Open AccessReactions to Synthetic Membranes Dialyzers: Is there an Increase in Incidence?
Author(s) -
Martin-Navarro Juan,
Esteras Raquel,
Castillo Esmeralda,
Carriazo Sol,
Fernández-Prado Raúl,
Gracia-Iguacel Carolina,
Mas Fontao Sebastian,
Ortíz Alberto,
González-Parra Emilio
Publication year - 2019
Publication title -
kidney and blood pressure research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.806
H-Index - 51
eISSN - 1423-0143
pISSN - 1420-4096
DOI - 10.1159/000501035
Subject(s) - review article
AbstractBackground: Reactions to dialyzers used in dialysis have been reported more frequently in recent years. Evidence, however, shows that the reaction rate has remained stable for years. Summary: One explanation for the apparent increase in publication frequency could be the lack of knowledge that dialyzer reactions may well occur with biocompatible membranes. Studies showed that the cause of these reactions is very diverse and varied, involving multiple materials. However, polyvinylpyrrolidone continues to be the main suspect, but without conclusive results. There are no differences between the different fibers, and although polysulfone is the most described, it is also the most used. Key Messages: The change to cellulose triacetate continues to be the most appropriate form of treatment. The classification of these reactions into type A and B complicates the diagnosis, and its true usefulness is in doubt.