• All modes of RRT (with the exception of PD) utilise an extracorporeal circuit
  • Contact of blood with the foreign surface results in:
    • Activation of both the intrinsic and the extrinsic pathway of coagulation
    • Activation of platelets
  • Exacerbated by pro-coagulopathic effects of AKI
  • When the filter clots:
    • Partially – the filter performance is reduced
    • Completely – the filter is lost and treatment us interrupted with loss of the filter, circuit and blood contained within