Current indication of plasma exchanges in nephrology : a systematic review
Joint Authors
Bertrand, Dussol
Boucar, Diouf
Seck, Sidi Muhammad
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 22, Issue 2 (30 Apr. 2011), pp.219-224, 6 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2011-04-30
Country of Publication
Saudi Arabia
No. of Pages
6
Main Subjects
Topics
Abstract EN
Therapeutic plasma exchange (TPE) has been firstly performed with centrifugation devices used in blood banking procedures.
Nowadays, TPE is increasingly performed in intensive care units using hemodiafiltration generators that ensure better efficiency and simplicity.
However, prescription for the different medical pathologies depends on weak evidence-based recommendations, and is often guided by the clinician’s own experience.
In this review, we briefly recall the rationale of TPE prescription before discussing the evidence level of common indications of TPE in nephrology.
Currently, strong evidence-based data for the benefit of TPE is clearly demonstrated in renal diseases such as hemolytic uremic syndrome, anti-glomerular basement membrane vasculitis, and recurrent glomerulonephritis after kidney transplantation and management of humoral renal allograft rejection in high-risk recipients.
However, the other indications of TPE, such as renal vasculitis associated with anti-neutrophil cytoplasmic antibodies, mixed cryoglobulinemia, periarteritis nodosa, and acute renal failure in myeloma are still controversial.
Finally, TPE have been found to be clearly inefficient in lupus nephritis, except for patients with associated thrombotic microangiopathy or catastrophic ant phospholipid antibodies syndrome.
More randomized clinical trials are required to precisely place TPE in the management of renal diseases.
Meanwhile, the decision to use this burdensome and costly therapy should be individualized according to its proven benefits and potential complications.
American Psychological Association (APA)
Seck, Sidi Muhammad& Bertrand, Dussol& Boucar, Diouf. 2011. Current indication of plasma exchanges in nephrology : a systematic review. Saudi Journal of Kidney Diseases and Transplantation،Vol. 22, no. 2, pp.219-224.
https://search.emarefa.net/detail/BIM-291418
Modern Language Association (MLA)
Bertrand, Dussol…[et al.]. Current indication of plasma exchanges in nephrology : a systematic review. Saudi Journal of Kidney Diseases and Transplantation Vol. 22, no. 2 (Apr. 2011), pp.219-224.
https://search.emarefa.net/detail/BIM-291418
American Medical Association (AMA)
Seck, Sidi Muhammad& Bertrand, Dussol& Boucar, Diouf. Current indication of plasma exchanges in nephrology : a systematic review. Saudi Journal of Kidney Diseases and Transplantation. 2011. Vol. 22, no. 2, pp.219-224.
https://search.emarefa.net/detail/BIM-291418
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 223-224
Record ID
BIM-291418