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Hypertriglyceridemia: apheretic treatment.

G Giannini1, M Valbonesi, F Morelli

  • 1Department of Immunohematology, Immunohematology Services, S. Martino University Hospital, Genova--Italy. gabriella.giannini@hsanmartino.it

The International Journal of Artificial Organs
|November 17, 2005
PubMed
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Severe hypertriglyceridemia, a risk factor for pancreatitis, was treated using plasmapheresis or cascade filtration. Both methods showed moderate triglyceride removal rates in patients post-bone marrow transplant.

Area of Science:

  • Biochemistry
  • Nephrology
  • Transplantation

Background:

  • Extremely high triglyceride levels (hypertriglyceridemia) pose a significant risk for acute pancreatitis.
  • Hypertriglyceridemia results from increased production or impaired clearance of triglyceride-rich lipoproteins, often exacerbated by secondary causes.
  • Cyclosporin A, used post-bone marrow transplantation, can complicate patient care by affecting lipid metabolism.

Purpose of the Study:

  • To evaluate the efficacy of plasmapheresis and cascade filtration in managing severe hypertriglyceridemia.
  • To compare triglyceride removal rates between plasmapheresis and cascade filtration in patients receiving Cyclosporin A post-bone marrow transplant.

Main Methods:

  • A cohort of 15 patients with hypertriglyceridemia post-bone marrow transplantation were treated.

Related Experiment Videos

  • Five patients underwent plasmapheresis, while ten patients were treated with cascade filtration.
  • Triglyceride levels and removal rates were monitored for both treatment groups.
  • Main Results:

    • Plasmapheresis achieved a triglyceride removal rate of 63.5%.
    • Cascade filtration resulted in a triglyceride removal rate of 58.0%.
    • These removal rates were considered moderate, potentially due to filter saturation.

    Conclusions:

    • Both plasmapheresis and cascade filtration demonstrate efficacy in reducing triglyceride levels in severe hypertriglyceridemia.
    • Further investigation is needed to optimize extracorporeal therapies and mitigate filter saturation for improved triglyceride clearance.