2020 Volume 11 Issue 2 Pages 119-123
Among patients with critical conditions requiring intensive care, those at a high risk of hemorrhagic complications are being treated with anticoagulant-free dialysis at our facility since January 2014. Furthermore, the devices such as dialysis catheters and air-trap chambers used at our facility have been changed to newer variants since October 2018. This retrospective study aimed to identify the factors affecting the completion rate of anticoagulant-free dialysis and to determine the impact of the device changes on the completion rate. In total, 70 anticoagulant-free dialysis sessions were performed in 27 patients. Poor blood removal was significantly more common in patients with premature termination of dialysis (P=0.002). Moreover, the completion rate increased from 86.5% before the device changes to 100％ after the device changes. Innovative use of devices to prevent clotting in the blood purification circuit was suggested to contribute to the successful completion of anticoagulant-free dialysis. Anticoagulant-free dialysis performed with innovative devices appears to be an important and safe therapeutic option for patients at a high risk of hemorrhagic complications.
