Green Nephrology: Citrate, the Green Alternative to Heparin in Hemodialysis

Elsevier, Kidney International Reports, Volume 9, February 2024
van der Meulen J.

The International Society of Nephrology wants environmentally sustainable kidney care and according to the Lancet, heparin is a threat to planetary health.1,2 One of the steps to achieve sustainable care is to find a green alternative to heparin. The literature was searched for alternatives to heparin regarding the external environment. In addition, the effects of heparin and its alternatives on the internal environment of the patient on hemodialysis (HD) were investigated.