Abstract
Treatment of chronic uremia has focused on reducing the generation of nitrogenous end products of protein breakdown, or on their removal by dialysis techniques. Treatment of many thousands of patients with chronic uremia has demonstrated that diet and dialysis can sustain life, although they do not correct all the metabolic consequences of renal failure and many features of uremia continue unabated. Attention has been directed over the last two decades to the properties of sorbents in an attempt to increase the efficiency of the dialysis technique. Oral sorbents such as oxystarch and charcoal, have been of considerable interest, but as yet remain of unproven value as the sole treatment for severe uremia. However, sorbent regeneration of dialysate (see Chapter 19), is now accepted in the clinical management of uremia. This chapter will deal with direct contact of blood with sorbents within cartridges (columns), primarily reviewing the potential use of hemoperfusion in uremia, but also discussing the application of hemoperfusion in drug intoxication, hepatic encephalopathy, and other potential uses (Figure 1).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Yatzidis H: A convenient haemoperfusion micro-apparatus over charcoal for the treatment of endogenous and exogenous intoxications. Its use as an artificial kidney. Proc Eur Dial Transplant Assoc 1: 83, 1964
Dunea G, Kolff WJ: Clinical experience with the Yatzidis charcoal artificial kidney. Trans Am Soc Artif Intern Organs 11: 178, 1965
Chang TMS: Semipermeable aqueous microcapsules (artifical cells): with emphasis on experiments in an extracorporeal shunt system. Trans Am Soc Artif Intern Organs 12: 13, 1966
Asher WJ: Introduction to sorbents. in Sorbents and Their Clinical Applications edited by Giordano C, New York, Academic Press Inc, 1980, p 3
Denti E, Walker JM: Activated carbon: properties, selection and evaluation, in Sorbents and Their Clinical Applications edited by Giordano C, New York, Academic Press Inc, 1980, p101
Denti E, Luboz MP, Tessore V: Adsorption characteristics of cellulose acetate coated charcoals. J Biomed Mater Res 9: 143, 1975
Winchester JF, Ratcliffe JG, Carlyle E, Kennedy AC: Solute, amino acid, and hormone changes with coated charcoal hemoperfusion in uremia. Kidney Int 14: 74, 1978
Kokot F, Pietrek J, Seredynski M: Influence of haemoperfusion on plasma levels of hormones and B-methyldigoxin. Proc Eur Dial Transplant Assoc 15: 604, 1978
Cornelis R, Ringoir S, Mees L, Hoste J: Behavior of trace metals during hemoperfusion.Miner Electrolyte Metab 4: 123, 1980
Hagstam KE, Larsson LE, Thysell H: Experimental studies on charcoal haemoperfusion in phenobarbital intoxication and uraemia, including histopathologic findings. Acta Med Scand 180: 593, 1966
Winchester JF: Hemoperfusion in uremia, in:Sorbents and Thier Clinical Applications, edited by Giordano C, New York, Academic Press Inc, 1980, p 387
Chang TMS: Microcapsule artificial kidney in replacement of renal function. With emphasis on adsorbent hemoperfusion. in: Replacement of Renal Function by Dialysis First Edition, edited by Drukker W, Parsons FM, Maher JF, The Hague, Boston, London, Martinus Nijhoff, 1978, p 217
Odaka M, Tabata Y, Kobayashi H, Nomura Y, Soma M, Hirasawa H, Sato H, Suenaga E, Nabeta K: Three hour maintenance haemodialysis combining direct haemoperfusion and haemodialysis. Proc Eur Dial Transplant Assoc 13: 257, 1976.
Ota K, Ohta T, Kobayashi M, Yoshida S, Kaneko I, Agishi T, Sugihara M: Petroleum based activated charcoal for direct haemoperfusion. Proc Eur Dial Transplant Assoc 13: 250, 1976
Stefoni S, Feliciangeli G, Coli L, Bonomini V: Evaluation of a new coated charcoal for hemoperfusion in uremia.Int J Artif Organs 2: 320, 1979
Craddock PR, Fehr J, Brigham KL, Kronenberg R, Jacobs HS: Complement and leukocyte-mediated pulmonary dysfunction in hemodialysis. N Engl J Med 296: 769, 1977
Pott G, Voss B, Lohmann J, Zundorf P: Loss of fibronectin in plasma of patients with shock and septicaemia, and after haemoperfusion in patients with severe poisoning. J Clin Chem Clin Biochem 20: 333, 1982
Gurland HJ, Fernandez JC, Samtleben W, Castro LA: Sorbent membranes used in a conventional dialyzer format: In vitro and clinical evaluation. Artif Organs 2: 372, 1978
Davis TA, Cowsar DR, Harrison SD, Tanquary AC: Artificial carbon fibers for hemoperfusion. Trans Am Soc Artif Intern Organs 20: 353, 1974
Malchesky PS, Varnes WG, Nokoff R, Nose Y: The charcoal capillary haemoperfusion system. Proc Eur Dial Transplant Assoc 13: 242, 1976
van Berlo AMW, Poelmans AP, van der Pols, Aarts PJM, Verkooyen AHM: Comparing in vitro adsorption studies with the filmadsorber and other haemoperfusion devices, in: Biomaterials in Artificial Organs, edited by Paul JP, Gaylor JDS, Courtney JM, Gilchrist T, London, Basingstoke, The Macmillan Press Ltd, 1984, p 155
