Dialyser alternatives for reactions to polysulfone

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Dialyser alternatives for reactions to polysulfone

Chris Bates
We are reviewing our dialysers for all our patients.
When patients have reactions to polysulfone membranes, what does everyone use ?
Cellulose triacetate ?
PMMA ?
PAN ?
One of our consultants sent me this quite interesting paper :

https://pdfs.semanticscholar.org/d7fd/50bda86371be7b78ea1664b121e2a6f92e07.pdf
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Re: Dialyser alternatives for reactions to polysulfone

Ian Wilde
Administrator
We currently use the Nipro 19 and 21 in Manchester.
Ian Wilde
Renal Tech
Manchester University NHS Foundation Trust
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Re: Dialyser alternatives for reactions to polysulfone

Chris Bates
Interesting - I assume you mean the Elisio ?
We have found, and the paper found the same, that changing to another Polysulfone or Polyethersulfone dialyser still gives reactions in most cases.
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Re: Dialyser alternatives for reactions to polysulfone

Ian Wilde
Administrator
Nipro Sureflux for us Chris.

http://www.nipro-europegroupcompanies.com/products/renal-care/dialyzers/sureflux/
Ian Wilde
Renal Tech
Manchester University NHS Foundation Trust
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Re: Dialyser alternatives for reactions to polysulfone

Chris Bates
That makes sense.
Is it suitable for high volume HDF - Nipro site seems to suggest that their Solacea dialyser is best for HVHDF
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Re: Dialyser alternatives for reactions to polysulfone

Ian Wilde
Administrator
We're using it for HVHDF and I haven't heard of any complaints yet...
Ian Wilde
Renal Tech
Manchester University NHS Foundation Trust
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Re: Dialyser alternatives for reactions to polysulfone

Ian Wilde
Administrator
I was a the 12th Annual UK Dialysis Conference here in Manchester last week where Professor Ikuto Masakane (Yamagata, Japan) gave us an insight into dialysis in Japan.  His talk mainly centred around dialyser membranes as it happens.

Found one of his abstracts here which is pretty much what his talk was about:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4813821/
Ian Wilde
Renal Tech
Manchester University NHS Foundation Trust