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Related Experiment Videos

A clinical study on different cellulosic dialysis membranes.

D Falkenhagen1, T Bosch, G S Brown

  • 1Department of Internal Medicine, Wilhelm Pieck University, Rostock, GDR.

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
|January 1, 1987
PubMed
Summary

Modified cellulose membranes (Hemophan) offer comparable clearance to traditional options but significantly improve phosphate removal and blood compatibility. This enhanced biocompatibility, reducing complement activation and white blood cell reduction, stems from chemical modification, not heparin binding.

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Area of Science:

  • Biomaterials Science
  • Nephrology
  • Clinical Medicine

Background:

  • Dialysis membranes are crucial for hemodialysis efficacy and patient safety.
  • Classical regenerated cellulose (Cuprophan) and cellulose acetate membranes have known limitations in biocompatibility.
  • Modified cellulosic membranes aim to improve upon existing dialysis technologies.

Purpose of the Study:

  • To compare the clinical efficacy and blood compatibility of a modified cellulose membrane (Hemophan) against regenerated cellulose (Cuprophan) and cellulose acetate membranes.
  • To investigate the clearance rates for urea, creatinine, and inorganic phosphate.
  • To assess complement activation and white blood cell/platelet reduction.

Main Methods:

  • A controlled, 8-week cross-over clinical study in two dialysis centers.

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  • Inclusion of dialyzers with Hemophan, Cuprophan, and cellulose acetate membranes.
  • Clinical and biochemical investigations, including clearance measurements and blood compatibility assessments (C3a activation, WBC and platelet counts).
  • Main Results:

    • Hemophan demonstrated comparable urea and creatinine clearance to Cuprophan and cellulose acetate.
    • Modified cellulose exhibited significantly increased inorganic phosphate clearance compared to both other membranes.
    • Hemophan showed significantly reduced complement activation (C3a) and white blood cell reduction versus Cuprophan and cellulose acetate.

    Conclusions:

    • Modified cellulose (Hemophan) offers comparable solute clearance to conventional membranes.
    • Hemophan provides superior blood compatibility by minimizing complement activation and white blood cell reduction.
    • The improved biocompatibility is attributed to the chemical modification of cellulose, not heparin binding.