Numerical Simulation and Experimental Validation of Bound Solute Dialysis in Artificial Liver Support Systems

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Abstract:

Bound solute dialysis in artificial liver support systems is one of approaches to remove protein-bound toxins from patients with liver disease. In this study, a theoretical mass transfer model for bound solute dialysis considering detailed local ultrafiltration was presented. Then, the numerical simulation was performed and the theoretical results were compared with the experimental data in two dialysis modes under various operating conditions, open-loop dialysis mode (OLM) and closed-loop dialysis mode (CLM).Our results show that the theoretical results agree well with the experimental data. The theoretical model presented here can be used to accurately predict the clearance of albumin-bound toxins and optimize the treatment strategy for clinical application.

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Advanced Materials Research (Volumes 971-973)

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107-110

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June 2014

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© 2014 Trans Tech Publications Ltd. All Rights Reserved

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[1] J. Rozga, Liver support technology–an update, Xenotransplantation, 13 (2006) 380-389.

DOI: 10.1111/j.1399-3089.2006.00323.x

Google Scholar

[2] J. Stange, Extracorporeal liver support, Organogenesis, 7 (2011) 64-73.

Google Scholar

[3] E. Dunlop, M. Weston, B. Gazzard, P. Langley, P. Mellon and R. Williams, Artificial liver support based on haemoperfusion of adsorbents, Biomedical engineering, 10 (1975) 213-218.

Google Scholar

[4] J. Rozga, Y. Umehara, A. Trofimenko, T. Sadahiro and A.A. Demetriou, A novel plasma filtration therapy for hepatic failure: preclinical studies, Therapeutic Apheresis and Dialysis, 10 (2006) 138-144.

DOI: 10.1111/j.1744-9987.2006.00355.x

Google Scholar

[5] U. Boonsrirat, K. Tiranathanagul, N. Srisawat, P. Susantitaphong, P. Komolmit, K. Praditpornsilpa, K. Tungsanga and S. Eiam‐Ong, Effective Bilirubin Reduction by Single‐Pass Albumin Dialysis in Liver Failure, Artificial organs, 33 (2009) 648-653.

DOI: 10.1111/j.1525-1594.2009.00758.x

Google Scholar

[6] K.L. Collins, E.A. Roberts, K. Adeli, D. Bohn and E.A. Harvey, Single pass albumin dialysis (SPAD) in fulminant Wilsonian liver failure: a case report, Pediatric Nephrology, 23 (2008) 1013-1016.

DOI: 10.1007/s00467-008-0761-x

Google Scholar

[7] J.F. Patzer and S.E. Bane, Bound solute dialysis, ASAIO journal, 49 (2003) 271-281.

DOI: 10.1097/01.mat.0000065378.73558.83

Google Scholar

[8] J.F. Patzer, S.A. Safta and R.H. Miller, Slow continuous ultrafiltration with bound solute dialysis, ASAIO journal, 52 (2006) 47-58.

DOI: 10.1097/01.mat.0000196524.36394.0d

Google Scholar

[9] C. Legallais, G. Catapano, B. v. Harten and U. Baurmeister, A theoretical model to predict the in vitro performance of hemodiafilters, Journal of Membrane Science, 168 (2000) 3-15.

DOI: 10.1016/s0376-7388(99)00297-5

Google Scholar

[10] W. Ding, S. Heimfeld, J. -A. Reems, D. Gao and X. Zhou, A steady-state mass transfer model of removing CPAs from cryopreserved blood with hollow fiber modules, Journal of biomechanical engineering, 132 (2010) 011002.

DOI: 10.1115/1.4000110

Google Scholar

[11] P. Krisper and R.E. Stauber, Technology Insight: artificial extracorporeal liver support—how does Prometheus® compare with MARS®?, Nature Clinical Practice Nephrology, 3 (2007) 267-276.

DOI: 10.1038/ncpneph0466

Google Scholar

[12] Y. Pei, Y. Sun, Y. Xu, G. Zhao, D. Gao and W. Ding, A theoretical ultrafiltration model for albumin-bound toxin dialysis, in Complex Medical Engineering (CME), 2013 ICME International Conference, 2013: IEEE.

DOI: 10.1109/iccme.2013.6548306

Google Scholar

[13] T.W. Meyer, J. Walther, M.E. Pagtalunan, A. Martinez, A. Torkamani, P. Fong, N. Recht, C. Robertson and T. Hostetter, The clearance of protein-bound solutes by hemofiltration and hemodiafiltration, Kidney international, 68 (2005) 867-877.

DOI: 10.1111/j.1523-1755.2005.00469.x

Google Scholar