Bulk mass transport limitations during high-flux hemodialysis.

Abstract:

:Solute clearance during high-flux hemodialysis is determined by the combined effects of solute convection and diffusion in the membrane, blood, and dialysate. Previous studies have focused almost entirely on the membrane transport phenomena, largely ignoring the potential contribution from bulk mass transport across the fluid boundary layers in the blood and dialysate. This study presents a theoretical analysis of the coupled transport equations in the membrane, blood, and dialysate including the contributions from both convective and diffusive transport in each of these regions. The resulting theoretical expression for the solute flux demonstrates that bulk mass transfer limitations can have an important effect on solute transport and, in turn, solute clearance during high-flux hemodialysis.

journal_name

Artif Organs

journal_title

Artificial organs

authors

Zydney AL

doi

10.1111/j.1525-1594.1993.tb00403.x

subject

Has Abstract

pub_date

1993-11-01 00:00:00

pages

919-24

issue

11

eissn

0160-564X

issn

1525-1594

journal_volume

17

pub_type

杂志文章
  • Microbial and endotoxin contamination in water and dialysate in the central United States.

    abstract::The purified water supplies and randomly selected dialysates of 51 chronic and acute dialysis centers in the central United States were surveyed to assess the relative risks to dialysis patients from microbial and endotoxin contamination. A culture medium more sensitive than those generally employed in routine quality...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1990.tb01601.x

    authors: Klein E,Pass T,Harding GB,Wright R,Million C

    更新日期:1990-04-01 00:00:00

  • Development of high-efficiency molecular adsorbent recirculating system: preliminary report.

    abstract::Molecular Adsorbent Recirculating System (MARS) is a liver support system widely employed in the treatment of liver failure. The method is normally well tolerated. To develop a liver support system combining high efficiency and tolerability, we modified the MARS albumin circuit with the insertion of double adsorption ...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.12250

    authors: Marangoni R,Bellati G,Castelli A,Romagnoli E

    更新日期:2014-10-01 00:00:00

  • Is ionic dialysance a valid parameter for quantification of dialysis efficiency?

    abstract::The on-line measurement during hemodialysis of ionic dialysance provides an estimation of urea clearance with a good and already proven correlation. Some discrepancies remain controversial, and the influence of the dialyzer membrane is still being debated. Eighty-eight measurements of ionic dialysance (ID) were perfor...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.1998.06062.x

    authors: Mercadal L,Petitclerc T,Jaudon MC,Béné B,Goux N,Jacobs C

    更新日期:1998-12-01 00:00:00

  • Comparison of Centrifugal and Roller Pump Hemolysis Rates at Low Flow.

    abstract::We compared in vitro rates of hemolysis for a recently developed centrifugal pump with a conventional roller pump (10-10-00; Stöckert, Munich, Germany). Flow rates of 0.3 L/min and 1 L/min and a pressure of 200 mm Hg were chosen to simulate conditions during neonatal extracorporeal membrane oxygenation (ECMO). There w...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1996.tb04485.x

    authors: Moon YS,Ohtsubo S,Gomez MR,Moon JK,Nose Y

    更新日期:1996-05-01 00:00:00

  • Double-blind evaluation of plasmapheresis in schizophrenic patients: a pilot study.

    abstract::Interest in the effects and possible mechanisms of hemodialysis on schizophrenic patients has led to a double-blind evaluation of the effects of plasmapheresis on symptoms of schizophrenia. Also, plasmapheresis was felt to be an invaluable tool for investigating the autoimmune theory of schizophrenia. Patients (n = 10...

    journal_title:Artificial organs

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1525-1594.1983.tb04203.x

    authors: Schulz SC,van Kammen DP,Waters R,Klein HG,Balow JE,Bunney WE Jr

    更新日期:1983-08-01 00:00:00

  • Controlled delivery of low-dose bone morphogenetic protein-2 using heparin-conjugated fibrin in the posterolateral lumbar fusion of rabbits.

    abstract::The heparin-conjugated fibrin (HCF) system has been developed to deliver bone morphogenetic proteins (BMPs) for a long-term period and thus enhance bone regeneration. In the present study, we tested the effectiveness of the delivery system for spinal fusion with a very low dose of BMP-2. A total of 15 rabbits underwen...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2012.01578.x

    authors: Koo KH,Lee JM,Ahn JM,Kim BS,La WG,Kim CS,Im GI

    更新日期:2013-05-01 00:00:00

  • Outcomes with ventricular assist device versus extracorporeal membrane oxygenation as a bridge to pediatric heart transplantation.

