Kosmadakis G. Rheopheresis: A narrative review.
Int J Artif Organs 2022;
45:445-454. [PMID:
35389284 DOI:
10.1177/03913988221086597]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
INTRODUCTION
Rheopheresis is an extracorporal selective double-filtration procedure with an initial separation of plasma from the whole blood and a further filtration of the plasma through a second filter in order to eliminate a certain number of high molecular weight proteins such LDL, Lp(a), fibrinogen, α2-macroglobulin, Factor von Willebrand, and IgM Immunoglobulin.
METHODS
In this narrative review we discuss the available data on the effects of Rheopheresis in various clinical conditions.
RESULTS
Rheopheresis is considerd to exert a rapid effect on clinical conditions associated with seriously affected microcirculation and rheologic parameters such as, the dry age-related macular degeneration (AMD), sudden sensorineural hearing loss (SSHS), peripheral artery disease (PAD), calciphylaxis, systemic sclerosis and diabetic foot.
CONCLUSIONS
Rheopheresis is a promising technique for conditions associated with affected microcirculatory rheologic parameters.
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