Anticoagulation in chronic hemodialysis: progress toward an optimal approach

M Kessler, F Moureau, P Nguyen - Seminars in Dialysis, 2015 - Wiley Online Library
Appropriate anticoagulation for hemodialysis (HD) requires a subtle balance between under‐
and over‐heparinization to prevent extracorporeal circuit (ECC) clotting and bleeding …

Anticoagulation in hemodialysis: a narrative review

SE Claudel, LA Miles, M Murea - Seminars in Dialysis, 2021 - Wiley Online Library
Systemic anticoagulation in maintenance hemodialysis (HD) has historically been
considered necessary to maintain the extracorporeal circuit (ECC) and preserve dialysis …

Anticoagulation for haemodialysis

M Suranyi, JSF Chow - Nephrology, 2010 - Wiley Online Library
The coagulation cascade is complex but well studied. Dialysis membranes and lines are
inherently pro‐coagulant and activate both the intrinsic and extrinsic pathways of …

Use and safety of unfractionated heparin for anticoagulation during maintenance hemodialysis

JI Shen, WC Winkelmayer - American journal of kidney diseases, 2012 - Elsevier
Anticoagulation is essential to hemodialysis, and unfractionated heparin (UFH) is the most
commonly used anticoagulant in the United States. However, there is no universally …

[HTML][HTML] Hemodialysis without systemic anticoagulation: a prospective randomized trial to evaluate 3 strategies in patients at risk of bleeding

B Guéry, C Alberti, A Servais, E Harrami, L Bererhi… - PLoS …, 2014 - journals.plos.org
Objective In this clinical trial, we aimed to compare three means of performing chronic
hemodialysis in patients with contra-indication to systemic heparinization. Methods This …

Essentials of anticoagulation in hemodialysis

KG FISCHER - Hemodialysis International, 2007 - Wiley Online Library
Numerous acquired hemostatic abnormalities have been identified in renal insufficiency.
Hemodialysis procedures add to these disturbances as they repetitively imply turbulent …

[HTML][HTML] Heparin-coated dialyzer membranes: is non-inferiority good enough?

BKI Meijers, R Poesen, P Evenepoel - Kidney International, 2014 - Elsevier
Evidence on the optimal anticoagulation regimen for hemodialysis in patients at high
bleeding risk is scarce. The HepZero study is the first large multinational study comparing …

[HTML][HTML] Rationale and design of the HepZero study: a prospective, multicenter, international, open, randomized, controlled clinical study with parallel groups …

P Rossignol, M Dorval, R Fay, JF Ros, N Loughraieb… - Trials, 2013 - Springer
Background Anticoagulation for chronic dialysis patients with contraindications to heparin
administration is challenging. Current guidelines state that in patients with increased …

Avoiding systemic heparinization during hemodialysis: how the dialysis setup might help

FV Janssens, B Meijers, K François - Seminars in Nephrology, 2024 - Elsevier
Heparin is the most widely used anticoagulant for maintaining patency of the extracorporeal
blood circuit during intermittent hemodialysis. Inadvertently, this leads to systemic …

Optimization of heparin anticoagulation for hemodialysis

A Davenport - Hemodialysis International, 2011 - Wiley Online Library
Unfractionated heparin remains the most commonly used anticoagulant for extracorporeal
therapies worldwide due to cost, years of clinical experience showing effectiveness and …