    abstract::Extracorporeal membrane oxygenation (ECMO) has long been the sole means of mechanical support for pediatric patients with end-stage cardiac failure, but has a high waitlist mortality and a reported survival to hospital discharge of less than 50%. The purpose of this study was to compare waitlist mortality and survival...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2009.00969.x

    authors: Jeewa A,Manlhiot C,McCrindle BW,Van Arsdell G,Humpl T,Dipchand AI

    更新日期:2010-12-01 00:00:00

  • Plasmapheresis-related hypotension.

    abstract::Hypotension is an uncommon complication of procedures involving extracorporeal circulation, including plasmapheresis. From November 1993 to March 1999, we treated 139 patients who underwent a total of 1,137 sessions of double filtration plasmapheresis (DFP). Hypotension was defined as a systolic blood pressure (BP) < ...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.2000.06521.x

    authors: Yeh JH,Chiu HC

    更新日期:2000-09-01 00:00:00

  • Electrotactile stimulator for artificial proprioception.

    abstract::With the goal of investigating artificial proprioception elicited by electrical stimulation, we have developed a tactile phi phenomenon-based stimulator. This two-channel microprocessed pulse amplitude modulation system generates two different envelope waveforms (triangular and elliptical) and allows programming and v...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1995.tb02318.x

    authors: Nohama P,Lopes AV,Cliquet Júnior A

    更新日期:1995-03-01 00:00:00

  • Pathways for water absorption and physiological role of the lateral interspaces in the kidney tubule.

    abstract::Possible routes for water and salt flow and the most likely theories that describe coupling between water and salt flow across leaky epithelia are presented. The osmotic theories seem the most likely ones. However, several of the theories have weaknesses that render them unsatisfactory, in particular because of the po...

    journal_title:Artificial organs

    pub_type: 杂志文章,评审

    doi:10.1111/j.1525-1594.1987.tb02713.x

    authors: Whittembury G,Carpi-Medina P,González E,Linares H

    更新日期:1987-12-01 00:00:00

  • Pulse push/pull hemodialysis: in vitro study on new dialysis modality with higher convective efficiency.

    abstract::Midsize molecule retention is related with renal-failure-associated mortality. Here, the authors describe a new dialysis modality, pulse push/pull hemodialysis (PPPHD), which increases convective clearance. Blood and dialysate are circulated by a pulsatile pump, but with pulsatile flow patterns that are 180 degrees ou...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2008.00561.x

    authors: Lee K,Lee SR,Mun CH,Min BG

    更新日期:2008-05-01 00:00:00

  • The Helmholtz Total Artificial Heart Labtype.

    abstract::To perform the first experimental tests for validation of a new gear unit concept, the pump chamber, diaphragm, and pusher plate design of an orthotopic electromechanical total artificial heart (TAH) (Helmholtz Labtype) was manufactured. In its early stage of development, it provides some of the most important feature...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1994.tb03374.x

    authors: Kaufmann R,Reul H,Rau G

    更新日期:1994-07-01 00:00:00

  • Chaotic dynamics in circulation with Tohoku University vibrating flow pump.

    abstract::For the development of a totally implantable ventricular assist system (VAS), we have been developing the vibrating flow pump (VFP), which can generate oscillated blood flow with a relative high frequency (10-50 Hz) for a totally implantable system. In this study, the effects of left ventricular assistance with this u...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.1999.06288.x

    authors: Nitta S,Yambe T,Kobayashi S,Hashimoto H,Yoshizawa M,Mastuki H,Tabayashi K,Takeda H

    更新日期:1999-01-01 00:00:00

  • Investigation of parameter estimator and adaptive controller for assist pump by computer simulation.

    abstract::The multi-output adaptive controller of a left ventricular assist device (LVAD) was studied by computer simulation. The controller regulated two outputs--mean aortic pressure (mAoP) and mean atrial pressure (mLAP)--by regulating vacuum pressure (input). The autoregressive models were used to describe the circulatory s...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1991.tb00769.x

    authors: Shimooka T,Mitamura Y,Yuhta T

    更新日期:1991-04-01 00:00:00

  • Multimodal flow visualization and optimization of pneumatic blood pump for sorbent hemodialysis system.

