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Consultation Info.:049-228-3411

Number Info.:049-228-3400

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Blood Purification Center

September 2,2019 Update

Introduction

The Saitama Medical Center Blood Purification Center is located on the first floor on the West side of the main building. This clinic was originally opened as an artificial kidney department on the 2nd floor of the main building (the place that is currently a Lawson and Tully's Coffee), with 11 dialysis beds and 1 peritoneal dialysis examination room, and it was administered under the Department of Nephrology and Hypertension (formerly the Department of Fourth Internal Medicine). With the renovation of the hospital, we relocated to the first floor of the West side of the main building (former site of the Department of Emergency and Critical Care Medicine) and opened completely in July 2017. Currently, we have expanded to 20 dialysis beds, 3 outpatient clinic rooms, and 1 home dialysis guidance room, and the artificial kidney department changed their name to the Blood Purification Center and is operated mainly by the Department of Nephrology and Hypertension as one of the central departments of the hospital.

Patients who need blood purification therapy span a variety of medical departments, such as the Department of Nephrology and Hypertension, the Department of Gastroenterology and Digestive Tract Surgery, the Department of Vascular Surgery, the Department of Dermatology, and the Department of Rheumatology, with an emphasis on the Department of Nephrology and Hypertension. Of course there is ① the Chronic Dialysis Therapy Division, and we also actively engaged in ② the Special Blood Purification Division which performs apheresis therapy and acute blood purification therapy. In recent years, we have also been working to treat babies who are only a few days old with the establishment of the Pediatric Intensive Care Unit. Also, we are one of the few university core hospitals in Japan with five divisions in close cooperation; ③ the Home Dialysis Division where peritoneal dialysis outpatient is actively promoted, incorporating it in home hemodialysis, ④the Vascular Access Division which manages and treats patients to protect important vascular access (shunts), which is the most important thing for hemodialysis patients and ⑤ the Kidney Transplant Division which cooperates with our Organ Transplantation Center actively promoting cadaveric kidney transplantation (No.1 in registrations in Saitama Prefecture) and living donor kidney transplant. We want to manage it carefully because it is a big asset for us as well.

We intend to fulfill our duty as a blood purification center trusted by the local people in order to be able to play a role as a core facility in the medical area centering on Saitama Kawagoe.

Patient care at our department

In the Blood Purification Center, we are targeting all kinds of blood purification therapies as renal replacement therapy, such as hemodialysis, peritoneal dialysis, and home hemodialysis, as well as plasma exchange for autoimmune diseases and liver failure, and acute blood purification for acute renal failure, such as after surgery. In addition, as a facility performing kidney transplantation, we are responsible for the registration of kidney transplant applicants, and we also manage patients after kidney transplantation.

We have a class on kidney disease with a study group for patients during the predialysis period before the introduction of dialysis. We strive to maintain and manage patients with kidney failure while acquiring the correct information about the disease. We have opened an outpatient clinic for renal failure therapy for patients receiving renal replacement therapy due to terminal renal failure where they explain hemodialysis, peritoneal dialysis, and renal transplantation in an easy-to-understand manner and assist patients with their choice of treatment methods.
Peritoneal dialysis that can be performed at home is useful as a dialysis treatment. Stable patients will be treated once or twice per month, while performing daily bag exchanges at home and at work. Although self-management is important for peritoneal dialysis, patients may be able to independently participate in their treatment, and the quality of daily life can be expected to improve.

Home hemodialysis is a method for patients and caregivers to perform hemodialysis at home under the management of a medical facility. It is necessary to acquire knowledge and technology to be able to do home dialysis with peace of mind, and it needs to be received with a caregiver. There is no burden on the body because there is no hospitalization for treatment at home with hemodialysis and dialysis and long-term dialysis can be adapted to your lifestyle.

Dialysis access is very important for patients as well. A dialysis specialist is responsible for the preparation of the internal shunt for hemodialysis and for inserting the Tenckhoff catheter for the treatment of peritoneal dialysis. In addition, we have established an access specialist outpatient clinic to maintain stable dialysis access. We take advantage of non-invasive 3D ultrasound than conventional examinations to manage this. In addition, we actively perform percutaneous transluminal angioplasty (PTA) for patients who have problems with internal shunts due to vascular stenosis, and we also perform treatments other than surgery.

Main diseases and target symptoms

  • Chronic renal failure (may also apply to before starting artificial dialysis. For details, please consult the Department of Nephrology and Hypertension at our Hospital.)
 

