Nishimoto Clinic

ONLINE HDF

Hemodiafiltration and Our Dialysis System

In addition to conventional hemodialysis, our clinic can provide online hemodiafiltration (online HDF). The method and settings are selected for each patient.

Reviewed by Koshiro Nishimoto, MD, PhD and Morihiro Inoue, MD
01

What is hemodiafiltration?

Conventional hemodialysis mainly removes waste by diffusion. HDF combines diffusion with convection (filtration), aiming to remove a broader range of substances. It is not automatically better for every patient.

02

How online HDF works

Highly purified dialysis fluid is further filtered and used as replacement fluid. Strict water-quality management, cleaning, disinfection and regular monitoring are essential.

03

Our dialysis system

We use Nikkiso DCS-200Si dialysis monitors for hemodialysis and HDF. Physicians, nurses and clinical engineers review blood pressure, symptoms, laboratory results, body-weight changes and vascular access before adjusting treatment.

  • Monday, Wednesday and Friday: 8:00–18:00
  • Tuesday, Thursday and Saturday: 8:00–14:00
  • Travel and temporary dialysis consultations are available in advance.
04

Choosing HD or HDF

The choice depends on blood pressure during dialysis, symptoms, nutritional status, residual kidney function, laboratory results and vascular access. Please discuss symptoms during or after dialysis with the care team.

CONTACT

Questions or appointments

English consultations are available. Please call us if you need help choosing the appropriate service.

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