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Research Article

Guidelines on the use of therapeutic apheresis in clinical practice—Evidence‐based approach from the apheresis applications committee of the American Society for Apheresis*

Zbigniew M. Szczepiorkowski

Corresponding Author

E-mail address:ziggy@dartmouth.edu

Transfusion Medicine Service, Department of Pathology, Dartmouth‐Hitchcock Medical Center, Lebanon, New Hampshire

All authors contributed equally to this work.
Transfusion Medicine Service, Department of Pathology, Dartmouth‐Hitchcock‐Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA
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Jeffrey L. Winters

Division of Transfusion Medicine, Mayo Clinic, Rochester, Minnesota

All authors contributed equally to this work.Search for more papers by this author
Nicholas Bandarenko

Transfusion Service, Department of Pathology, Duke University, Durham, North Carolina

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Haewon C. Kim

Apheresis Service, Division of Hematology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania

All authors contributed equally to this work.Search for more papers by this author
Michael L. Linenberger

The Department of Medicine, Division of Hematology, University of Washington, Seattle, Washington

All authors contributed equally to this work.Search for more papers by this author
Marisa B. Marques

Division of Laboratory Medicine, Department of Pathology, University of Alabama at Birmingham, Birmingham, Alabama

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Ravindra Sarode

Transfusion Medicine and Coagulation Laboratory, University of Texas, Southwestern Medical Center, Dallas, Texas

All authors contributed equally to this work.Search for more papers by this author
Joseph Schwartz

Transfusion Medicine and Cellular Therapy Section, Department of Pathology and Cell Biology, Columbia University Medical Center, New York, New York

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Robert Weinstein

Division of Transfusion Medicine, Department of Pathology, University of Massachusetts Medical School, Worcester, Massachusetts

All authors contributed equally to this work.Search for more papers by this author
Beth H. Shaz

Center for Transfusion and Cellular Therapies, Department of Pathology and Laboratory Medicine, Emory University, Atlanta, Georgia

All authors contributed equally to this work.Search for more papers by this author
First published: 03 June 2010
Cited by: 295
*

Disclaimer: This document contains information prepared by the American Society for Apheresis (ASFA) for the apheresis community and those who request the use of therapeutic apheresis. Although due care has been used in the preparation of this document, ASFA makes no representation or warranty, express or implied that it is free from errors or omissions, or that it is exhaustive, and expressly disclaims all warranties, including but not limited to, warranties as to the information's quality or fitness for a particular purpose. The information contained herein is not intended to supplant the clinical judgment of qualified medical professionals. ASFA and its directors, officers, employees, members, representatives, and agents accept no liability for any loss, cost, expense, injury, or damages, whether direct, indirect, incidental, consequential, special, or other, arising from the application of the information contained in this document for patient care or any other use. The accuracy of the information contained herein is subject to changes in circumstances after the time of publication. ASFA accepts no responsibility for the accuracy and reliability of information provided by third parties.

Abstract

The American Society for Apheresis (ASFA) Apheresis Applications Committee is charged with a review and categorization of indications for therapeutic apheresis. Beginning with the 2007 ASFA Special Issue (fourth edition), the subcommittee has incorporated systematic review and evidence‐based approach in the grading and categorization of indications. This Fifth ASFA Special Issue has further improved the process of using evidence‐based medicine in the recommendations by refining the category definitions and by adding a grade of recommendation based on widely accepted GRADE system. The concept of a fact sheet was introduced in the Fourth edition and is only slightly modified in this current edition. The fact sheet succinctly summarizes the evidence for the use of therapeutic apheresis. The article consists of 59 fact sheets devoted to each disease entity currently categorized by the ASFA as category I through III. Category IV indications are also listed. J. Clin. Apheresis, 2010. © 2010 American Society for Apheresis

