PMID- 21659742 OWN - NLM STAT- MEDLINE DCOM- 20120127 LR - 20111011 IS - 1421-9735 (Electronic) IS - 0253-5068 (Linking) VI - 32 IP - 3 DP - 2011 TI - A heparin-coated dialysis filter (AN69 ST) does not reduce clotting during hemodialysis when compared to a conventional polysulfone filter (Fx8). PG - 151-5 LID - 10.1159/000325227 [doi] AB - BACKGROUND: We investigated whether the heparin-coated AN69 ST hemodialysis (HD) filter induced less hypercoagulability during HD than a conventional polysulfone filter (Fx8). METHODS: In a crossover design, 11 patients were treated alternately with AN69 ST and Fx8 filters (45 sessions). All filters were primed with unfractionated heparin (UFH) and unadsorbed UFH was removed by saline flushing. Half the conventional dalteparin dose was given as a bolus dose at the start of HD. Clotting was evaluated hourly in the venous air trap. Prothrombin fragments 1 and 2 (PF1 + 2), antithrombin (AT), beta-TG and anti-FXa activity were repeatedly measured. RESULTS: One patient treated with enalapril had two repeated adverse reactions to the AN69 ST filter and was excluded from the study. Use of the AN69 ST filter did not decrease the mean clot score or PF1 + 2, but decreased beta-TG compared to the Fx8 filter. CONCLUSION: The heparin-coated AN69 ST filter did not induce less coagulation when compared to the Fx8 filter. CI - Copyright (c) 2011 S. Karger AG, Basel. FAU - Sagedal, Solbjorg AU - Sagedal S AD - Department of Nephrology, Oslo University Hospital Ulleval, Oslo, Norway. FAU - Witczak, Bartlomiej J AU - Witczak BJ FAU - Osnes, Kare AU - Osnes K FAU - Hartmann, Anders AU - Hartmann A FAU - Os, Ingrid AU - Os I FAU - Eikvar, Lars AU - Eikvar L FAU - Klingenberg, Olav AU - Klingenberg O FAU - Brosstad, Frank AU - Brosstad F LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20110610 PL - Switzerland TA - Blood Purif JT - Blood purification JID - 8402040 RN - 0 (Anticoagulants) RN - 0 (Coated Materials, Biocompatible) RN - 0 (Membranes, Artificial) RN - 0 (Polymers) RN - 0 (Sulfones) RN - 25135-51-7 (polysulfone P 1700) RN - 9005-49-6 (Heparin) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Anticoagulants/*pharmacology MH - Blood Coagulation/*drug effects MH - *Coated Materials, Biocompatible MH - Cross-Over Studies MH - Female MH - Heparin/*pharmacology MH - Humans MH - Male MH - *Membranes, Artificial MH - Middle Aged MH - *Polymers MH - Renal Dialysis/*instrumentation/methods MH - *Sulfones EDAT- 2011/06/11 06:00 MHDA- 2012/01/28 06:00 CRDT- 2011/06/11 06:00 PHST- 2010/08/27 00:00 [received] PHST- 2011/02/08 00:00 [accepted] PHST- 2011/06/11 06:00 [entrez] PHST- 2011/06/11 06:00 [pubmed] PHST- 2012/01/28 06:00 [medline] AID - 000325227 [pii] AID - 10.1159/000325227 [doi] PST - ppublish SO - Blood Purif. 2011;32(3):151-5. doi: 10.1159/000325227. Epub 2011 Jun 10.