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Related Experiment Videos

Indications for emergency apheresis procedures

L J McCarthy1, C F Danielson, S S Rothenberger

  • 1Indiana University Medical Center, Department of Pathology and Laboratory Medicine, Indianapolis 46202-5283, USA.

Critical Reviews in Clinical Laboratory Sciences
|January 24, 1998
PubMed
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Therapeutic apheresis procedures are life-saving in emergencies but require careful consideration of limited indications. This study reviews decades of experience with emergency apheresis, highlighting critical usage guidelines.

Area of Science:

  • Nephrology
  • Hematology
  • Critical Care Medicine

Background:

  • Therapeutic apheresis has significantly increased in popularity globally over the past 20 years.
  • Emergency apheresis procedures are vital for critical, life-threatening conditions.
  • However, these interventions are associated with risks and should be reserved for specific, well-defined indications.

Purpose of the Study:

  • To critically describe the indications for emergency therapeutic apheresis.
  • To review the authors' extensive experiences with emergency apheresis procedures since the 1970s.
  • To provide insights into the appropriate application of emergency apheresis.

Main Methods:

  • Retrospective review of emergency therapeutic apheresis cases.
  • Analysis of patient data, including indications, procedures, and outcomes.

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  • Critical evaluation of the appropriateness of emergency apheresis utilization.

    • Main Results:

    • Emergency apheresis has been employed for various critical conditions.
    • The review identified specific scenarios where apheresis proved life-saving.
    • Experience has refined the understanding of optimal timing and patient selection for emergency procedures.

    Conclusions:

    • Emergency therapeutic apheresis remains a crucial intervention for select life-threatening conditions.
    • Strict adherence to limited indications is essential for safe and effective use.
    • Long-term experience underscores the importance of careful case selection and procedural management.