Number of times cited: 295

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  • , Therapeutic apheresis for severe hypertriglyceridemia in pregnancy, Archives of Gynecology and Obstetrics, 287, 5, (839), (2013).
  • , Limiting the Extent of a Delayed Hemolytic Transfusion Reaction With Automated Red Blood Cell Exchange, Archives of Pathology & Laboratory Medicine, 137, 6, (861), (2013).
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  • , LDL Apheresis, Transfusion Medicine and Hemostasis, 10.1016/B978-0-12-397164-7.00078-1, (521-524), (2013).
  • , Therapeutic Erythrocytapheresis, Transfusion Medicine and Hemostasis, 10.1016/B978-0-12-397164-7.00074-4, (505-508), (2013).
  • , Wegener’s granulomatosis, Orvosi Hetilap, 10.1556/OH.2013.29666, 154, 28, (1083-1095), (2013).
  • , Resistant oral mucosal lesions in pemphigus vulgaris responsive to double filtration plasmapheresis: First case report from Turkey, Transfusion and Apheresis Science, 48, 2, (273), (2013).
  • , Is anticoagulation required in plasmapheresis? A University Hospital Experience in Bogota, Colombia, Transfusion and Apheresis Science, 48, 3, (301), (2013).
  • , Défaillance multiviscérale compliquant une pancréatite aiguë au décours d’une hypertriglycéridémie majeure : à propos d’un cas, Annales Françaises d'Anesthésie et de Réanimation, 32, 9, (611), (2013).
  • , Studies that shed new light on aging, Biochemistry (Moscow), 78, 9, (1061), (2013).
  • , Is mipomersen ready for clinical implementation? A transatlantic dilemma, Current Opinion in Lipidology, 24, 4, (301), (2013).
  • , Factors affecting the current status of transfusion medicine education in South Africa, Transfusion and Apheresis Science, 49, 3, (665), (2013).
  • , The results of therapeutic plasma exchange in patients with severe hyperthyroidism: A retrospective multicenter study, Transfusion and Apheresis Science, 48, 3, (327), (2013).
  • , Clinical Efficacy of Plasmapheresis in Patients with Neuromyelitis Optica Spectrum Disorder and Effects on Circulating Anti-Aquaporin-4 Antibody Levels, Journal of Clinical Neurology, 9, 1, (36), (2013).
  • , Effectiveness of preoperative plasmapheresis in a pregnancy complicated by hyperthyroidism and anti-thyroid drug-associated angioedema, Gynecological Endocrinology, 29, 5, (508), (2013).
  • , Autoimmune diseases in the intensive care unit. An update, Autoimmunity Reviews, 12, 3, (380), (2013).
  • , Steroid refractory psoriasiform cutaneous graft versus host disease successfully treated by extracorporeal photopheresis: A case report, Transfusion and Apheresis Science, 48, 1, (109), (2013).
  • , Plasma Exchange in Haemolytic-Uraemic Syndrome Secondary to E. Coli, Journal of the Intensive Care Society, 14, 4, (343), (2013).
  • , Transfusion guidelines: when to transfuse, Hematology, 2013, 1, (638), (2013).
  • , Lipoprotein apheresis: State of the art and novelties, Atherosclerosis Supplements, 10.1016/j.atherosclerosissup.2012.10.021, 14, 1, (19-27), (2013).
  • , Treatment with plasma exchange may serve benefical effect in patients with severe hyperbilirubinemia: A single center experience, Transfusion and Apheresis Science, 48, 3, (323), (2013).
  • , Pediatric Therapeutic Apheresis, Pediatric Clinics of North America, 60, 6, (1569), (2013).
  • , Plasma exchange as a complementary approach to snake bite treatment: An academic emergency department’s experiences, Transfusion and Apheresis Science, 49, 3, (494), (2013).
  • , Therapeutic plasma exchange in patients with neurological diseases: Multicenter retrospective analysis, Transfusion and Apheresis Science, 10.1016/j.transci.2013.04.015, 48, 3, (349-352), (2013).
  • , Use of Apheresis in Solid Organ Transplantation, Journal of Infusion Nursing, 36, 5, (329), (2013).