Weston MJ, Langley PG, Rubin MH, Hanid MA, Mellon P, Williams R: Platelet function in fulminant hepatic failure and effect of charcoal haemoperfusion. Gut 18: 897, 1977
Winchester JF, Forbes CD, Courtney JM, Reavey M, Prentice CRM: Effect of sulphinpyrazone and aspirin on platelet adhesion to activated charcoal and dialysis membranes in vitro. Thromb Res 11: 443, 1977
Bunting S, Moncada S, Vane JR, Woods HF, Weston MJ: Prostacyclin improves haemocompatibility during charcoal haemoperfusion. in: Prostacyclin, edited by Vane JR, Bergstrom S, New York, Raven Press, 1979, p 361
Gimson AES, Langley PG, Hughes RD, Canalese J, Mellon PG, Williams R, Woods HF, Weston MJ: Prostaclyclin to prevent platelet activation during charcoal haemoperfusion in fulminant hepatic failure. Lancet 1: 173, 1980
Gimson AES, Braude S, Mellon PJ, Canalese J, Williams R: Earlier charcoal haemoperfusion in fulminant hepatic failure. Lancet 2: 681, 1982
Woods HF, Weston MJ, Bunting S, Moncada S, Vane J: Prostacyclin eliminates the thrombocytopenia associated with charcoal hemoperfusion and minimizes heparin and fibrinogen consumption. Artif Organs 4: 176, 1980
Mauer S, Chavers BM, Kjellstrand CM: Treatment of an infant with severe chloramphenicol intoxication, using charcoal-column hemoperfusion. J Pediatr 96: 136, 1980
Winchester JF:Evaluation of Sorbent Haemoperfusion in Poisoning and Uraemia. MD Thesis, University of Glasgow, Scotland, 1980
Lindsay RM, Prentice CRM, Davidson JF, Burton JA, McNicol GP: Haemostatic changes during dialysis associated with thrombus formation on dialysis membranes. Br Med J 4: 454, 1972
Chang TMS, Chirito E, Barre B, Cole C, Hewish M: Clinical performance-characteristics of a new combined system for simultaneous hemoperfusion-hemodialysis-ultrafiltration in series. Trans Am Soc Artif Intern Organs 21: 502, 1975
Stefoni S, Coli L, Feliciangeli G, Baldrati L, Bonomini V: Regular hemoperfusion in regular dialysis treatment. A long-term study. Int J Artif Organs 3: 348, 1980
Muirhead EE, Reid AF: Resin artificial kidney. J Lab Clin Med 33: 841, 1948
Schreiner GE: The role of hemodialysis (artificial kidney) in acute poisoning. Arch Intern Med 102: 896, 1958
Rosenbaum JL, Onesti G, Heider C: The removal of cation from dogs with an ion-exchange column. JAMA 180: 762, 1962
Kissack AS, Gliedman L, Karlson KE: Studies with ion exchange resins. Trans Am Soc Artif Intern Organs 8: 219, 1962
Nealon TF Jr, Ching N: An extracorporeal device to lower blood ammonia levels in hepatic coma. Trans Am Soc Artif Intern Organs 8: 226, 1962
Yatzidis H, Voudiclari S, Oreopoulos D, Tsaparas N, Triantaphyllidis D, Gavras C, Stavroulaki A: Treatment of severe barbiturate poisoning. Lancet 2: 216, 1965
Chang TMS, Gonda A, Dirks JH, Malave N: Clinical evaluation of chronic intermittent and short term hemoperfusion in patients with chronic renal failure using semipermeable microcapsules (artificial cells) formed from membrane coated activated charcoal. Trans Am Soc Artif Intern Organs 17: 246, 1971
Chang TMS, Migchelsen M: Characterization of possible ‘toxic’ metabolites in uremia and hepatic coma based on the clearance spectrum for larger molecules by the ACAC microcapsule artificial kidney. Trans Am Soc Artif Intern Organs 19: 314, 1973
Chang TMS, Migchelsen M, Coffey JF, Stark R: Serum middle molecule levels in uremia during long term intermittent hemoperfusion with ACAD (coated charcoal) microcapsule artificial kidney. Trans Am Soc Artif Intern Organs 20: 364, 1974
Oules R, Asaba H, Neuhauser M, Yahiel V, Gunnarsson B, Bergström J, Fürst P: Removal of uremic small and middle molecules and free amino acids by carbon hemoperfusion. Trans Am Soc Artif Intern Organs 23: 583, 1977
Chang TMS: Assessment of clinical trials of charcoal hemoperfusion in uremic patients. Clin Nephrol 11: 111, 1979
Rosenbaum JL, Kramer MS, Raja R, Henriques M: Hemoperfusion in uremia: Effect of time, solute competition and biocompatibility on column adsorption, in: Hemoperfusion, Kidney and Liver Support and Detoxification edited by Sideman S, Chang TMS, Washington DC, Hemisphere Publishing Corp, 1980,p 245
Gelfand MC, Winchester JF: Hemoperfusion results in uremia. Clin Nephrol 1: 107, 1979
Trznadel K, Walasek L, Kidawa Z, Lutz W: Comparative studies on the effect of hemoperfusion and hemodialysis on the elimination of some uremic toxins. Clin Nephrol 10: 229, 1978
Weber WJ, Morris JC: Kinetics of adsorption on carbon from solutions. Proc Am Soc Civil Eng 89: 31, 1963
Martin AM, Gibbins JK, Kimmitt J, Rennie F: Hemodialysis and hemoperfusion in the treatment of uremic pericarditis. A study of 13 cases. Dial Transplant 8: 135, 1979
Odaka M, Kirasawa H, Kobayashi H, Ohkawa M, Soeda K, Tabata Y, Soma M, Sato H: Clinical and fundamental studies of cellulose coated bead-shaped charcoal haemoperfusion in chronic renal failure, in:Hemoperfusion, Kidney and Liver Support and Detoxification edited by Sideman S, Chang TMS, Washington DC, Hemisphere Publishing Corp, 1980, p 45
