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Related Concept Videos

Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy01:26

Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy

Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in critically...
Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis01:30

Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis

Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
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...
Renal Drug Excretion: Tubular Reabsorption01:25

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Tubular reabsorption, a process occurring post-glomerular filtration of drugs in the renal tubule, is a critical determinant of drug half-life. During the process of renal excretion, as the glomerular filtrate progresses to the distal convoluted tubule (DCT), drugs that are highly permeable, lipophilic, and nonionized undergo passive reabsorption from the tubular fluid into the surrounding peritubular capillaries. This reabsorption process restricts their elimination through the kidneys. This...

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Murine Bilateral Renal Lymphadenectomy
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Murine Bilateral Renal Lymphadenectomy

Published on: December 30, 2025

Plasmapheresis in immunologic renal disease.

Charles D Pusey1, Jeremy B Levy

  • 1Renal Section, Department of Medicine, Imperial College London, London, UK. c.pusey @ imperial.ac.uk

Blood Purification
|January 25, 2012
PubMed
Summary

Plasmapheresis removes harmful immune substances from the blood to treat kidney diseases. This review summarizes its current uses in immunologic renal conditions, supported by growing evidence from controlled trials.

Area of Science:

  • Nephrology
  • Immunology
  • Transplantation

Background:

  • Plasmapheresis has been utilized for immunologic renal disease management for four decades.
  • The core principle involves removing circulating pathogenic immune mediators like autoantibodies and immune complexes.
  • Potential benefits include depletion of proinflammatory molecules such as complement and coagulation factors.

Purpose of the Study:

  • To review and summarize the current clinical indications for plasmapheresis in immunologic renal diseases.
  • To highlight the evolving role of plasmapheresis based on recent randomized controlled trials.

Main Methods:

  • Review of historical and recent literature on plasmapheresis in nephrology.
  • Analysis of evidence from uncontrolled studies and randomized controlled trials.

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Optical Clearing and Imaging of Immunolabeled Kidney Tissue

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  • Synthesis of data on plasmapheresis efficacy in various immunologic renal conditions.
  • Main Results:

    • Plasmapheresis is indicated for Goodpasture's disease, systemic vasculitis, and hemolytic uremic syndrome/thrombotic thrombocytopenic purpura.
    • It is also used in cryoglobulinemia and systemic lupus erythematosus for immune complex removal.
    • In renal transplantation, it treats antibody-mediated rejection and facilitates desensitization for incompatible transplants.

    Conclusions:

    • Plasmapheresis remains a valuable therapeutic option for specific immunologic renal diseases.
    • Evidence from controlled trials supports its use in various conditions, including autoimmune diseases and transplantation.
    • The application of plasmapheresis continues to expand with ongoing research and clinical experience.