Treatment of severe dialysis reactions with the AN69-ST membrane: biocompatibility does matter

Luís Coentrão1,2, Patrícia Martins1, Ana Leblanc3

  • 1Nephrology Research and Development Unit, Faculty of Medicine, University of Porto, Hospital de S. João EPE, Porto, Portugal.

NDT Plus
|June 29, 2017
PubMed

Insights

Severe dialysis reactions in a patient with asthma were linked to synthetic membranes. Switching to a surface-treated AN69 membrane resolved these adverse events, highlighting the need for biocompatible dialyzers.

Area of Science:

  • Nephrology
  • Biomaterials Science

Background:

  • Dialysis reactions, though rare, can be severe and are often linked to complement activation.
  • Biocompatibility of dialysis membranes is crucial for patient safety.

Observation:

  • A hemodialysis patient with asthma experienced severe adverse reactions during dialysis sessions using various synthetic membranes.
  • These reactions ceased after switching to a surface-treated AN69 membrane dialyzer.

Findings:

  • The specific synthetic membranes used were associated with severe adverse reactions in this susceptible patient.
  • The surface-treated AN69 membrane proved to be a safe and effective alternative, resolving the patient's reactions.

Implications:

  • This case underscores the importance of selecting biocompatible dialyzers, particularly for patients prone to adverse reactions.
  • High permeability and adsorptive capacity are key features for dialyzers in managing severe dialysis reactions.

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