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Russian Journal of Transplantology and Artificial Organs

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Exp erimental research of wearable artificial kidney

https://doi.org/10.15825/1995-1191-2017-3-46-52

Abstract

Aim. The article presents the results of wearable artificial kidney (WAK) biomedical trial based on peritoneal dialysis with continuous dialysate regeneration.

Materials and methods. The trial was carried out on a 15-kg dog. First stage: dialysis was carried out on healthy dog to evaluate effect of WAK on blood biochemical indicators. Second stage: 200 ml of X-ray contrast agent was injected into dog’s bloodstream to simulate acute kidney failure.

Results. During trial (39.5 hours) WAK was performing continuous peritoneal dialysis with dialysis fluid regeneration. During second stage (34 hours) creatinine and uric acid were eliminated from dialysis solution at the rate of 0.3 mg/h, urea was eliminated at the rate of 0.15 g/h, total removed ultrafiltrate volume was 350 ml. At the end of the second stage blood biochemical indicators stabilised in the range of normal values.

Conclusion. Developed WAK can perform continuous blood purification and ultrafiltration with no pathologic impact on blood biochemical indicators.

About the Authors

N. A. Bazaev
National Research University of Electronic Technology «MIET»
Russian Federation

Address: 1, Shokin Sq., Zelenograd, Moscow, 124498, Russian Federation. Тel. (925) 049-14-54



V. M. Grinvald
National Research University of Electronic Technology «MIET»
Russian Federation


S. V. Selishchev
National Research University of Electronic Technology «MIET»
Russian Federation


A. V. Kalinov
Tver State Medical University
Russian Federation


A. V. Kozachuk
Tver State Medical University
Russian Federation


V. V. Kosatkin
Regional Clinical Hospital
Russian Federation


F. F. Tyunder
N.A. Semashko Central Clinical Hospital 2 of JSC Russian Railways
Russian Federation


D. V. Federyakin
Tver State Medical University
Russian Federation


References

1. Armignacco P, Garzotto F, Neri M, Lorenzin A, Ronco C. WAK Engineering Evolution. Blood Purification. 2015; 39 (1–3): 110–114. doi: 10.1159/000368955. PMID: 25659421.

2. Ronco C, Fecondini L. The Vicenza Wearable Artificial Kidney for Peritoneal Dialysis (ViWAK PD). Blood Purification. 2007 Mar; 25 (4): 383–388. doi: 10.1159/000107775. PMID: 17785968.

3. Nikitidou O, Peppa VI, Leivaditis K, Eleftheriadis T, Zarogiannis SG, Liakopoulos V. Animal models in peritoneal dialysis. Frontiers in Physiology. 2015 Jan; 6. doi: 10.3389/fphys.2015.00244. PMID: 26388781.

4. Wieczorowska-Tobis K, Breborowicz A, Pawlaczyk K, Kuzlan-Pawlaczyk M, Polubinska A, Oreopoulo DG. Animal models for peritoneal dialysis. Peritoneal dialysis international. 1999; 19 (Suppl. 2): S189–S192. PMID: 10406517.

5. European Renal Best Practice (ERBP) position statement on the Kidney Disease Improving Global Outcomes (KDIGO) Clinical Practice Guidelines on Acute Kidney Injury: Part 1: definitions, conservative management and contrast-induced nephropathy. The ad- hoc working group of ERBP: D. Fliser, M. Laville, A. Covic et al. Nephrol. Dial. Transplant. 2012; 27 (12): 4263–4272.

6. Newhouse JH, Kho D, Rao QA, Starren J. Frequency of serum creatinine changes in the absence of iodinated contrast material: implications for studies of contrast nephrotoxicity. Am. J. Roentgenol. 2008 Aug; 191 (2): 376–382.


Review

For citations:


Bazaev N.A., Grinvald V.M., Selishchev S.V., Kalinov A.V., Kozachuk A.V., Kosatkin V.V., Tyunder F.F., Federyakin D.V. Exp erimental research of wearable artificial kidney. Russian Journal of Transplantology and Artificial Organs. 2017;19(3):46-52. (In Russ.) https://doi.org/10.15825/1995-1191-2017-3-46-52

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ISSN 1995-1191 (Print)