    abstract::Renal Solutions Allient Sorbent Hemodialysis System utilizes a two-chambered pneumatic pump (Pulsar Blood Pump, Renal Solutions, Inc., Warrendale, PA, USA) to avoid limitations associated with peristaltic pumping systems. Single-needle access is enabled by counter-pulsing the two pump chambers, thereby obviating compl...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2009.00724.x

    authors: Shu F,Parks R,Maholtz J,Ash S,Antaki JF

    更新日期:2009-04-01 00:00:00

  • Influence of reuse and of reuse sterilants on the first-use syndrome.

    abstract::Over a 4 year period, five of 98 patients at our dialysis unit developed signs and symptoms consistent with first-use syndrome (FUS). Marked improvement was noted after subjecting new dialyzers to automated processing using either formaldehyde or peracetic acid. No episodes of FUS occurred in patients being treated wi...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1987.tb02645.x

    authors: Vanholder R,Ringoir S

    更新日期:1987-04-01 00:00:00

  • Rotary blood pump flow spontaneously increases during exercise under constant pump speed: results of a chronic study.

    abstract::Many types of rotary blood pumps and pump control methods have recently been developed with the goal of clinical use. From experiments, we know that pump flow spontaneously increases during exercise without changing pump control parameters. The purpose of this study was to determine the hemodynamics associated with th...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.1999.06426.x

    authors: Akimoto T,Yamazaki K,Litwak P,Litwak KN,Tagusari O,Mori T,Antaki JF,Kameneva MV,Watach MJ,Umezu M,Tomioka J,Kormos RL,Koyanagi H,Griffith BP

    更新日期:1999-08-01 00:00:00

  • Artificial cells with emphasis on cell encapsulation of genetically engineered cells.

    abstract::Artificial cells are prepared in the laboratory for medical and biotechnological applications. Encapsulated cells are being studied for the treatment of diabetes, liver failure, and other conditions. More recently, there have been extensive studies into the use of encapsulated genetically engineered cells for gene the...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.1998.06243.x

    authors: Chang TM

    更新日期:1998-11-01 00:00:00

  • Optimal continuous retrograde coronary perfusion flow rate with beating heart in normal temperature.

    abstract:PURPOSE:We were led to the premise that with retrograde oxygenated blood perfusion, it would be possible to perform operations on the beating heart. METHODS:The experiment consisted of two stages: procedure 1 and 2. In procedure 1, six pigs were used. Retrograde perfusion flow was controlled to be in the range of 5.0-...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2004.47279.x

    authors: Tsukioka T,Tomita S,Watanabe G,Takemura H

    更新日期:2004-03-01 00:00:00

  • Wear-Resistant, Hemocompatible Ti-Nb-Zr and Zr-Nb Alloys to Improve Blood Pump Design and Performance.

    abstract::Over the past several years, we have developed novel titanium-niobium-zirconium (Ti-Nb-Zr) alloys to address the long-term performance needs of orthopedic implants. The unique properties of these alloys also render them promising candidates for blood pumps. These properties include excellent biocompatibility in combin...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1996.tb04473.x

    authors: Davidson JA,Daigle KP,Kovacs P

    更新日期:1996-05-01 00:00:00

  • Heparin coating of small-caliber decellularized xenografts reduces macrophage infiltration and intimal hyperplasia.

    abstract::Small-caliber decellularized xenografts with surface heparin coating are known to reduce in vivo thrombogenicity. This study was performed to examine whether heparin coating on the small-caliber decellularized xenografts would reduce macrophage infiltration and intimal hyperplasia. In a rabbit model of bilateral carot...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2009.00748.x

    authors: Cai WW,Gu YJ,Wang XN,Chen CZ

    更新日期:2009-06-01 00:00:00

  • Biological evaluation of liposome-encapsulated hemoglobin surface-modified with a novel PEGylated nonphospholipid amphiphile.

    abstract::Traumatic injury is often associated with hemorrhagic shock. Liposome-encapsulated hemoglobin (LEH) is being developed as an artificial oxygen carrier to address post-hemorrhage oxygen and volume deficit. Here, we report a new composition of LEH based on the use of polyethylene glycol (PEG2K ) conjugated with nonphosp...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.12304

    authors: Yadav VR,Nag O,Awasthi V

    更新日期:2014-08-01 00:00:00

  • Miniaturization of a magnetically levitated axial flow blood pump.