Treatment results

Number of blood purification treatments, 6,912 people (year)
5,317 hemodialysis treatments, 294 sustained blood purification treatments, 538 plasma exchange and adsorption therapy treatments
578 plasma exchange and adsorption therapy treatments
107 plasma exchange therapy treatments, 33 double membrane filtration plasma exchange treatments, 131 immunosorbent therapy treatments,
271 leukocyte removal therapy treatments, 14 endotoxin adsorption therapy treatments,
Peritoneal dialysis
Peritoneal dialysis treatment patients: 54
Home hemodialysis
8 maintenance home hemodialysis patients
Surgical results
100 internal shunt preparation cases, 344 internal shunt PTAs
38 cases of Tenckhoff catheter related surgery
182 people registered for cadaveric kidney transplantation

Medical staff

Name Job Title Position Specialized Field Credentials
小川 智也
(Ogawa Tomonari)
血液浄化センタースタッフ001
Associate Professor Director,Center of Blood Purification
Vice-Chief of Clinical Services,Department of Nephrology and Hypertension
Blood purification therapy(hemodiafiltration/acute/plasma exchange)
home dialysis(PD・HHD)
vascular access failure
renal transplantation
Board Certified Member of the Japanese Society of Internal Medicine・指導医
Fellow of the Japanese Society of Internal Medicine (FJSIM)
Educator/Board Certified Nephrologist of the Japanese Society of Nephrology
Fellow/Board Certified Senior Member of the Japanese Society for Dialysis Therapy
Board Certified Member of the Japanese society for apheresis
野村 恭一
(Nomura Kyouichi)
血液浄化センタースタッフ002
Professor Vice-Director,Center of Blood Purification
Deputy Hospital Director
Chief of Clinical Services,Department of Neurology
immunologic neurological diseases
peripheral neurological disorders
Blood purification therapy
Board Certified Neurologist/Senior Fellow of the Japanese Society of Neurology/Councilor
Japanese Society for Neuroimmunology Board member
Japanese Society for Apheresis Board member
Japanese Peripheral Nerve Society Board member
Japanese Society of Neurological Therapeutics Delegate

Doctor Division

Name Job Title Position Specialized Field Credentials
長谷川 元
(Hasegawa Hajime)
血液浄化センタースタッフ003
Professor Chief of Clinical Services,Department of Nephrology and Hypertension 分子腎生理学
水電解質代謝異常
酸塩基平衡異常
Board Certified Member of the Japanese Society of Internal Medicine・指導医
Educator/Board Certified Nephrologist of the Japanese Society of Nephrology
Board Certified Occupational Medicine Physician of Japan Medical Association
清水 泰輔
(Shimizu Taisuke)
血液浄化センタースタッフ006
Assistant Professor Vice-Chief of Clinical Services,Department of Nephrology and Hypertension Renal insufficiency
水電解質代謝異常
vascular access failure
Board Certified Member of the Japanese Society of Internal Medicine・指導医
Board Certified Nephrologist of the Japanese Society of Nephrology
Fellow of the Japanese Society for Dialysis Therapy
岩下 山連
(Iwashita Takatsugu)
血液浄化センタースタッフ004
Instructor Vice-Chief of Clinical Services,Department of Nephrology and Hypertension Nephritis,Nephrotic syndrome
Secondary hypertension
Renal insufficiency
Kidney transplantation
Board Certified Member of the Japanese Society of Internal Medicine・指導医
Educator/Board Certified Nephrologist of the Japanese Society of Nephrology
Board Certified Occupational Medicine Physician of Japan Medical Association
Fellow of the Japanese Society for Dialysis Therapy
原 宏明
(Hara Hiroaki)
血液浄化センタースタッフ005
Instructor Manager of Outpatient Services,Department of Nephrology and Hypertension Nephritis,Nephrotic syndrome
renal failure
Nutrition
Kidney transplantation
Board Certified Member of the Japanese Society of Internal Medicine・指導医
Fellow of the Japanese Society of Internal Medicine (FJSIM)
Board Certified Nephrologist of the Japanese Society of Nephrology
Fellow of the Japanese Society for Dialysis Therapy
安田 邦彦
(Yasuda Kunishiko)
血液浄化センタースタッフ007
Instructor Staff Physician,Department of Nephrology and Hypertension renal failure
vascular access failure

Nurse Division

Name Job Title Position Specialized Field Credentials
安田 多美子
(Yasuda Tamiko)
血液浄化センタースタッフ008
nurse 看護部・副看護師長 Dialysis nursing 日本病院会・厚生労働省認定「医療安全管理者」
認定看護管理者セカンドレベル
長谷川 総子
(Gasegawa Fusako)
血液浄化センタースタッフ009
nurse
Clinical Engineer
看護部・看護主任 Dialysis nursing 透析技術認定士
日本医師会医療安全推進者養成講座修了

Clinical Engineering Division

Name Job Title Position Specialized Field Credentials
森田 高志
(Morita Takashi)
血液浄化センタースタッフ010
Clinical Engineer 臨床工学部 課長
医療機器安全管理責任者
Device management
Medical safety
Extracorporeal circulation
Dialysis Technician
3学会合同呼吸療法認定士
体外循環技術認定士
中村(金山) 由紀
(Nakamura Yuki)
血液浄化センタースタッフ011
Clinical Engineer 臨床工学部 課長補佐 Blood purification therapy
Device management
Medical safety
Dialysis Technician
アフェレーシス技術認定士
日本急性血液浄化認定指導者
3学会合同呼吸療法認定士
佐々木 裕介
(Sasaki Yusuke)
血液浄化センタースタッフ012
Clinical Engineer Department of Clinical Engineering
(リーダー)
Blood purification therapy
Device management
Dialysis Technician
血液浄化専門臨床工学技士
3学会合同呼吸療法認定士
徳井 研太
(Tokui Kenta)
血液浄化センタースタッフ013
Clinical Engineer Department of Clinical Engineering
(リーダー)
Blood purification therapy
Device management
Arrhythmia/Respiratory therapy relation
血液浄化専門臨床工学技士
3学会合同呼吸療法認定士
不整脈治療専門臨床工学技士