Trznadel K, Luciak M, Wyszogrodzka M: Effect of haemoperfusion on the left ventricular systolic function in patients with chronic uraemia. Acta Med Pol 22: 75, 1981
Asaba H: Uremic middle molecules. Accumulation, renal excretion and elimination by extracorporeal treatment. Scand J Urol Nephrol Supplement 67: 1, 1982
Asaba H, Bergström J, Fürst P, Gunnarsson B, Neuhauser M, Oules R, Yahile V: Removal of endogenous middle molecules by hemoperfusion. Artif Organs 3: 132, 1979
Otsubo O, Kuzuhara K, SimadaY, Yamauchi Y, Takahashi I, Yamada Y, Otsubo K, Inou T: Treatment of uraemic peripheral neuritis by direct haemoperfusion with activated charcoal. Proc Eur Dial Transplant Assoc 16: 731, 1979
Agishi T, Yamashita N, Ota K: Clinical results of direct charcoal hemoperfusion for endogenous and exogenous intoxication. in: Hemoperfusion, Kidney and Liver Support and Detoxification edited by Sideman S, Chang TMS, Washington DC, Hemisphere Publishing Corp, 1980, p 255
Chang TMS, Barre P, Kuruvilla S: Long-term reduced time hemoperfusion-hemodialysis compared to standard dialysis. A preliminary crossover analysis. Trans Am Soc Artif Intern Organs 31: 572, 1985
Henderson IS, Kennedy AC: Long-term evaluation of charcoal haemoperfusion combined with dialysis for uraemic patients. in: Biomaterials in Artificial Organs edited by Paul JP, Gaylor JDS, Courtney JM, Gilchrist T, London, Basingstoke, The Macmillan Press Ltd, 1984, p 72
Siemsen AW, Dunea G, Mamdani BH, Guruprakash G: Charcoal hemoperfusion for chronic renal failure.Nephron 22: 386, 1978
Odaka M, Tabata Y, Kabayashi H, Nomura Y, Soma A, Hirasawa A, Sato H: Clinical experience of bead-shaped charcoal hemoperfusion in chronic renal failure and fulminant hepatic failure, in: Artificial Kidney, Artificial Liver and Artificial Cells edited by Chang TMS, New York, Plenum Press, 1978,p 79
Bonomini V, Stefoni S, Feliciangeli G, Coli L, Scolari MP, Orsi C, Nanni Costa A, Prandini R, Galanti S: Shortened treatment time by combined hemodialysis and hemoperfusion. Contr Nephrol 44: 57, 1985
Bonomini V, Stefoni S, Feliciangeli G, Coli L, Scolari MP, Prandini R, Casciani CU, Taccone Gallucci, Albertazzi A, Mioli V, Mastrangelo F: Present status of hemoperfusion/hemodialysis in Italy. Appl Biochem Biotechnol 10: 157, 1984
Stefoni S, Coli L, Feliciangeli G, Scolari MP, Bonomini V: Hemoperfusion in reduced-time programmes for chronic uremia. Long term results. Int J Artif Organs 9: 297, 1986
Barre PE, Gonda A, Chang TMS: Routine clinical applications of hemodialysis-hemoperfusion in chronic renal failure: case reports. Int J Artif Organs 9: 305, 1986
Espinosa-Melendez E, Bourgouin PA, Chang TMS: Combined hemoperfusion-hemodialysis in the treatment of uremic patients with vascular access problems: case reports. Int J Artif Organs 9: 309, 1986
Stefoni S, Nanni Costa A, Liviano D’Arcangelo G, Biavati M, Ianelli S, Bonomini V: Biocompatibility of charcoal hemoperfusion. Effects of long-term treatment on lymphocyte characteristics and function. Int J Artif Organs 9: 301, 1986
Capodicasa G, De Santo NG, Galione A, Bellavia C, Annaloro R, Vaccaro F, Picone F, Vinti V, Davi G, Rapisarda LM, Giordano C: CAPD plus hemoperfusion once a week for end stage renal disease. Int J Artif Organs 5: 125, 1981
Capodicasa G, Davi G, Picone F, Mattina A, Gianetto V, Vinti V, Vaccaro F, Strano A, De Santo NG, Giordano C: Platelet thromboxane formation and BTG levels after intensive charcoal hemoperfusion in uremia or regular hemodialysis treatment.Int J Artif Organs 6: 241, 1983
Winchester JF, Ash SR: Hemoperfusion for uremia: Past present and future.Kidney Int 28 (Suppl 17): S127, 1985
Hone PWE, Farrell PC: Urea adsorption capacity of sulfonated polystyrenes. asaio J 3: 1, 1980
Ash SR, Barile RG, Wilcox PG, Wright DL, Thornhill JA, Dhein CR, Kessler DP, Wang N-HL: The sorbent suspension reciprocating dialyzer: a device with minimal sorbent saturation. asaio J 4: 28, 1981
Chang TMS, Barre P: Effect of desferrioxamine on removal of aluminium and iron by coated charcoal haemoperfusion and haemodialysis. Lancet 2: 1051, 1983
Hakim RM, Schulman JM, Lazarus JM: Hemoperfusion in the treatment of aluminum (Al) and iron (Fe) induced bone disease. Abstracts Am Soc Nephrol 18: 65A, 1985
Winchester JF: Management of iron overload. Semin Nephrol 4 (suppl 1): 22, 1986
Vale JA, Meredith T, Buckley B: ABC of poisoning. Eliminating poisons. Br Med J 289: 366, 1984
Litovitz T, Veltri J: 1984 Annual report of the American Association of Poison Control Centers. Am J Emerg Med 3: 423, 1985
Henry JA, Cassidy SL: Membrane stabilising ability: A major cause of fatal poisoning. Lancet 1: 1414, 1986
Litovitz TL, Normann SA, Veltri JC: 1985 Annual report of the American Association of Poison Control Centers National Data Collection System. Am J Emerg Med 4: 427, 1986
