| [ Summary ] |
We now know that endotoxin contaminated dialysate activates inflammatory cytokine networks and finally leads to later complications, such as dialysis related amyloidosis and atherosclerosis. Internal filtration enhanced hemodialysis will, in the future, become an easy hemodiafiltration method. However, contaminated dialysate would reduce the advantages of this treatment and have a bad effect on chronic hemodialysis patients. Only the constant delivering of clean dialysate can promise safe and effective treatments. Constant delivery of clean dialysate requires daily maintenances of the systems and confirmation of the risk management system. The most important factor is our motivation to improve the QOL for chronic hemodialysis patients while avoiding later complications. |