To the Medical Institutions

Blood Purification Center
  月曜日
Monday
火曜日
Tuesday
水曜日
Wednesday
木曜日
Thursday
金曜日
Friday
土曜日
Saturday
午前
浄化ユニット
腎・高血圧内科
担当医
腎・高血圧内科
担当医
腎・高血圧内科
担当医
腎・高血圧内科
担当医
腎・高血圧内科
担当医
腎・高血圧内科
担当医
専門外来
腹膜透析
(交替制)
腹膜透析
(交替制)
腹膜透析・在宅血液透析
小川 智也
(Ogawa Tomonari)
(1.3.5週)
腹膜透析・在宅血液透析
小川 智也
(Ogawa Tomonari)
(2.4週)


在宅血液透析
(交替制)
在宅血液透析
(交替制)
腹膜透析・腎移植
松村 治
(Matsumura Osamu)
(2.4週)
岩下 山連
(Iwashita Takatsugu)
(2.4週)


腎移植登録
清水 泰輔
(Shimizu Taisuke)
(2週)
佐野 達郎
(Sano Tatsuro)
(4週)



透析アクセス
小川 智也
(Ogawa Tomonari)
(2.4週)
透析アクセス
清水 泰輔
(Shimizu Taisuke)

午後
浄化ユニット
腎・高血圧内科
担当医
腎・高血圧内科
担当医
腎・高血圧内科
担当医
腎・高血圧内科
担当医
腎・高血圧内科
担当医
腎・高血圧内科
担当医
専門外来
腎移植
岩下 山連
(Iwasita Takatsugu)
(2週・4週)


透析アクセス
小川 智也
(Ogawa Tomonari)
腹膜透析・在宅血液透析
河合 雄一郎
(Kawai Yuichiro)




透析アクセス
肥田 徹
(Hida Toru)


教育外来
腎不全療法
腎不全療法
腎不全療法

腎不全療法
腎不全療法

To the Medical Personnel

We are separated into the following departments: (1) Chronic Dialysis Therapy Division, (2) Special Blood Purification Division, (3) Home Dialysis Division, (4) Vascular Access Division, (5) Kidney Transplant Division.

Blood purification... (1) Chronic Dialysis Therapy Division, (2) Special Blood Purification Division

This center is focused on dialysis introduction, dialysis with complications, and observation of dialysis in the case of difficulty with the puncture. We will introduce the dialysis facilities we work with in the classroom for stable patients, while we will have you re-introduce them to us at the time there are problems such as complications for close examination and additional treatment.

= Consultation Window =

  • Please call us at the Blood Purification Center (049-228-3523). We will consult with you to propose a bridge to the appropriate medical department and begin preparing them to accept dialysis during hospitalization.
  • When you are troubled by a decision or your patient needs hospitalization... you can consult with the Department of Nephrology and Hypertension (049-228-3603).

(3) Home Dialysis Division

We provide better dialysis at home through peritoneal dialysis and home hemodialysis. Currently, we also consult with patients who are having facility hemodialysis. Thank you for providing the information at the current institution.

= Consultation window =

  • Please call us at the Blood Purification Center (049-228-3523).

(4) Vascular Access Division

We can provide consultation for all Vascular access (VA). In our hospital, dialysis doctors perform VA, and we are working closely with the Department of Vascular Surgery to try to provide the best possible treatment, even in a state of collapsed blood vessels. (Blood vessel dislocation, surfacing, treatment of excess blood flow, etc.) and we are also actively engaged in PTA treatment (balloon expansion). We make comprehensive decisions in VA outpatient and we endeavor to provide treatment while closely sharing information with maintenance hemodialysis facilities. The VA treatment room in the Blood Purification Center will open in autumn 2018, this should make it possible to support more quickly than ever.

= Consultation window =

  • Please call us at the Blood Purification Center (049-228-3523).

(5) Kidney Transplant Division

We perform live donor kidney transplantation and cadaveric kidney transplantation in cooperation with the Organ Transplant Center. Transplant consultations are accepted at the Blood Purification Center. We also have regular outpatient for cadaveric kidney transplantation in preparation for registration with the Japan Organ Transplant Network and transplantation. Please consult with us first about living donor kidney transplants.

= Consultation window =

  • Please call us at the Blood Purification Center (049-228-3523).
埼玉医科大学バナー 埼玉医科大学看護学校バナー