What can the options for renal replacement therapy in acute tubular necrosis (ATN)?

Updated: Mar 15, 2021
  • Author: Sangeeta Mutnuri, MBBS; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

Continuous renal replacement therapy (CRRT), sustained low-efficiency dialysis (SLED), and intermittent hemodialysis can all be used for renal replacement in ATN. None of those therapies offers significant benefit over the others, and KDIGO suggests using these modalities as complementary approaches, especially in hemodynamically unstable patients. The choice of therapy should be driven by local expertise. CRRT may be the preferred option for hemodynamically unstable patients. [25]


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