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 …

Regional Citrate Anticoagulation: A Tale of More Than Two Stories

T Demuynck, M Grooteman, P Ter Wee… - Seminars in …, 2024 - Elsevier
Calcium is a key clotting factor, and several inorganic molecules that bind to calcium have
been found to reduce the clotting propensity of blood. Citrate, a calcium chelator, is used as …

Is regional citrate anticoagulation the future of hemodialysis?

J Buturovic‐Ponikvar - Therapeutic Apheresis and Dialysis, 2016 - Wiley Online Library
Citrate has many characteristics of the ideal anticoagulant for hemodialysis. In addition to
immediate and complete anticoagulation in the dialysis circuit, citrate has important effects …

Application of regional citrate anticoagulation in patients at high risk of bleeding during intermittent hemodialysis: a prospective multicenter randomized controlled trial

X Tang, D Chen, L Zhang, P Fu, Y Chen, Z Xiao… - Journal of Zhejiang …, 2022 - Springer
Objective Safe and effective anticoagulation is essential for hemodialysis patients who are at
high risk of bleeding. The purpose of this trial is to evaluate the effectiveness and safety of …

High cut‐off membrane hemodiafiltration in myoglobinuric acute renal failure: A case series

V Premru, J Kovač… - Therapeutic …, 2011 - Wiley Online Library
Acute renal failure is a major complication of rhabdomyolysis. New membranes for
hemodialysis have been developed with a high cut‐off pore size allowing efficient removal …

[HTML][HTML] Use of regional citrate anticoagulation with medium cut-off membrane: pilot report

MM Vrečko, J Pajek, J Buturović-Ponikvar - BMC nephrology, 2022 - Springer
Background Regional citrate anticoagulation during hemodialysis provides an immediate
and complete anticoagulant effect, which is limited to the extracorporeal circuit. Citrate has …

A biphasic dialytic strategy for the treatment of neonatal hyperammonemia

M Hanudel, S Avasare, E Tsai, O Yadin, J Zaritsky - Pediatric Nephrology, 2014 - Springer
Background Neonates with inborn errors of metabolism (IEM) often develop
hyperammonemia which, if not corrected quickly, may result in poor neurologic outcomes …

[HTML][HTML] Modified regional citrate anticoagulation is optimal for hemodialysis in patients at high risk of bleeding: a prospective randomized study of three …

T Lin, L Song, R Huang, Y Huang, S Tang, Q Lin… - BMC nephrology, 2019 - Springer
Background Recommended regular saline flushing presents clinical ineffectiveness for
hemodialysis (HD) patients at high risk of bleeding with heparin contraindication. Regional …

An individualized regional citrate anticoagulation protocol for hemodialysis: a real-world retrospective study

Y Fan, F Wu, M Zou, Y Gong, Z Hu, T Jiang… - … Urology and Nephrology, 2024 - Springer
Objective To evaluate the safety and effectiveness of an individualized regional citrate
anticoagulation (RCA) protocol for hemodialysis. Methods In this single-center, retrospective …

[HTML][HTML] Biocompatibility Parameters with Standard and Increased Dose of Citrate in Hemodialysis—A Randomized Trial

A Orsag, M Bozic-Mijovski, S Hudoklin… - Journal of clinical …, 2021 - mdpi.com
Background: The dose of citrate needed in regional citrate anticoagulation (RCA) to achieve
optimal biocompatibility is unknown. We performed a randomized trial comparing two doses …