The present report summarizes our experience with a new polycarbonate (PC)- based dialysis membrane (Gambro Lundia® PRO-5) compared with a cuprophan (CP)-based membrane (Gambro Lundia® 10-5N).Platelet count decreased during dialysis with CP, but was unchanged with PC membranes. Platelet injury, reflected by decreased platelet aggregation and increase in plasma β-thrombo-globulin, occurred equally with both membranes. Complement activation (C3d and C5a), leukopenia and release of granulocyte-derived elastase was more extensive with CP than with PC membranes. The new membrane represents an improvement of biocompatibility with respect to the complement-leukocyte system, whereas the effect on platelets resembles the injury caused by CP membranes.

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