Haddad LM: A general approach to poisoning, in: Office Procedures: Office Management of Poisoning edited by Winchester JF, Philadelphia, Hanley and Belfus Inc, 1986, p 325
Clemmesen C, Nilsson E: Therapeutic trends in the treatment of barbiturate poisoning: The Scandinavian method. Clin Pharmacol Ther 2: 220, 1961
Lawson AA, Mitchell I: Patients with acute poisoning seen in a general medical unit (1960–1971). Br Med J 4 153, 1972
Reed CE, Driggs MF, Foote CC: Acute barbiturate intoxication: A study of 300 cases based on a physiologic system of classification of the severity of the intoxication. Ann Intern Med 37: 290, 1952
Winchester JF, Gelfand MC, Tilstone WJ: Hemoperfusion in drug intoxication – Clinical and laboratory aspects. Drug Metab Rev 8: 69, 1978
Mäher JF, Schreiner GE: The dialysis of poisons and drugs. Trans Am Soc Artif Intern Organs 13: 369, 1967
Winchester JF, Gelfand MC, Knepshield JH, Schreiner GE: Dialysis and hemoperfusion of poisons and drugs – Update. Trans Am Soc Artif Intern Organs 23: 762, 1977
Cohan SL, Winchester JF, Gelfand MC: Treatment of intoxications by charcoal hemadsorption.Drug Metab Rev 13: 681, 1982
Rosenbaum JL, Kramer MS, Raja RM, Krug MJ, Boliday CG: Current status of hemoperfusion in toxicology.Clin Toxicol 17: 493, 1980
Winchester JF, Tilstone WJ, Edwards RO, Gilchrist T, Kennedy AC: Hemoperfusion for enhanced drug elimination – A kinetic analysis in paracetamol poisoning. Trans Am Soc Artif Intern Organs 20: 358, 1974
Gibson TP, Atkinson AJ: Effect of changes in intercompartmental rate constants on drug removal during hemoperfusion. J Pharm Sci 67: 1178, 1978
Zmuda MJ: Resin hemoperfusion in dogs intoxicated with ethychlorvynol (Placidyl), Kidney Int 17: 303, 1980
Ehlers SM, Zaske DE, Sawchuck RJ: Massive theophylline overdose. Rapid elimination by charcoal hemoperfusion. JAMA 240: 474, 1978
Winchester JF, Rahman A, Tilstone WJ, Kessler A, Mortensen L, Schreiner GE, Schein PS: Sorbent removal of adriamycin in vitro and in vivo. Cancer Treat Rep 63: 1787, 1979
Pond S, Rosenberg J, Benowitz NL, Takki S: Pharmacokinetics of haemoperfusion in drug overdose. Clin Pharmacokinet 4: 329, 1979
Verpooten GA, De Broe ME: Combined hemoperfusion – hemodialysis in severe poisoning: Kinetics of drug extraction. Resuscitation 11: 275, 1984
Cutler RE, Forland SC, St John Hammond PG, Evans RJ: Extracorporeal removal of drugs and poisons by hemodialysis and hemoperfusion.Annu Rev Pharmacol Toxicol 27: 169, 1987
Farrell PC: Commentary: Acute drug intoxication and extracorporeal intervention, asaio J 3: 39, 1980
De Broe ME, Bismuth C, De Groot G, Heath A, Okonek S, Ritz DR, Verpooten GA, Volans GN, Widdop B: Haemoperfusion: a useful therapy for a severly poisoned patient? Hum Toxicol 5: 11, 1986
Lorch JA, Garella S: Hemoperfusion to treat intoxications. Ann Intern Med 91: 301, 1979
Maher JF: In discussion in hemoperfusion for poisoning - Is it really necessary? in: Controversies in Nephrology, Volume 2, edited by Schreiner GE, Winchester JF, Washington DC, Georgetown Nephrology Press, 1980, p 228
Hampel G, Crome P, Widdop B, Goulding R: Experience with fixed-bed charcoal haemoperfusion in the treatment of severe drug intoxication. Arch Toxicol 45: 133, 1980
Uldall PR: Controlled trial of resin hemoperfusion for the treatment of drug overdose at Toronto Western Hospital (TWH). Trans Am Soc Artif Intern Organs 28: 676, 1982
De Broe ME, Verpooten BA, Van Haesebrouck B: Recent experience with prolonged hemoperfusion-hemodialysis treatment.Artif Organs 3: 188, 1979
Winchester JF: Methanol, isopropyl alcohol, higher alcohols, ethylene glycol, cellosolves, acetone and oxalate, in: Clinical Management of Poisoning and Drug Overdose edited by Haddad LM, Winchester JF, Philadelphia, WB Saunders Co, 1983,p 393
Winchester JF: Active methods for detoxification: Oral sorbents, forced diuresis, hemoperfusion, and hemodialysis, in: Clinical Management of Poisoning and Drug Overdose, edited by Haddad LM, Winchester JF, Philadelphia, WB Saunders Co, 1983, p 154
Proudfoot AT: Salicylates and salicylamides, in:Clinical Management of Poisoning and Drug Overdose, edited by Haddad LM, Winchester JF, Philadelphia, WB Saunders, 1983, p 575
Winters RW, White JS, Hughes MC, Ordway NC: Disturbances of acid-base equilibrium in salicylate intoxication. Pediatrics 23: 260, 1959
Gabow PA, Anderson RJ, Potts DE, Schrier RW: Acid-base disturbances in the salicylate-intoxicated adult. Arch Intern Med 138: 1481, 1978
Anderson RJ, Potts DE, Gabow PA, Rumack BH, Schrier RW: Unrecognized adult salicylate intoxication. Ann Intern Med 85: 745, 1976
Rumack BH, Peterson RG: Acetaminophen overdose: Incidence, diagnosis, and management in 416 patients. Pediatrics 62: 898, 1978
Prescott LF, Illingworth RR, Critchley JA, Stewart MJ, Adam RD, Proudfoot AT: Intravenous N-acetylcysteine. Br Med J 2: 1097, 1979
