A Comparative Study of High-Flow vs Extended Hemodialysis

Introduction: Chronic Kidney Disease (CKD) patients undergoing hemodialysis require advanced treatment options to enhance solute removal and reduce inflammation. Expanded Hemodialysis (HDx) utilizing Medium Cut-Off (MCO) membranes is a promising innovation that optimizes clearance of medium to high molecular weight solutes.

Study Overview & Key Findings: A recent study compared the efficacy of high-flux hemodialysis (VitaPES 210HF) with expanded hemodialysis (Elisio-21HX) in CKD patients. The key findings include:

  • Higher Clearance Efficiency: Elisio-21HX demonstrated a superior reduction of IL-6, CRP, β2-Microglobulin, Kappa, and Lambda immunoglobulin light chains compared to VitaPES 210HF.
  • No Significant Albumin Loss: Despite improved clearance, albumin levels remained stable across both dialyzers, ensuring adequate nutritional retention.
  • Reduced Intestinal Inflammation: Patients dialyzed with Elisio-21HX exhibited lower fecal calprotectin levels, indicating decreased local intestinal inflammation.

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