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Extracorporeal Removal of Drugs: Hemoperfusion and Hemofiltration01:25

Extracorporeal Removal of Drugs: Hemoperfusion and Hemofiltration

Hemoperfusion and hemofiltration are critical techniques in medical treatments to eliminate accumulated drugs, metabolites, and electrolytes from the bloodstream. These methods are particularly vital in cases of accidental poisoning and drug overdose.Hemoperfusion involves passing blood through an adsorbent material to remove unwanted substances. The main adsorbents used in hemoperfusion include activated charcoal and Amberlite resins. Activated charcoal can adsorb both polar and nonpolar...
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Updated: Jun 10, 2026

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload
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Rheohaemapheresis.

Jürgen Otto1

  • 1Deutsches Haemapherese Zentrum, Maarweg 165, 50825 Koeln, Germany. med@dhzcologne.de

Transfusion and Apheresis Science : Official Journal of the World Apheresis Association : Official Journal of the European Society for Haemapheresis
|August 14, 2010
PubMed
Summary

Rheohaemapheresis effectively improves blood flow by reducing plasma proteins. This method successfully treats various microcirculatory disorders, including age-related macular degeneration and diabetic complications.

Area of Science:

  • Cardiovascular Science
  • Hematology
  • Ophthalmology

Background:

  • Blood rheology, the study of blood flow, is crucial for understanding tissue perfusion.
  • Pathological conditions can significantly alter blood rheology and vascular characteristics, impairing tissue perfusion.
  • Microcirculatory system disorders affect various tissues and organs.

Purpose of the Study:

  • To highlight the importance of blood rheology in tissue perfusion.
  • To introduce rheohaemapheresis as a therapeutic approach for improving blood rheological qualities.
  • To review the successful application of rheohaemapheresis in treating diverse microcirculatory disorders.

Main Methods:

  • Rheohaemapheresis is presented as a method to reduce high molecular plasma proteins.

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  • The study reviews existing literature on the application of rheohaemapheresis.
  • Analysis of rheological qualities of blood and vascular characteristics.
  • Main Results:

    • Rheohaemapheresis is an effective and safe method for ameliorating blood rheological qualities.
    • Successful treatment outcomes reported for various conditions including age-related macular degeneration (AMD), idiopathic sudden hearing loss (ISHL), and diabetic complications.
    • Demonstrated efficacy in treating central vein thrombosis and other microcirculatory system disorders.

    Conclusions:

    • Altered blood rheology and vascular conditions significantly disrupt tissue perfusion.
    • Rheohaemapheresis offers a viable therapeutic strategy for managing microcirculatory disorders.
    • The method shows broad applicability and success in treating a range of conditions affecting the microcirculation.