Gazzard BG, Willson RA, Weston MJ, Thompson R, Williams R: Charcoal haemoperfusion for paracetamol overdose. Br J Clin Pharmacol 1: 217, 1974
Winchester JF, Gelfand MC, Helliwell M, Vale JA, Goulding R, Schreiner GE: Extracorporeal treatment of salicylate oracetaminiphen poisoning – Is there a role? Arch Intern Med 141: 370, 1981
Helliwell M, Vale JA, Goulding R: Hemoperfusion in ‘late’ paracetamol poisoning. Hum Toxicol 1: 25, 1981
Diaz-Buxo JA, Farmer CD, Chandler TY: Hemoperfusion in the treatment of amitriptyline poisoning.Trans Am Soc Artif Intern Organs 24: 699, 1978
Trafford JAP, Jones RH, Evans R, Sharp P, Sharpstone P, Cook J: Haemoperfusion with R-004 amberlite resin for treating acute poisoning. Br Med J 2: 1453, 1977
Trafford A, Sharpstone P, O’Neal H: Haemoperfusion in tricyclic antidepressant poisoning.Lancet 1: 155, 1980
Heath A, Wickstrom I, Ahlmen J: Haemoperfusion in tricyclic antidepressant poisoning.Lancet 1: 155, 1980
Crome P, Braithwaite RA, WiddopB, Medd RK: Haemoperfusion in clinical and experimental tricyclic antidepressant poisoning, in: Hemoperfusion, Kidney and Liver Support and Detoxification edited by Sideman S, Chang TMS, Washington DC, Hemisphere Publishing Corp, 1980, p 301
Pedersen RS: Haemoperfusion in tricyclic antidepressant poisoning.Lancet 1: 154, 1980
Carvallo A, Ramirez B, Honig H, Knepshield J, Schreiner GE, Gelfand MC: Treatment of digitalis intoxication by charcoal hemoperfusion. Trans Am Soc Artif Intern Organs 22: 718, 1976
Gibson TP, Lucas SV, Nelson HA, Atkinson AJ, Okita GT, Ivanovich P: Hemoperfusion removal of digoxin from dogs. J Lab Clin Med 91: 673, 1978
Shah G, Nelson HA, Atkinson AJ, Okita GT, Ivanovich P, Gibson TP: Effect of hemoperfusion on the pharmacokinetics of digitoxin in dogs. J Lab Clin Med 93: 370, 1979
Marbury T, Mahoney J, Juncos L, Conti R, Cade R: Advanced digoxin toxicity in renal failure – Treatment with charcoal hemoperfusion. South Med J 72: 279, 1979
Tobin M, Cerra F,Steinvach J,Mookerjee B: Hemoperfusion in digitalis intoxication: A comparative study of coated versus uncoated charcoal. Trans Am Soc Artif Intern Organs 23: 730, 1977
Hoy WE, Gibson TP, Rivero AJ, Jain JK, Talley TT, Bayer RM, Montondo DF, Freeman RB: XAD-4 resin hemoperfusion for digitoxic patients with renal failure.Kidney Int 23: 79, 1983
Warren SE, Fanestil DF: Digoxin overdose: Limitations of hemoperfusion - hemodialysis treatment. JAMA 242: 2100, 1979
Freed CR, Gerber JG, Cal J, RumakBH, Nies AS: Hemoperfusion in drug overdose. JAMA 241: 1575, 1979
Slattery JR, Koup JR: Hemoperfusion in the management of digoxin toxicity. Is it warranted? Clin Pharmacokinet 4: 395, 1979
Wenger TL, Butler VP Jr, Haber E, Smith TW: Treatment of 63 severely digitalis-toxic patients with digoxin specific antibody fragments. J Am Coll Cardiol 5 ([5] Suppl A): 118A, 1985
Colburn WA: Specific antibodies and Fab fragments to alter the pharmacokinetics and reverse the pharmacologic/toxicologic effects of drugs. Drug Metab Rev 11: 233, 1980
Maini R, Winchester JF: Removal of paraquat from blood by haemoperfusion over sorbent materials. Br Med J 3: 281, 1975
Gelfand MC, Winchester JF, Knepshield JH, Hanson KM, Cohan SL, Strauch BS, Geoly KL, Kennedy AC, Schreiner GE: Treatment of severe drug overdose with charcoal hemoperfusion. Trans Am Soc Artif Intern Organs 23: 599, 1977
Van de Vyver FL, Giuliano RA, Paulus GJ, Verpooten GA, Franke JP, De Zeeuw RA, Van Gaal LF, De Broe ME: Hemoperfusion-hemodialysis ineffective for paraquat removal in life-threatening poisoning? J Toxicol Clin Toxicol 23: 117, 1985
Mascie-Taylor BH, Thompson J, Davison AM: Haemoperfusion ineffective for paraquat removal in life-threatening poisoning. Lancet 1: 1376, 1983
Okonek S, Baldamus CA, Hofman A, Schuster CJ, Bechstein PB, Zoller B: Two survivors of severe paraquat intoxication by ‘continuous hemoperfusion.’ Klin Wochenschr 57: 957, 1979
Sahney S, Abarzua J, Sessums L: Hemoperfusion in theophylline neurotoxicity. Pediatrics 71: 615, 1983
Park GD, Spector R, Roberts RJ, Goldberg MJ, Weissman D, Stillerman A, Flanigan MJ: Use of hemoperfusion for treatment of theophylline intoxication. Am J Med 74: 961, 1983
Connell JM, McGeachie JF, Knepil J, Thomson A, Junor B: Self-poisoning with sustained-release aminophylline: secondary rise in serum theophylline concentration after charcoal haemoperfusion.Br Med J 284: 943, 1982
Woo OF, Pond S, Benowitz NL, Olson KR: Benefit of hemoperfusion in acute theophylline intoxication. J Toxicol Clin Toxicol 22: 411, 1984
Ahlmen J, Heath A, Herlitz H, Kvist L, Mellstrand T: Treatment of oral theophylline poisoning. Acta Med Scand 216: 423, 1984
Schwartz RD: Deferoxamine and aluminum removal. Am J Kidney Dis 6: 358, 1985
Brown DJ, Dawborn JK, Ham KN, Xipell JM: Treatment of dialysis osteomalacia with desferrioxamine. Lancet 2: 343, 1982
Andress DL, Maloney NA, Endres DB, Sherrard DJ: Aluminum-associated bone disease in chronic renal failure: high prevalence in a long-term dialysis population. J Bone Miner Res 1: 391, 1986
