treatments showed no differences between small molecules and even up to those the size of β2-microglobulins. Little differences were found between myoglobin, κFLC, prolactin, α1-microglobulin, and λFLC RRs, and only FX80 CorDiax was slightly superior to the others. Mean dialysate albumin losses were similar, with less than 2.5 grams lost in each dialyzer. The FX80 CorDiax showed slightly higher global removal scores than the other dialyzers evaluated, except for FX CorAL 800.
Conclusion
The new generation helixone dialyzers series has been updated to minimise the risk of adverse reactions, while maintaining the effectiveness and albumin loss achieved by the previous most advanced helixone generation.
期刊介绍:
Nefrología is the official publication of the Spanish Society of Nephrology. The Journal publishes articles on basic or clinical research relating to nephrology, arterial hypertension, dialysis and kidney transplants. It is governed by the peer review system and all original papers are subject to internal assessment and external reviews. The journal accepts submissions of articles in English and in Spanish languages.