  • , Removal of Valproic Acid by Plasmapheresis in a Patient Treated for Multiple Sclerosis, Therapeutic Drug Monitoring, 35, 1, (1), (2013).
  • , Therapeutic red cell exchange for severe carbon monoxide poisoning, Journal of Clinical Apheresis, (n/a), (2013).
  • , A three month-old infant with severe hyperchylomicronemia: Molecular diagnosis and extracorporeal treatment, Atherosclerosis Supplements, 14, 1, (73), (2013).
  • , Immunoadsorption, Transfusion Medicine and Hemostasis, 10.1016/B978-0-12-397164-7.00079-3, (525-527), (2013).
  • , Trends in Therapeutic Plasma Exchange: A Single-Center Evaluation, The International Journal of Artificial Organs, 36, 10, (730), (2013).
  • , Autoimmune Hemolytic Anemias, Transfusion Medicine and Hemostasis, 10.1016/B978-0-12-397164-7.00049-5, (317-325), (2013).
  • , Extracorporeal Photopheresis, Transfusion Medicine and Hemostasis, 10.1016/B978-0-12-397164-7.00077-X, (515-520), (2013).
  • , A case of acquired dysfibrinogenemia in multiple myeloma treated with therapeutic plasma exchange, Transfusion and Apheresis Science, 48, 1, (35), (2013).
  • , Therapeutic Apheresis, Consultative Hemostasis and Thrombosis, 10.1016/B978-1-4557-2296-9.00030-0, (546-562), (2013).
  • , Acute and chronic effects of therapeutic apheresis, Atherosclerosis Supplements, 14, 1, (83), (2013).
  • , Overview of Therapeutic Apheresis, Transfusion Medicine and Hemostasis, 10.1016/B978-0-12-397164-7.00072-0, (467-480), (2013).
  • , Leukostase und Tumorlyse, Der Internist, 54, 9, (1051), (2013).
  • , Immunoadsorption in steroid-refractory multiple sclerosis, Atherosclerosis Supplements, 10.1016/j.atherosclerosissup.2012.10.026, 14, 1, (175-178), (2013).
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  • , Stem Cell Collection and Therapeutic Apheresis, Practical Transfusion Medicine, (433-442), (2013).
  • , Échanges plasmatiques en néphrologie : techniques et indications, EMC - Néphrologie, 10, 1, (1), (2013).
  • , Therapeutic Leukocytapheresis and Adsorptive Cytapheresis, Transfusion Medicine and Hemostasis, 10.1016/B978-0-12-397164-7.00076-8, (511-514), (2013).
  • , Therapeutic plasma-exchange in hematologic disease: Results from a single center in Eastern Anatolia, Transfusion and Apheresis Science, 48, 3, (335), (2013).
  • , Blood component support in acquired coagulopathic conditions: Is there a method to the madness?, American Journal of Hematology, 87, S1, (S56-S62), (2012).
  • , Multiorgan failure and bone marrow necrosis in three adults with sickle cell‐β+‐thalassemia, American Journal of Hematology, 87, 6, (621-624), (2012).
  • , Maintenance plasma exchange therapy for steroid‐refractory neuromyelitis optica, Journal of Clinical Apheresis, 27, 4, (183-192), (2012).
  • , Therapeutic plasma exchange in Streptococcus pneumoniae‐associated hemolytic uremic syndrome: A case report, Journal of Clinical Apheresis, 27, 4, (212-214), (2012).
  • , Beneficial effect of plasma exchange in the treatment of toxic epidermal necrolysis: A series of four cases, Journal of Clinical Apheresis, 27, 4, (215-220), (2012).
  • , Management of Chenopodium polyspermum toxicity with plasma exchange and hemodialysis, Journal of Clinical Apheresis, 27, 5, (278-281), (2012).
  • , Therapeutic plasma exchange for fulminant hepatic failure secondary to Wilson's disease, Journal of Clinical Apheresis, 27, 5, (282-286), (2012).
  • , Blood banking and transfusion medicine for the apheresis medicine practitioner, Journal of Clinical Apheresis, 27, 3, (160-167), (2012).
  • , Plasma exchange as a therapeutic option in patients with neurologic symptoms due to antibodies to voltage‐gated potassium channels: A report of five cases and review of the literature, Journal of Clinical Apheresis, 27, 5, (267-273), (2012).