Arieff AI: Aluminum and the pathogenesis of dialysis encephalopathy. Am J Kidney Dis 6: 317, 1985
Bregman H, Gelfand MC, Winchester JF, Manz HJ, Knepshield JH, Schreiner GE: Iron overload-associated myopathy in patients on maintenance haemodialysis. A histocompatibility linked disorder. Lancet 2: 882, 1980
Falk RJ, Mattern WD, Lamanna RW, Gitelman HJ, Parker NC, Cross RE, Rastall JR: Iron removal during continuous ambulatory peritoneal dialysis using deferoxamine. Kidney Int 24: 110, 1983
McCarthy JT, Libertin Cr, Mitchell JC III, Fairbanks VF: Hemosiderosis in a dialysis patient. Treatment with hemofiltration and deferoxamine chelation therapy. Mayo Clin Proc 57: 439, 1982
Marcus RE, Davies SC, Bantock HM, Underwood SR, Walton S, Huehns ER: Desferrioxamine to improve cardiac function in iron overloaded patients with thalassemia major. Lancet 1: 392, 1984
Wolfe L, Olivieri N, Sallan D, Colan S, Rose V, Propper R, Freedman M, Nathan DG: Prevention of cardiac disease by subcutaneous deferoxamine in patients with thalassemia major. N Engl J Med 312: 1600, 1985
Worth DP, Davison AM, Lewins AM, Ledgerwood MJ, Taylor A: Haemodialysis and charcoal haemoperfusion in acute inorganic mercury poisoning. Postgrad Med J 60: 636, 1984
De Backer W, Zachee P, Verpooten GA, Majelyne W, Vanheule A, De Broe ME: Thallium intoxication treated with combined hemoperfusion-hemodialysis. J Toxicol Clin Toxicol 19: 259, 1982
De Groot G, van Heijst AN, van Kesteren RG, Maes RA: An evaluation of the efficacy of charcoal haemoperfusion in the treatment of three cases of acute thallium poisoning. Arch Toxicol 57: 61, 1985
Lund ME, Banner W, Clarkson TW, Berlin M: Treatment of acute methylmercury ingestion by hemodialysis with n-acetylcysteine (Mucomyst) infusion and 2, 3-dimercaptopropane sulfonate. J Toxicol Clin Toxicol 22: 31, 1984
Al-Abassi AH, Kostyniak PJ, Clarkson TW: An extracorporeal complexing hemodialysis system for the treatment of methylmercury poisoning. Ill Clinical applications. J Pharmacol Exp Ther 207: 249, 1978
Margel S: A novel approach for heavy metal poisoning treatment, a model. Mercury poisoning by means of chelating microspheres; hemoperfusion and oral administration.J Med Chem 24: 1263, 1981
Banner W, Koch M, Capin DM, Hopf SB, Chang S, Tong TG: Experimental chelation therapy in chromium, lead and boron intoxication with n-acetylcysteine and other compounds.Toxicol Appl Pharmacol 83: 142, 1986
Zieve L, Doizeki WM, Zieve FJ: Synergism between mercaptans and ammonia or fatty acids in the production of coma; a possible role for mercaptans in the pathogenesis of hepatic coma. Lab Clin Med 83: 16, 1974
James TH, Ziparo V, Jeppsson B, Fischer JE: Hyperammonaemia, plasma aminoacid imbalance, and blood-brain aminoacid transport: A unified theory of portal-systemic encephalopathy. Lancet 2: 772, 1979
Schafer DF, Jones EA: Hepatic encephalopathy and the gamma-aminobutyric-acid neurotransmitter system. Lancet 1: 18, 1982
Chang TMS: Haemoperfusion over microencapsulated adsorbent in a patient with hepatic coma. Lancet 2: 1371, 1972
Chang TMS: Hemoperfusion alone and in series with ultrafiltration or dialysis for uremia, poisoning and liver failure. Kidney Int 10 (Suppl 7): S305, 1976
Blume U, Helmstaedt D, Sybrecht G, Baldamus C, Sussmann P, Heyer U, Schmidt E, Schmidt FW: Hamoperfusions-therapie des acuten Leverversagens. (Hemoperfusion treatment for acute hepatic failure) Dtsch Med Wochenschr 101: 559, 1976
Colon AR, Gelfand MC, Winchester JF: Hemocarboperfusion (HCP) in hepatic decompensation and cerebral edema, in: Reye’s Syndrome II edited by Crocker JFS, New York, San Francisco, London, Grune and Stratton, 1978, p 139
Bartels O, Neidhardt B, Neidhardt M, Schellberger H, Issel W, Waldherr AM, Demling L: Untersuchungen und Entahrungen mit der Kohlehaemoperfusion bei Leber-koma. in: Entgiftung mit Hamoperfusion (Investigation and experience with carbon hemoperfusion for liver coma, in: Detoxification by Hemoperfusion) edited by Demling L, Bartels O, Freiburg, Bundernagel-Verlag, 1977, p 119
Gazzard BG, Portmann BA, Weston MJ, Langley PG, Murray-Lyon IM, Dunlop EH, Flax H, Mellon PJ, Record CO, Ward MB, Williams R: Charcoal haemoperfusion in the treatment of fulminant hepatic failure. Lancet 1: 1301, 1974
Silk DBA, Williams R: Sorbents in hepatic failure, in: Sorbents and Their Clinical Applications edited by Giordano C, New York, Academic Press Inc, 1980, p 415
Silk DBA, Williams R: Experiences in the treatment of fulminant hepatic failure by conservative therapy, charcoal haemoperfusion and polyacrylonitrile haemodialysis.Int J Artif Organs 1: 29, 1978
Opolon P, Rapin JR, Huguet C, Granger A, Delorme ML, Boschat M, Sausee A: Hepatic failure coma treated by polyacrylonitrile membrane hemodialysis. Trans Am Soc Artif Intern Organs 22: 701, 1976
