The Role of Dialysis Membranes on Intradialytic Selenium Removal and on Selenium Status in Patients Receiving Renal Replacement Therapy

Background/Aims: Dialysis membrane has been implicated in selenium (Se) deficiency in hemodialysis (HD). Intradialytic Se removal into dialysate through different membranes was investigated. Methods: We studied 19 patients on standard HD with low-flux polysulfone membrane (group A), 10 patients on s...

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Veröffentlicht in:Blood purification 2016-01, Vol.41 (1-3), p.94-99
Hauptverfasser: Sonikian, Macroui, Dona, Artemisia, Skarakis, Jacob, Trompouki, Sophia, Miha, Theodora, Karatzas, Ioannis, Spiliopoulou, Chara
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container_end_page 99
container_issue 1-3
container_start_page 94
container_title Blood purification
container_volume 41
creator Sonikian, Macroui
Dona, Artemisia
Skarakis, Jacob
Trompouki, Sophia
Miha, Theodora
Karatzas, Ioannis
Spiliopoulou, Chara
description Background/Aims: Dialysis membrane has been implicated in selenium (Se) deficiency in hemodialysis (HD). Intradialytic Se removal into dialysate through different membranes was investigated. Methods: We studied 19 patients on standard HD with low-flux polysulfone membrane (group A), 10 patients on standard HD with ethylene vinyl alcohol membrane (group B), 12 patients on hemodiafiltration (HDF; group C) and 16 healthy subjects (control group D). Se was measured in blood before and after dialysis session and in effluent dialysate every hour during session. Results: In all patients together, pre-dialysis serum Se levels were lower than those in control group, but, in a separate analysis, only in standard HD. In all patient groups, there was a net Se removal into dialysate but it was greater in HDF patients who, however, had similar pre-dialysis serum Se levels to those in healthy controls. Conclusion: An intradialytic Se loss was found with all 3 membrane types, but it is not the principal factor for Se depletion in HD.
doi_str_mv 10.1159/000441438
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language eng
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source Karger Journals; MEDLINE
subjects Adult
Aged
Aged, 80 and over
Anuria - blood
Anuria - pathology
Anuria - therapy
Case-Control Studies
Dialysis Solutions - chemistry
Female
Humans
Male
Membranes, Artificial
Middle Aged
Original Paper
Polymers - chemistry
Polyvinyls - chemistry
Renal Dialysis - instrumentation
Selenium - deficiency
Selenium - isolation & purification
Sulfones - chemistry
title The Role of Dialysis Membranes on Intradialytic Selenium Removal and on Selenium Status in Patients Receiving Renal Replacement Therapy
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