    abstract::This article introduces a unique miniaturization process of a magnetically levitated axial flow blood pump from a functional prototype to a pump suitable for animal trials. Through COMSOL three-dimensional finite element analysis and experimental verification, the hybrid magnetic bearings of the pump have been miniatu...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2010.01077.x

    authors: Cheng S,Olles MW,Olsen DB,Joyce LD,Day SW

    更新日期:2010-10-01 00:00:00

  • Flow behavior within the 12-cc Penn State pulsatile pediatric ventricular assist device: an experimental study of the initial design.

    abstract::Planar particle image velocimetry was used to explore the flow behavior of the newly designed 12-cc Penn State pneumatic pediatric assist pump. Wall shear maps complemented the velocity data. Bjork-Shiley Monostrut 17-mm mechanical heart valves were used in the inlet and outlet ports. In comparison with larger Penn St...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2008.00565.x

    authors: Manning KB,Wivholm BD,Yang N,Fontaine AA,Deutsch S

    更新日期:2008-06-01 00:00:00

  • Visual three-dimensional representation of beat-to-beat electrocardiogram traces during hemodiafiltration.

    abstract::This study evaluated the usefulness of the three-dimensional representation of electrocardiogram traces (3DECG) to reveal acute and gradual changes during a full session of hemodiafiltration (HDF) in end-stage renal disease (ESRD) patients. Fifteen ESRD patients were included (six men, nine women, age 46 ± 19 years ol...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2011.01382.x

    authors: Rodriguez-Fernandez R,Infante O,Perez-Grovas H,Hernandez E,Ruiz-Palacios P,Franco M,Lerma C

    更新日期:2012-06-01 00:00:00

  • Pre- and postoperative magnetic resonance imaging in neonatal arterial switch operation using warm perfusion.

    abstract::Neurological morbidity is a major concern in pediatric cardiac surgery. Cardiopulmonary bypass is one of the few modifiable factors affecting neurodevelopmental outcome. This study aimed to measure the incidence of abnormalities apparent by magnetic resonance imaging (MRI) after neonatal arterial switch operation usin...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2011.01325.x

    authors: Durandy Y,Rubatti M,Couturier R,Rohnean A

    更新日期:2011-11-01 00:00:00

  • Further development of hybrid functional electrical stimulation orthoses.

    abstract::In this study two aspects of hybrid functional electrical stimulation (FES) orthoses were investigated: joint motion constraints and FES control strategies. First, the effects of joint motion constraints on the gait of normal subjects were investigated using modern motion analysis systems, including electromyogram (EM...

    journal_title:Artificial organs

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1525-1594.1997.tb04648.x

    authors: Yang L,Granat MH,Paul JP,Condie DN,Rowley DI

    更新日期:1997-03-01 00:00:00

  • A preliminary study of microcapsule suspension for hemolysis evaluation of artificial organs.

    abstract::A microcapsule suspension, a substitute for animal blood in hemolysis tests, has been developed for evaluation of the absolute hemolytic properties of circulatory artificial organs. The microcapsule suspension was made by dispersing microcapsule slurry into an ethylene glycol sodium chloride solution. The microcapsule...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.1999.06316.x

    authors: Maruyama O,Yamane T,Tsunemoto N,Nishida M,Tsutsui T,Jikuya T

    更新日期:1999-03-01 00:00:00

  • Utilization of activated carbon hemoperfusion to assist recovery of ischemically damaged canine liver allografts.

    abstract::The sensitivity of liver allografts to even minimal periods of ischemia currently limits the duration of hepatic preservation prior to liver transplantation. This study evaluates the role of activated carbon hemoperfusion (ACH) for assisting the recovery of canine livers ischemically damaged by a 20-min occlusion of t...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1985.tb04386.x

    authors: Toledo-Pereyra LH

    更新日期:1985-08-01 00:00:00

  • Femoro-femoral versus atrio-aortic extracorporeal membrane oxygenation: selecting the ideal cannulation technique.

    abstract::Veno-arterial extracorporeal membrane oxygenation (ECMO) may be implanted using peripheral ECMO (pECMO) or central ECMO (cECMO) cannulation techniques. The aim of this study was to compare the outcome between these two cannulation techniques. A retrospective study was performed at Düsseldorf University Hospital from O...

    journal_title:Artificial organs

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/aor.12245

    authors: Saeed D,Stosik H,Islamovic M,Albert A,Kamiya H,Maxhera B,Lichtenberg A

    更新日期:2014-07-01 00:00:00