Silk DBA, Trewby PN, Chase RA, Mellon PJ, Hanid MA, Davies M, Langley PG, Wheeler PG, Williams R: Treatment of fulminant hepatic failure by polyacrylonitrile membrane haemodialysis. Lancet 2: 1, 1977
Chang TMS, Lister C, Chirito E, O’Keefe P, Resurreccion E: Effects of hemoperfusion rate and time of initiation of ACAC charcoal hemoperfusion on the survival of fulminant hepatic failure rats. Trans Am Soc Artif Intern Organs 24: 243, 1978
Takahashi Y: Acute hepatic failure - in special relation to treatment. Jpn Med J 22: 140, 1983
Tygstrup N, Ranek L: Fulminant hepatic failure. Clin Gastroenterol 10: 191, 1986
Berk PD: A computer simulation study relating to the treatment of fulminant hepatic failure by hemoperfusion. Proc Soc Exp Biol Med 155: 535, 1977
Hughes RD, Cochrane AMD, Thomson AD, Murray-Lyon, Williams R: Cytotoxicity of plasma from patients with acute hepatic failure to isolated rabbit hepatocytes. Br J Exp Pathol 57: 348, 1976
Gelfand MC, Winchester JF, Knepshield JH, Cohan SL, Schreiner GE: Reversal of hepatic coma by coated charcoal hemoperfusion: Clinical and biochemical observations, asaio J 1: 73, 1978
Amano I, Kano H, Takahira H, Yamamoto Y, Itoh K, Iwatsuki S, Maeda K, Ohta K: Hepatic assist system using bead type charcoal, in: Artificial Kidney, Artificial Liver and Artificial Cells edited by Chang TMS, New York, Plenum Press, 1978,p 89
Seda HWM, Hughes RD, Give CD, Williams R: Removal of inhibitors of brain Na+ K+ ATPase by haemoperfusion in fulminant hepatic failure.Artif Organs 8: 174, 1984
Foster D, Ahmed K, Zieve L: Action of methanethiol on membrane Na+ K+ ATPase: Implications for hepatic coma. Ann NY Acad Sci 242, 573, 1974
Seda HWM, Hughes RD, Give CD, Williams R: Inhibition of rat brain Na+ K+ ATPase activity by serum from patients with fulminant hepatic failure. Hepatology 4: 74, 1984
Langley PG, Hughes RD, Ton HY, Silk DBA, Williams R: The effect of prostaglandin E1 and adenosine on adverse platelet reactions during charcoal haemoperfusion. Thromb Res 13: 351, 1978
Rubin MH, Weston MJ, Bullock G, Roberts J, Langley PG, White YS, Williams R: Abnormal platelet function and ultrastructure in fulminant hepatic failure. Q J Med 46: 339, 1977
Sette H, Hughes RD, Langley PG, Gimson AE, Williams R: Heparin response and clearance in acute and chronic liver disease, thromb Haemostas 54: 591, 1985
Cordopatri F, Boncinelli S, Marsili M, Lorenzi P, Fabbri LP, Paci P, Salvadori M, Morfini M, Cinoti S, Casparini P: Effects of charcoal haemoperfusion with prostacyclin on the coagulation-fibrinolysis system and platelets of patients with fulminant hepatic failure - preliminary observation. Int J Artif Organs 5: 243, 1982
Kennedy HJ, Greaves M, Triger DR: Clinical experience with the use of charcoal haemoperfusion: Is prostacyclin required? Life Support syst 3: 115, 1985
Ton HY, Hughes RD, Silk DBA, Williams R: Adsorption of human serum albumin to Amberlite XAD-7 resin. J Biomed Mater Res 13: 403, 1979
Hughes RD, Ton HY, Langley PG, Davis M, Hanid MA
Hughes R, Williams R: Clinical experience with charcoal and resin hemoperfusion. Semin Liver Dis 6: 164, 1986
Wagemaker H, Cade R: The use of hemodialysis in chronic schizophrenia. Am J Psychiatr 134: 684, 1977
Cade R, Wagemaker H: The use of hemodialysis in chronic schizophrenia. Abstracts Am Soc Artif Intern Organs7: 1, 1978
Kolff WJ: Dialysis of schizophrenics. Weird and novel applications of dialysis, hemofiltration, hemoperfusion, and peritoneal dialysis: Witchcraft? Artif Organs 2: 277, 1978
Gurland HJ: Chronic schizophrenia, in: The S. Neaman Workshop on Hemoperfusion: Devices and Clinical Applications edited by Sideman S, Chang TMS, Haifa, Publication No. 01/108/80, Technion-Israel Institute of Technology, 1980, p 123
Chang TMS: Hemoperfusion in chronic schizophrenia. Int J Artif Organs 1: 253, 1978
Kinney MJ: Hemoperfusion for chronic schizophrenia: Preliminary psychiatric results (Cited in Gurland [191])
Nedipil N, Dieterle D, Gurland HJ: Blood purification treatment of schizophrenia. Int J Artif Organs 3: 76, 1980
Schulz SC, VanKammen DP, Balow JE, Flye NW, Bunney WE: Dialysis in schizophrenia: A double blind evaluation. Science 211: 1066, 1981
Twardowski AJ, Nolph KD, Rubin J, Anderson PC: Peritoneal dialysis for psoriasis. Ann Intern Med 88: 349, 1978
McEvoy J, Kelly AMT: Psoriatic clearance during hemodialysis. Ulster Med J 76: 1976
Breathnach SM, Boon NA, Black MM, Jones NF, Wing AJ: Psoriasis developing during dialysis. Br Med J 1: 236, 1979
Nissensson AB, Rapaport M, Gordon A, Narins RG: Controlled study demonstrates that psoriasis is not improved by hemodialysis. Kidney Int 14: 682, 1978
Maeda K, Asada H, Yamamoto Y, Ohta K: Psoriasis treatment with direct hemoperfusion. in: Hemoperfusion, Kidney and Liver Support and Detoxification edited by Sideman S, Chang TMS, Washington DC, Hemisphere Publishing Corp, 1980,p 349
