How does higher ultrafiltration within the conventional clinical range impact the volume status of hemodialysis patients?

Blood Purification

Volumn 27, Issue 3, 2009, Pages 253-260

  Yashiro, M ^a   Kamata, T ^a   Segawa, H ^a   Murakami, T ^a   Kadoya, Y ^a   Muso, E ^b  

^a KYOTO CITY HOSPITAL   (Japan)

^b Kitano Hospital   (Japan)

Author keywords

Atrial natriuretic peptide; Bioimpedance spectroscopy; Hemodialysis; Plasma refilling; Ultrafiltration; Vena cava diameter in quiet expiration

Indexed keywords

ATRIAL NATRIURETIC FACTOR;

ADULT; AGED; ARTICLE; BIOIMPEDANCE SPECTROSCOPY; BLOOD VOLUME; BODY WATER; BODY WEIGHT; CALCULATION; CORRELATION ANALYSIS; EXTRACELLULAR FLUID; HEMODIALYSIS; HEMODIALYSIS PATIENT; HUMAN; INFERIOR CAVA VEIN; MAJOR CLINICAL STUDY; MICROVASCULATURE; MULTIPLE LINEAR REGRESSION ANALYSIS; PARAMETER; PRIORITY JOURNAL; PROGNOSIS; SPECTROSCOPY; STANDARDIZED FILTRATION COEFFICIENT; TOTAL BODY WATER; ULTRAFILTRATION; VEIN DIAMETER;

ADULT; AGED; AGED, 80 AND OVER; BLOOD VOLUME; BODY WATER; ELECTRIC IMPEDANCE; EXTRACELLULAR FLUID; EXTRACELLULAR SPACE; HUMANS; MIDDLE AGED; RENAL DIALYSIS; ULTRAFILTRATION; VENA CAVA, INFERIOR; WATER-ELECTROLYTE BALANCE;

EID: 59849108366     PISSN: 02535068     EISSN: None     Source Type: Journal    
DOI: 10.1159/000202004     Document Type: Article

References (25)

1. Saran R, Bragg-Gresham JL, Levin NW, Twardowski ZJ, Wizemann V, Saito A, Kimata N, Gillespie BW, Combe C, Bommer J, Akiba T, Mapes DL, Young EW, Port FK: Longer treatment time and slower ultrafiltration in hemodialysis: associations with reduced mortality in the DOPPS. Kidney Int 2006; 69: 1222-1228.
2. Twardowski ZJ: Treatment time and ultrafiltration rate are more important in dialysis prescription than small molecule clearance. Blood Purif 2007; 25: 90-98.
3. Chazot C, Jean G: Treatment time. Contrib Nephrol. Basel, Karger, 2008, vol 161, pp 154-161.
4. Movilli E, Gaggia P, Zubani R, Camerini C, Vizzardi V, Parrinello G, Savoldi S, Fischer MS, Londrino F, Cancarini G: Association between high ultrafiltration rates and mortality in uraemic patients on regular haemodialysis. A 5-year prospective observational multicentre study. Nephrol Dial Transplant 2007; 22: 3547-3552.
5. Plum J, Schoenicke G, Kleophas W, Kulas W, Steffens F, Azem A, Grabensee B: Comparison of body fluid distribution between chronic haemodialysis and peritoneal dialysis patients as assessed by biophysical and biochemical methods. Nephrol Dial Transplant 2001; 16: 2378-2385.
6. Ando Y, Yanagiba S, Asano Y: The inferior vena cava diameter as a marker of dry weight in chronic hemodialyzed patients. Artif Organs 1995; 19: 1237-1242.
7. Ishibe S, Peixoto A: Methods of assessment of volume status and intercompartmental fluid shifts in hemodialysis patients: implications in clinical practice. Semin Dialysis 2004; 17: 37-43.
8. Tetsuka T, Ando Y, Ono S, Asano Y: Change in inferior vena cava diameter detected by ultrasonography during and after hemodialysis. ASAIO J 1995; 41: 105-110.
9. Spiegel DM, Bashir K, Fisch B: Bioimpedance resistance ratios for the evaluation of dry weight in hemodialysis. Clin Nephrol 2000; 53: 108-114.
10. Lopot F, Nejedlý B, Novotná H, Macková M, Sulková S: Age-related extracellular to total body water volume ratio (Ecv/TBW) - can it be used for 'dry weight' determination in dialysis patients? Application of multifrequency bioimpedance measurement. Int J Artif Organs 2002; 25: 762-769.
11. Chamney PW, Kramer M, Rode C, Kleinekofort W, Wizemann V: A new technique for establishing dry weight in hemodialysis patients via whole body bioimpedance. Kidney Int 2002; 61: 2250-2258.
12. Chen W, Guo L, Wang T: Extracellular water/intracellular water is a strong predictor of patient survival in incident peritoneal dialysis patients. Blood Purif 2007; 25: 260-266.
13. Chamney PW, Wabel P, Moissl UM, Müller MJ, Bosy-Westphal A, Korth O, Fuller NJ: A whole-body model to distinguish excess fluid from the hydration of major body tissues. Am J Clin Nutr 2007; 85: 80-89.
14. Daugirdas JT: Dialysis hypotension: a hemodynamic analysis. Kidney Int 1991; 39: 233-246.
15. Yashiro M, Watanabe H, Tomita M, Yamadori N, Muso E: The relationship between filtration coefficients of microvasculature (Lpst) and levels of atrial natriuretic peptide or echocardiographic measurements. Blood Purif 2005; 23: 431-439.
16. Dasselaar JJ, de Jong PE, Huisman RM, Franssen CF: Influence of ultrafiltration volume on blood volume changes during hemodialysis as observed in day-of-the-week analysis of hemodialysis sessions. ASAIO J 2007; 53: 479-484.
17. Schneditz D, Roob J, Oswald M, Pogglitsch H, Moser M, Kenner T, Binswanger U: Nature and rate of vascular refilling during hemodialysis and ultrafiltration. Kidney Int 1992; 42: 1425-1433.
18. Iimura O, Tabei K, Nagashima H, Asano Y: A study on regulating factors of plasma refilling during hemodialysis. Nephron 1996; 74: 19-25.
19. Edwards BS, Zimmerman RS, Schwab TR: Atrial stretch, not pressure, is the principal determinant controlling the acute release of atrial natriuretic peptide. Circ Res 1988; 62: 191.
20. Natori H, Tamaki S, Kira S: Ultrasonographic evaluation of ventilatory effect on inferior vena cava configuration. Am Rev Respir Dis 1979; 120: 421-427.
21. Jaffrin MY, Fenech M, de Fremont JF, Tolani M: Continuous monitoring of plasma, interstitial, and intracellular fluid volumes in dialyzed patients by bioimpedance and hematocrit measurements. ASAIO J 2002; 48: 326-333.
22. Leypoldt JK, Cheung AK, Delmez JA, Gassman JJ, Levin NW, Lewis JA, Lewis JL, Rocco MV: Relationship between volume status and blood pressure during chronic hemodialysis. Kidney Int 2002; 61: 266-275.
23. Koomans HA, Geers AB, Dorhout Mees EJ: Plasma volume recovery after ultrafiltration in patients with chronic renal failure. Kidney Int 1984; 26: 848-854.
24. Tabei K, Sakurai T, Iimura O, Asano Y: Effect of noradrenaline on water permeability coefficient in HD patients (abstract). J Am Soc Nephrol 1994; 5: 370.
25. Santoro A, Ferramosca E, Mancini E: Biofeedback-driven dialysis: where are we? Contrib Nephrol. Basel, Karger, 2008, vol 161, pp 199-209.