Resolution of intradialytic hypotension and changes in hepatic oxygenation following the transition from hemodialysis to intermittent infusion hemodiafiltration: a case report

Mineshima M, Eguchi K. Development of intermittent infusion hemodiafiltration using ultrapure dialysis fluid with an automated dialysis machine. Blood Purif. 2013;35:55–8.

Article  CAS  PubMed  Google Scholar 

Mineshima M, Eguchi K. Validity of intermittent infusion hemodiafiltration. Blood Purif. 2019;48:7–10.

Article  CAS  PubMed  Google Scholar 

Koda Y, Aoike I, Hasegawa S, Osawa Y, Nakagawa Y, Iwabuchi F, Iwahashi C, Sugimoto T, Kikutani T. Feasibility of intermittent back-filtrate infusion hemodiafiltration to reduce intradialytic hypotension in patients with cardiovascular instability: a pilot study. Clin Exp Nephrol. 2017;21:324–32.

Article  PubMed  Google Scholar 

Ribitsch W, Schneditz D, Franssen CFM, Schilcher G, Stadlbauer V, Horinsa JH, Rosenkranz AR. Increased hepato-splanchnic vasoconstriction in diabetics during regular hemodialysis. PLoS ONE. 2015;10:e0145411. https://doi.org/10.1371/journal.pone.0145411.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Daugirdas JT. Intradialytic hypotension and splanchnic shifting: integrating an overlooked mechanism with the detection of ischemia related signals during hemodialysis. Semin Dial. 2019;32:243–7.

Article  PubMed  Google Scholar 

Tobias JD. Cerebral oxygenation monitoring: near-infrared spectroscopy. Expert Rev Med Devices. 2006;3:235–43.

Article  PubMed  Google Scholar 

Ookawara S, Ito K, Sasabuchi Y, Ueda Y, Morino J, Kaneko S, Mutsuyoshi Y, Kitano T, Hirai K, Morishita Y. Hepatic oxygenation changes and symptomatic intradialytic hypotension. Kidney Blood Press Res. 2024;49:368–76.

PubMed  Google Scholar 

Ookawara S, Ito K, Fukuda K, Iida T, Yahagi K, Miyazawa H, Hirai K, Yoshizawa M, Morishita Y. Effect of intermittent infusion hemodiafiltration on cerebral and hepatic oxygenation. Ren Replace Ther. 2025;5:11.

Google Scholar 

Tabei K, Kuroda Y, Takano R, Masunaga Y, Inoue M, Akai Y, Asano Y. Significance of total protein concentration by water removal during hemodialysis. J Jpn Soc Dial Ther. 1999;32:1071–7.

Article  Google Scholar 

K/DOQI Workgroup. K/DOQI clinical practice guidelines for cardiovascular disease in Dialysis patients. Am J Kidney Dis. 2005;45(4 Suppl 3):S1–53.

Google Scholar 

Guyton PW Jr, Karamlou T, Ratnayaka K, El-Said HG, Moore JW, Rao RP. An elusive prize: transcutaneous near infrared spectroscopy (NIRS) monitoring of the liver. Front Pediatr. 2020;8:563483. https://doi.org/10.3389/fped.2020.563483.

Article  Google Scholar 

Ookawara S, Ito K, Ueda Y, Miyazawa H, Hayasaka H, Kofuji M, Uchida T, Ishii H, Shindo M, Kitano T, Aomatsu A, Hirai K, Kaku Y, Hoshino T, Tabei K, Morishita Y. Differences in tissue oxygenation and changes in total hemoglobin signal strength in the brain, liver, and lower-limb muscle during hemodialysis. J Artif Organs 2018;21:86–93.

Article  CAS  PubMed  Google Scholar 

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