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Therapeutic Plasma Exchange and Immunoadsorption: Indications and Implementation

  • Ammon HandisuryaEmail author
  • Christof Aigner
  • Benjamin Schairer
  • Kurt Derfler
Chapter
Part of the Advances and Controversies in Hematopoietic Transplantation and Cell Therapy book series (ACHTCT)

Abstract

Apheresis modalities including therapeutic plasma exchange and immunoadsorption enable the rapid removal of pathogenic components from circulation via an extracorporeal circuit. After separation of plasma from corpuscular blood components, the endogenous plasma is either replaced by a substitution fluid (therapeutic plasma exchange) or loaded in reusable adsorber columns, where immunoglobulins are adsorbed (immunoadsorption). Several indications for both apheresis modalities have been established, to date, especially in the treatment of various autoantibody-mediated diseases and in the peri-transplant setting.

This chapter will provide an overview of the methodology and the potential complications of both apheresis modalities and will further focus on their implementation in the treatment of three hematological diseases, thrombotic microangiopathy, acquired coagulation inhibitors, and pure red cell aplasia after major ABO-incompatible allogenic hematopoietic stem cell transplantation.

Keywords

Therapeutic plasma exchange Immunoadsorption Apheresis 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Ammon Handisurya
    • 1
    • 2
    Email author
  • Christof Aigner
    • 1
  • Benjamin Schairer
    • 1
  • Kurt Derfler
    • 1
  1. 1.Apheresis Unit, Division of Nephrology and Dialysis, Department of Medicine IIIMedical University of ViennaViennaAustria
  2. 2.1st Medical DepartmentHanusch HospitalViennaAustria

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