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The Dresden Apheresis Center - experience with LDL apheresis and immunoadsorption.
- Source :
-
Atherosclerosis. Supplements [Atheroscler Suppl] 2009 Dec 29; Vol. 10 (5), pp. 12-6. - Publication Year :
- 2009
-
Abstract
- The first apheresis center in former German Democratic Republic was established in Dresden November 1990 following the reunification of Germany. We here summarize the activities of this center to date. From the center's establishment until the end of July 2009 13,291 sessions of therapeutic apheresis have been performed. Four LDL apheresis methods, namely DALI, Therasorb LDL, HELP and lipidfiltration, are available and several comparative studies of these methods have been published. In addition, we have established the Therasorb IG method and two rheophoresis methods (Rheofilter SR 20; TheraSorb-Rheo Adsorber). Currently we treat 53 high-risk patients with LDL apheresis, including 6 post- heart transplant patients and 5 patients with immunoadsorption. Since November 1990 we have seen a marked reduction in the number of new cardiovascular events by apheresis intervention, but they could not be totally prevented and 2 patients died despite LDL apheresis treatment. In our clinical experience all 4 LDL apheresis methods appear equally effective. However, it is an advantage to have the ability to switch methods in patients in whom one method was less effective or less well tolerated. We also successfully treated patients suffering from Evans' syndrome, pemphigus, urticaria vasculitis with monoclonal gammopathy IgM Type Kappa, lichen myxoedematosus or lupus erythematodes with immunoadsorption. The rheophoresis approach has been used in patients with age-dependent degeneration of the macula, sudden hearing loss, leg ulcers, and diabetic foot syndrome.<br /> (Copyright © 2009 Elsevier Ireland Ltd. All rights reserved.)
- Subjects :
- Biomarkers blood
Cardiovascular Diseases blood
Cardiovascular Diseases etiology
Cholesterol, HDL blood
Female
Germany
Humans
Hypercholesterolemia blood
Hypercholesterolemia complications
Hypertriglyceridemia blood
Hypertriglyceridemia complications
Hypolipidemic Agents therapeutic use
Male
Middle Aged
Time Factors
Treatment Outcome
Triglycerides blood
Blood Component Removal
Cardiovascular Diseases prevention & control
Cholesterol, LDL blood
Hypercholesterolemia therapy
Hypertriglyceridemia therapy
Immunosorbent Techniques
Subjects
Details
- Language :
- English
- ISSN :
- 1878-5050
- Volume :
- 10
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Atherosclerosis. Supplements
- Publication Type :
- Academic Journal
- Accession number :
- 20129367
- Full Text :
- https://doi.org/10.1016/S1567-5688(09)71803-3