  • , Extracorporeal photopheresis: Clinical use so far, Journal of Clinical Apheresis, 27, 3, (126-131), (2012).
  • , Therapeutic apheresis in pediatrics: Technique adjustments, indications and nonindications, a plasma exchange focus, Journal of Clinical Apheresis, 27, 3, (132-137), (2012).
  • , A needs assessment and instrument comparison for a therapeutic apheresis medicine service, Journal of Clinical Apheresis, 27, 3, (146-152), (2012).
  • , Therapeutic plasmapheresis and red blood cell exchange in a sickle cell trait patient with rhabdomyolysis, Journal of Clinical Apheresis, 27, 6, (342-345), (2012).
  • , Apheresis in the treatment of idiopathic dilated cardiomyopathy, Journal of Clinical Apheresis, 27, 6, (312-319), (2012).
  • , American society for apheresis white paper: Considerations for medical staff apheresis medicine physician credentialing and privileging, Journal of Clinical Apheresis, 27, 6, (330-335), (2012).
  • , Pediatric therapeutic plasma exchange indications and patterns of use in us children's hospitals, Journal of Clinical Apheresis, 27, 6, (287-294), (2012).
  • , Emergency ABO‐incompatible liver transplant secondary to fulminant hepatic failure: Outcome, role of TPE and review of the literature, Journal of Clinical Apheresis, 27, 6, (320-329), (2012).
  • , Vascular Access Considerations for Therapeutic Apheresis Procedures, Seminars in Dialysis, 25, 2, (140-144), (2011).
  • , Therapeutic Apheresis for Renal Disorders, Seminars in Dialysis, 25, 2, (119-131), (2012).
  • , Beyond Dialysis: Current and Emerging Blood Purification Techniques, Seminars in Dialysis, 25, 2, (207-213), (2012).
  • , Evidence‐Based Review of Therapeutic Plasma Exchange in Neurological Disorders, Seminars in Dialysis, 25, 2, (132-139), (2012).
  • , Low‐Density Lipoprotein Apheresis: Principles and Indications, Seminars in Dialysis, 25, 2, (145-151), (2012).
  • , Blood Banking and Transfusion Medicine for the Nephrologist, Seminars in Dialysis, 25, 2, (114-118), (2012).
  • , The Role of Therapeutic Plasma Exchange in Poisonings and Intoxications, Seminars in Dialysis, 25, 2, (201-206), (2012).
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  • , Therapeutic Apheresis for Nephrologists: An Introduction, Seminars in Dialysis, 25, 2, (113-113), (2012).
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  • , Lower alloimmunization rates in pediatric sickle cell patients on chronic erythrocytapheresis compared to chronic simple transfusions, Transfusion, 52, 12, (2671-2676), (2012).
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  • , Management of severe hypertriglyceridemia in the hospital: A review, Journal of Hospital Medicine, 7, 5, (431-438), (2011).
  • , Best supportive care and therapeutic plasma exchange with or without eculizumab in Shiga-toxin-producing E. coli O104:H4 induced haemolytic–uraemic syndrome: an analysis of the German STEC-HUS registry, Nephrology Dialysis Transplantation, 27, 10, (3807), (2012).
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  • , Automated red blood cell exchange as an adjunctive treatment for severe Plasmodium falciparum malaria at the Vienna General Hospital in Austria: a retrospective cohort study, Malaria Journal, 10.1186/1475-2875-11-158, 11, 1, (158), (2012).
  • , Current evidence and future of automated erythrocyte exchange in the treatment of severe malariaAutomatisierter Erythrozytenaustausch als Therapieoption bei komplizierter Malaria: Evidenzlage und Ausblick, Wiener klinische Wochenschrift, 10.1007/s00508-012-0238-6, 124, S3, (23-26), (2012).
  • , Update on Diffuse Alveolar Hemorrhage and Pulmonary Vasculitis, Immunology and Allergy Clinics of North America, 10.1016/j.iac.2012.08.001, 32, 4, (587-600), (2012).
