There has been a resurgence in home haemodialysis over the last decade and interest in online haemodiafiltration in gaining momentum with advances in technology and the results of recent clinical trials. Both increasing haemodialysis frequency and treatment time have a number of potential benefits in improving dialysis efficiency and are ideally placed in the home setting. This chapter describes the rationale behind dialysis treatments, which go beyond conventional haemodialysis (CHD) and future avenues for home dialysis, which may involve combining convective therapy with more frequent treatment.
Part of the book: Advances in Hemodiafiltration
Immunoadsorption is an extracorporeal technique used for the removal of antibodies and molecules from the blood. A large number of different adsorbents are now available allowing for the non-selective removal of all subclasses of immunoglobulins such as IgG or more selective removal of disease specific molecules such as lipoprotein(a) and CRP. This selectivity, coupled with its highly efficient removal of the molecule, along with a favourable side-effect profile, has made immunoadsorption an attractive option in a range of autoimmune diseases. Here we discuss the mechanism and technique of immunoadsorption and review the current evidence and indications for its use, particularly in relation to sepsis.
Part of the book: Aspects in Continuous Renal Replacement Therapy