Tagami H, Ofuji S: Leukotactic properties of soluble substances in psoriasis scale. Br J Dermatol 95: 1, 1978
Winchester JF, Rahman A, Bregman H, Mortensen LM, Gelfand MC, Schein PS, Schreiner GE: Role of hemoperfusion in anticancer drug removal, in: Hemoperfusion, Kidney and Liver Support and Detoxification edited by Sideman S, Chang TMS, Washington DC, Hemisphere Publishing Corp, 1980,p 369
Hande KR, Balow JE, Draje JC, Rosenberg SA, Chabner BA: Methotrexate and hemodialysis. Ann Intern Med 87: 496, 1977
Molina R, Fabian C, Cowley B Jr: Use of charcoal hemoperfusion to reduce serum methotrexate levels in a patient with acute renal insufficiency. Am J Med 82: 350, 1987
Oldfield EH, Dedrick RL, Yeager RL. Clark WC, DeVroom
Terman DS, Garcia-Rinaldi R, McCalman R, Crumb CC, Mattioli C, Cook G, Poser R: Modification of hyperacute renal xenograft rejection after extracorporeal immunoadsorption of heterospecific antibody. Int J Artif Organs 2: 35, 1979
Terman DS, Yamamoto T, Mattioli M, Cook G, Tillquis R, Henry J, Poser Daskal Y: Extensive necrosis of spontaneous canine mammary adenocarcinoma after extracorporeal perfusion over Staphylococcus aureus Cowans I. J Immunol 124: 795, 1980
Terman DS, Betram HJ: Antitumor effects of immobilized protein A and Staphylococcal products: Linkage between toxicity and efficacy and tumoricidal reagents. Eur J Cancer Clin Oncol 21: 1115, 1985
Langone JJ, Das C, Bennett D, Terman DS: Generation of human C3a, C4a, and C5a anaphylotoxin by protein A of Staphylococcus aureus and immobilized protein A reagents in serotherapy of cancer. J Immunol 133: 1057, 1984
Marcus L, Margel S, Savin H, Ofarim M, Ravid M: Therapy of digoxin intoxication in dogs by specific hemoperfusion through agarose polyacrolein microsphere beads-antidigoxin antibodies. Am Heart J110: 30, 1985
Savin H, Marcus L, Margel S, Ofarim M, Ravid M: Treatment of adverse digitalis effects by hemoperfusion through columns with antidigoxin antibodies bound to agarose polyacrolein microsphere beads. Am Heart J113: 1078, 1987
Sideman S, Mor L, Rousseau I, Brandes JM: Ben-Arie D: Removal of bilirubin from the blood of jaundiced infants, in: Artificial Organs edited by Kenedi RM, Courtney JM, Gaylor JDS, Gilchrist T, London, Basingstoke, Macmillan, 1971, p 413
Ocfaka M, Kobayashi H, Tabata Y, Soeda K, Hayashi H, Ito S, Murotani N, Saito Y, Nishide Y, Shinomiya M, Yoshida S: Long term results of LDL selective plasma adsorption therapy on familial hypercholesterolemia. Biomater Artif Cells Artif Organs 15: 113, 1987
Chang TMS, Nicolaev VG: Hemoperfusion, sorbents and immobilized bioreactants. Biomater Artif Cells Artif Organs 15 (special issue), 1987
Yatzidis H, Oreopoulos D: Early clinical trials with sorbents. Kidney Int 10 (Suppl 7): S215, 1976
Yatzidis H, Yullis G, Digenis P: Hemocarboperfusion-haemodialysis treatment in terminal renal failure. Kidney Int 10 (Suppl 7): S312, 1976
Dunea G, Rizvii ZH, Mamdani BH, Anicama HJ, Mahurkar SK: Charcoal hemoperfusion and combination dialysis-hemoperfusion in chronic renal failure. Abstracts Am Soc Artif Intern Organs 5: 22, 1975
Leber HE, Neuhauser M, Goubeaud G: Chronic uraemia: haemodialysis or haemoperfusion? in: Artificial Organs edited by Kenedi RM, Courtney JM, Gaylor JDS, Gilchrist T, London, Basingstoke, Macmillan Press Ltd, 1977, p 220
Martin AM, Gibbins JK, Oduro M, Herbert R: Clinical experience with cellulose coated carbon hemoperfusion. in:Artificial Liver, Artificial Kidney, and Artificial Cells edited by Chang TMS, Plenum Press, New York, 1978, p 143
Mydlik M, Bucek J, Derzsiova K, Jarcuska J, Takac M: Influence of charcoal haemoperfusion on platelet count in acute poisoning and during regular dialysis treatment. Int Urol Nephrol 13: 387, 1981
Splendiani G, Albano V, Trancredi M, Daniele M, Pignatelli F: Our experience with combined hemodialysis-hemoperfusion treatment in chronic uremia. Biomater Artif Cells Artif Organs 15: 175, 1987
Yamazaki Z, Fujimori Y, Sanjo K, Kojima Y, Sugiura M, Wada T, Inoue N, Sakai T, Oda T, Kominami N, Fujisake U, Kataoka K: New artificial liver support system (Plasma perfusion detoxification) for hepatic coma. Artif Organs 1: 148, 1977
Bartels O, Neidhardt M, Schellberger H: Hormone losses by charcoal haemoperfusion. in: Artificial Liver Support edited by Brunner G, Schmidt FW, Berlin, Springer-Verlag, 1981, p 121
Williams R: Fulminant hepatic failure. Postgrad Med J 59 (Suppl 4): 33, 1983
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1989 Kluwer Academic Publishers
About this chapter
Cite this chapter
Winchester, J.F. (1989). Hemoperfusion. In: Maher, J.F. (eds) Replacement of Renal Function by Dialysis. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-1087-4_20
Download citation
DOI: https://doi.org/10.1007/978-94-009-1087-4_20
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-6979-3
Online ISBN: 978-94-009-1087-4
eBook Packages: Springer Book Archive