Case 3
Access Recirculation

So you suspect access recirculation as a cause of drop in Kt/Vurea.

Recirculation parameters are checked by urea based two needle slow flow method and this patient is found to have a measured access recirculation of 18%  which is high (normal range is up to 10%).

For more details on access recirculation, you can refer you to a hemodialysis kinetic module found here:

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