Proatherogene veranderingen door hemodialyse; mogelijk een gevolg van bio-incompatibiliteit

Translated title of the contribution: Proatherogenic changes due to haemodialysis as a possible consequence of bio-incompatibility in the dialyzer

M. J. Nubé*, M. G. Vervloet

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review


Chronic haemodialysis patients have a disproportionately high risk for developing cardiovascular disease, which can only in part be explained by known risk factors such as dyslipidaemia, hypertension, hyperhomocysteinemia, diabetes mellitus and chronic volume expansion. A possible cause is that the haemodialysis treatment itself contributes to the accelerated atherosclerosis, observed in these patients. Nowadays, atherosclerosis is considered an inflammatory process, mediated by a dysfunction of the vascular endothelium. As a result, blood cells adhere to the vascular surface and release a variety of vasoactive mediators, cytokines, growth factors and free radicals. Due to the contact between blood and dialyzer, humoral systems and cellular elements are stimulated, and this may be viewed as an inflammatory reaction. As a consequence of this, the vascular surface of haemodialysis patients is repeatedly exposed to the influences of cytokines, coagulation products, vasoactive mediators, stimulated leukocytes and thrombocytes, and oxidative stress. It is therefore conceivable that the haemodialysis treatment itself enhances the greatly increased cardiovascular risk in chronic haemodialysis patients.

Translated title of the contributionProatherogenic changes due to haemodialysis as a possible consequence of bio-incompatibility in the dialyzer
Original languageDutch
Pages (from-to)2540-2544
Number of pages5
JournalNederlands Tijdschrift voor Geneeskunde
Issue number53
Publication statusPublished - 30 Dec 2000

Cite this