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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.
Abstract:
Dialysis reactions with biocompatible membranes are rare, and complement activation has been suggested to be a culprit. We report here a case of an incident haemodialysis patient with asthma disease who experienced severe adverse reactions late into dialysis session, with different synthetic membranes (FX 80, Fresenius; Polyflux 17L, Gambro; FX 10, Fresenius; BLS 512, Bellco-Sorin). After replacing the dialyser by the surface-treated AN69 membrane (Nephral ST 500, Hospal), the dialysis sessions became uneventful. The case reinforces the need for biocompatible dialysers with high permeability and adsorptive capacity in susceptible patients experiencing severe dialysis reactions with synthetic membranes.
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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