Ci‑Ca therapy

Integrating Ci‑Ca therapy in your clinical practice

Ci‑Ca therapy is a continuous kidney replacement therapy method that was developed by Fresenius Medical Care together with experienced clinicians. It was designed to provide reliable regional anticoagulation, using machine integrated citrate and calcium management.

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Think Ci‑Ca therapy.
Your responsibility in good hands.

Your professional world is changing constantly. You appreciate technologies that are continuously evolving and help you to provide your patients with even better therapy. We would like to support you by offering a comprehensive approach for citrate anticoagulation-based CKRT: Ci‑Ca therapy.

At a time when healthcare professionals are increasingly involved in non-caregiving activities such as administration, treatment documentation and medication preparation, there is a growing need for reliable, one-stop solutions which decrease the strain on the ICU staff.

Fresenius Medical Care is the first provider to offer a complete range of Ci‑Ca therapy products from a single source, supporting healthcare professionals to focus on the essential: patient care.

Regional citrate anticoagulation enables patient treatment with less bleeding complications and less filter clotting compared to heparin CKRT.1‑3 As one option to implement regional citrate anticoagulation, Ci‑Ca therapy is an effective and reliable alternative to heparin4‑11 and lets your ICU staff focus more on the patient and less on handling issues.5,11

Regional citrate anticoagulation in extracorporeal blood circuits

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Participate in our experience: Fresenius Medical Care was the first to offer a completely machine integrated Ci‑Ca regional citrate anticoagulation. Healthcare professionals in more than 30 countries have already gained experience with Ci‑Ca therapy and appreciate its reliable and easy application in clinical routines.5,6

Our proven citrate protocol is fully integrated in the multiFiltratePRO and reflected in all our Ci‑Ca products.

Think reliable.
Think Ci‑Ca therapy.

ICU days are busy and, as a doctor, you need to stay in control of a very complex environment. You shouldn’t need to worry about the reliability of CKRT treatments. We enable excellent patient treatment with few clotting and bleeding complications.5‑8,13,14

Our answer

Citrate anticoagulation-based CKRT enables excellent patient treatment with fewer bleeding complications and less filter clotting compared to heparin.3,12‑14 Ci‑Ca regional anticoagulation is an effective and reliable alternative to heparin:

  • Proven citrate protocol5‑8
  • Enabling adherence to KDIGO AKI guideline2
  • Low associated bleeding risk5,7,8
  • Long filter patency4,6,8,10

Think smart.
Think Ci‑Ca therapy.

Nurses carry a lot of responsibility. So you look for ways to reduce workload and to focus on what is important. We help you to conduct a smoothly running CKRT with few interventions, making your work more plannable and enabling you to focus more on your patient.5,11

Our answer

Citrate anticoagulation-based CKRT enables excellent patient treatment with fewer bleeding complications and less filter clotting compared to heparin.3,12‑14 Ci‑Ca regional anticoagulation is an effective and reliable alternative to heparin:

  • Proven citrate protocol5‑8
  • Enabling adherence to KDIGO AKI guideline2
  • Low associated bleeding risk5,7,8
  • Long filter patency4,6,8,10

Think partner.
Think Ci‑Ca therapy.

Budget decisions come with a lot of responsibility. You want to make sure that your clinic is offering the best possible treatment while managing your budget wisely. We strive to limit total cost of ownership while conducting advanced therapies.

Our answer

Citrate anticoagulation-based CKRT enables excellent patient treatment with fewer bleeding complications and less filter clotting compared to heparin.3,12‑14 Ci‑Ca regional anticoagulation is an effective and reliable alternative to heparin:

  • Proven citrate protocol5‑8
  • Enabling adherence to KDIGO AKI guideline2
  • Low associated bleeding risk5,7,8
  • Long filter patency4,6,8,10


Think value‑based.
Think Ci‑Ca therapy.

Managing care is a complex task. You need to consider many different aspects – from therapy optimization to processes and costs. We offer you a one-stop solution from a strong and reliable partner.

Our answer

Citrate anticoagulation-based CKRT enables excellent patient treatment with fewer bleeding complications and less filter clotting compared to heparin.3,12‑14 Ci‑Ca regional anticoagulation is an effective and reliable alternative to heparin:

  • Proven citrate protocol5‑8
  • Enabling adherence to KDIGO AKI guideline2
  • Low associated bleeding risk5,7,8
  • Long filter patency4,6,8,10

Related content

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KDIGO Clinical Practice Guideline for Acute Kidney Injury., Kidney Int Suppl 2012; 2:1‑138

Bai M et al. Intensive Care Med 2015; 41:2098‑2110

Bianchi NA et al. Blood Purif 2020; 49:567‑575

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10 Hafner S et al. J Intensive Care 2015; 3:35

11 Houllé-Veyssière et al. Intensive Crit Care Nurs 2016; 36:35‑41

12 Hetzel GR et al. Nephrol Dial Transpl 2011; 26:232‑239

13 Zarbock A et al. JAMA 2020; 324:1629‑1639

14 Li L et al. Semin Dial 2021; 34:209‑217

15 Dalhuisen A et al. Neth J Crit Care 2017; 25:122‑127

16 Kindgen-Milles D et al. Curr Opin Crit Care 2018; 24:450‑454

17 Huang Z et al. Int J Artif Organs 2008, 31:525‑534

18 Nalesso F et al. J Clin Med 2020; 9:1529