Research Article

A New Method for the Measurement of International Normalized Ratio in Hemodialysis Patients with Heparin-Locked Tunneled Dialysis Catheters

Table 1

Baseline clinical characteristics.

Median age81 years (minimum 70, maximum 88)

Sex9 men
5 women

Indication oral anticoagulantAtrial fibrillation (n = 12)
Thrombosis dialysis catheter (n = 1)
Arterial embolisms (n = 1)

VKAWarfarin (n = 12)
Fenprocoumon (n = 2)

Target INRINR 2–3 (n = 14)

CatheterArrow cannon II plus catheter (teleflex medical) 23 cm (n = 9)
BioFloTM DuraMax (AngioDynamics Navilyst Medical) (n =2)
Others (n = 3)
All dual lumen catheters

Catheter lockHeparin natrium (5000 IU/ml, n = 11) (B. Braun)
Taurolock-Hep500TM (contains 500 IU/ml UFH and citrate 4%) (n = 2) (TauroPharm GmbH)
Citra-LockTM (citrate 4%, n = 1) (Dirinco N.V.)

DialysisHemodialysis (n = 4)
Hemodiafiltration predilution (n = 1)
Hemodiafiltration postdilution (n = 5)
Hemodiafiltration mixed (n = 4)
All via Fresenius 5008 or 5008 S monitors

Dialysis filterFX CorDiax 80TM (Fresenius) (n =2)
FX CorDiax 1000TM (Fresenius) (n = 9)
Nephral 400 STTM (Baxter) (n = 2)
Polyflux 170 H TM (Gambro) (n = 1)

Anticoagulation during dialysisUnfractionated heparin (UFH) (n = 14)
Mean heparin dose at start (in IV bolus)31.9 IU/kg
Mean heparin dose during dialysis (in continuous infusion)22.5 IU/kg