A 21-year-old Japanese male with severe hemophilia A was developed end-stage renal failure. He was placed on combination therapy with peritoneal dialysis (PD) and hemodialysis (HD). Eight months later, he developed a hypertensive cerebral hemorrhage. After emergency surgery, he was managed with PD without HD to avoid cerebral edema. One month later, his renal replacement therapy was switched to...

Patient selection and training is arguably the most important step toward building a successful home hemodialysis (HD) program. We present a step-by-step account of home HD training to guide providers who are developing home HD programs. Although home HD training is an important step in allowing patients to undergo dialysis in the home, there is a surprising lack of systematic research in this ...

Angiotensin converting enzyme (ACE) inhibitors provide well known cardiorenal-protective benefits added to antihypertensive effects in chronic renal disease. These agents are underused in management of patients receiving hemodialysis (HD) because of common concern of hyperkalemia. However, few studies have investigated effect of renin angiotensin aldosterone system (RAAS) blockade on serum pota...

BACKGROUND: The high incidence of cardiovascular disease in patients with end stage renal disease (ESRD) is related to the accumulation of uremic toxins in the middle and large-middle molecular weight range. As online hemodiafiltration (HDF) removes these molecules more effectively than standard hemodialysis (HD), it has been suggested that online HDF improves survival and cardiovascular outcom...

Background Saliva plays a major role in preserving the integrity of oral tissues. The oral health of renal failure patients could be negatively affected by the underlying pathology, the dialysis treatment, or an altered salivary composition. Major systemic changes occur during hemodialysis (HD), which could affect the flow rate and biochemical composition of saliva. Therefore, the aim of this s...

Thrombotic cardiovascular events are one of the main causes of morbidity and mortality in dialysis patients [1] and vascular access thrombosis remains the Achilles’ heel for patients undergoing maintenance hemodialysis (HD) [2]. HD and uremia are characterized by two simultaneous but opposite hematological abnormalities: a thrombotic predisposition and a bleeding tendency mainly due to impaired...

To the Editor: Metformin-associated lactic acidosis (MALA) following metformin overdose or reduced metformin clearance in the setting of acute kidney injury is associated with high mortality. For most severe cases, current guidelines recommend hemodialysis (HD) to correct acidosis and associated electrolyte abnormalities, although its effect on metformin removal is considered uncertain. We repo...

Chronic kidney disease (CKD) is a chronic with high prevalence worldwide. In 2017, an estimated 1.2 million people died from CKD globally. There are 713,783 sufferers (0.38%) in Indonesia aged 15 years who have been registered nationally. Hemodialysis (HD) one of three renal replacement therapies for managing CKD. Adequate vascular access required patients undergoing HD. Vascular ideal if it ca...

background: quality of life (qol) assessment in patients on chronic hemodialysis (hd) or peritoneal dialysis (pd) has rarely been carried out. the aim of this study was to assess the quality of life during hemodialysis and peritoneal dialysis treatment in patients referred to teaching hospitals in urmia, iran. methods: all chronic hd and pd patients in taleghani and imam khomeini teaching hospi...

BACKGROUND Routine screening/assessment of protein-energy status is essential for preventing uremic malnutrition in patients on hemodialysis (HD). A simple, low cost, reliable and non-invasive tool is greatly desired. OBJECTIVE This study aimed to evaluate the appropriateness of using the long-form (LF) and the short-form (SF) Mini Nutritional Assessment (MNA) for grading the risk of protein-...