Comparison of myoglobin clearance in three types of blood purification modalities

研究成果: Article査読

1 被引用数 (Scopus)

抄録

Myoglobin, which can cause acute kidney injury, has a relatively high molecular weight and is poorly cleared by diffusion. We compared and examined myoglobin clearance by changing the blood purification membrane and modality in patients with a myoglobin blood concentration ≥ 1000 ng/ml. We retrospectively analyzed three patient groups based on the following three types of continuous hemofiltration (CHF): AN69ST membrane, polymethylmethacrylate (PMMA) membrane, and high-flow hemodiafiltration (HDF) with increased dialysate flow rate using the PMMA membrane. There was no significant difference in clearance in CHF between AN69ST and PMMA membranes. However, the high-flow HDF group showed the highest myoglobin clearance (p = 0.003). In the PMMA membrane, changing the treatment modality to high-flow HDF increased clearance above the theoretical value, possibly due to internal filtration. To remove myoglobin by kidney replacement therapy from patients with hypermyoglobinemia, a modality such as high-flow HDF would be desirable.

本文言語English
ページ(範囲)401-406
ページ数6
ジャーナルTherapeutic Apheresis and Dialysis
25
4
DOI
出版ステータスPublished - 08-2021

All Science Journal Classification (ASJC) codes

  • 血液学
  • 腎臓病学

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