Chronic Kidney Disease
Conditions
Keywords
stage V, treated, hemodiafiltration
Brief summary
Low molecular weight heparin (LMWH) is injected in the dialysis circuit at the start of the session. In the present study we compare 3 different methods of injection of LMWH: parameters of dialysis efficiency and clotting are measured. The study lasts 3 sessions for each patient.
Interventions
Injection of LMWH at the inlet line, at the start of the hemodiafiltration session
Injection of LMWH at the inlet line, 5 minutes after the start of the hemodiafiltration session
Injection of LMWH at the outlet line, at the start of the hemodiafiltration session
Sponsors
Study design
Eligibility
Inclusion criteria
* chronic kidney disease stade V treated with hemodiafiltration * age \>18 year * Hematocrit \> 30%
Exclusion criteria
* treatment with vitamin K antagonists * treatment with other anti-coagulants or heparin besides the heparin used during dialysis * active bleeding, infection or malignancy * heparin associated allergy * hepatic failure * trombocytopenia \< 120.000/µl
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Anti-Xa activity at the end of the session | 240 min after start |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ETP during the session | at start, 30 min, 120 min, 180 min and 240 min | — |
| Reduction ratio of urea | after 10min, 180min and 240min | — |
| Anti-Xa activity during the session | at start, 30 min, 120 min and 180 min | — |
| Visual inspection of membrane and circuit | After the hemodiafiltration session | — |
| pressure measurements along the circuit | during the session | inlet blood line, prefilter, transmembrane, outlet blood line |
| Reduction ratio of beta2microglobulin | after 10min, 180min and 240min | — |
Countries
Belgium