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4% Citrate The Fresenius Prophylaxis in Catheter Locking IntraLock ® : Building on reliability and cost-effectiveness. 4% CITRATE – recommended by ERBP position statement 3

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4% Citrate

The Fresenius Prophylaxis in Catheter LockingIntraLock®: Building on reliability and cost-effectiveness.

4% Citrate – recommended by

ERBP position statement 3

Advantages in catheter locking vs. Heparin

• Longer intervention-free period1

• Lower need for thrombolytic agents1

• No heparin associated bleeding complications2

• Provides reliable anti-thrombotic effect1

A reliable locking solution …

Higher survival probability of Central Venous Catheters (CVC) with 4% Citrate vs Heparin

0 11 23 33 42 54 66 80 89 101

114

128

144

162

180

194

213

239

Days

4% CitrAte is recommended by ERBP and ASDIN position statement 3

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Adapted from Lok 20071

4% Citrate

Heparin

P = 0.042

1 box contains 10 x 5 ml

… with an excellent cost profile.

Advantages in catheter locking vs. hypertonic Citrate solutions

• Minimized risk for systemic hypocalcemia and its consequences (arrythmia, cardiac arrest)2

• Offers best risk/benefit ratio of Citrate locking solutions3

Needle-free ampoules

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Literature References

1 Lok C, et al. Trisodium citrate 4 % – an alternative to heparin capping of haemodialysis catheters. Nephrol Dial Transplant. 2007;22:477–483.2 Grudzinski L, et al. Sodium citrate 4 % locking solution for central venous dialysis catheters – an effective, more cost efficient alternative to heparin, Nephrol Dial

Transplant. 2007;22:471–476.3 Vanholder R, et al. Diagnosis, prevention and treatment of haemodialysis catheter-related bloodstream infections (CRBSI): a position statement of European

Renal Best Practice (ERBP), Nephrol Dial Transplant. 2010;3:234–246.

A reliable locking solution with an excellent cost profile.

4% Citrate as in IntraLock® offers

• Longer intervention-free period compared to Heparin1

• Efficient coagulation prophylaxis1 – at the best risk/benefit ratio of Citrate locking solutions3

• An excellent cost profile – allowing an economic catheter care management

4% Citrate

Fresenius Medical Care Deutschland GmbH · Renal PharmaElse-Kröner-Straße 1 · 61352 Bad Homburg v. d. H. · GermanyPhone: +49 (0) 6172-609-0 · Fax: +49 (0) 6172-609-5638 [email protected] · www.fmc-renalpharma.com