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  • , Thrombotic thrombocytopenic purpura and its look-alikes: A single institution experience, Transfusion and Apheresis Science, 46, 1, (59), (2012).
  • , Therapeutic Plasma Exchange Decreases Levels of Routinely Used Cardiac and Inflammatory Biomarkers, PLoS ONE, 7, 6, (e38573), (2012).
  • , Leukapheresis in management hyperleucocytosis induced complications in two pediatric patients with chronic myelogenous leukemia, Transfusion and Apheresis Science, 46, 3, (263), (2012).
  • , Extracorporeal photopheresis, a therapeutic option for cutaneous T-cell lymphoma and immunological diseases: state of the art, Expert Opinion on Biological Therapy, 12, 8, (1017), (2012).
  • , Therapeutic Plasmapheresis using Membrane Plasma Separation, The Indian Journal of Pediatrics, 79, 8, (1084), (2012).
  • , Role of Plasma Exchange in ABO-incompatible Kidney Transplantation, Annals of Laboratory Medicine, 32, 4, (283), (2012).
  • , Thrombotic microangiopathy and associated renal disorders, Nephrology Dialysis Transplantation, 27, 7, (2673), (2012).
  • , Changes in Lipids and Lipoproteins after Selective LDL Apheresis (7-Year Experience), Cholesterol, 2012, (1), (2012).
  • , Editorial Commentary: Escherichia coli O104:H4 and Hemolytic Uremic Syndrome: The Analysis Begins, Clinical Infectious Diseases, 55, 6, (760), (2012).
  • , Anti-NMDA receptor encephalitis with associated catatonia during pregnancy, Journal of Neurology, 259, 12, (2632), (2012).
  • , Prognosis of scleroderma renal crisis: a long-term observational study, Nephrology Dialysis Transplantation, 10.1093/ndt/gfs317, 27, 12, (4398-4403), (2012).
  • , Evaluation of cell death after treatment with extracorporeal photopheresis, Transfusion and Apheresis Science, 46, 1, (53), (2012).
  • , Thrombotic microangiopathy and acute kidney injury in hump-nosed viper (Hypnale species) envenoming: A descriptive study in Sri Lanka, Toxicon, 60, 1, (61), (2012).
  • , The role of therapeutic apheresis in the treatment of acute antibody‐mediated kidney rejection, Journal of Clinical Apheresis, 27, 4, (173-177), (2012).
  • , Treatment of neuromyelitis optica: an evidence based review, Arquivos de Neuro-Psiquiatria, 70, 1, (59), (2012).
  • , Cellular cholesterol efflux and cholesterol loading capacity of serum: effects of LDL-apheresis, Journal of Lipid Research, 53, 5, (984), (2012).
  • , The single center registry for therapeutic apheresis in Turkey: 11-year activity, Transfusion and Apheresis Science, 47, 1, (61), (2012).
  • , The Role of Plasmapheresis in Critical Illness, Critical Care Clinics, 28, 3, (453), (2012).
  • , Algorithm for initial management of priapism in chronic myeloid leukaemia, British Journal of Haematology, 159, 2, (250-251), (2012).
  • , Update on extracorporeal photopheresis in heart and lung transplantation, Journal of Clinical Apheresis, 26, 3, (146-151), (2010).
  • , Use of plasma exchange in patients with heparin‐induced thrombocytopenia: A report of two cases and a review of the literature, Journal of Clinical Apheresis, 26, 4, (219-224), (2011).
  • , Extracorporeal photopheresis: How, when, and why, Journal of Clinical Apheresis, 26, 5, (276-285), (2011).
  • , Conventional apheresis therapies: A review, Journal of Clinical Apheresis, 26, 5, (230-238), (2011).
  • , Therapeutic plasma exchange and renal related vasculitis: Therapeutic apheresis academy 2010, Journal of Clinical Apheresis, 26, 5, (291-296), (2011).
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  • , Therapeutic apheresis in critically ill patients, Journal of Clinical Apheresis, 26, 5, (249-251), (2011).
  • , Lipid apheresis, indications, and principles, Journal of Clinical Apheresis, 26, 5, (269-275), (2011).
  • , Therapeutic plasma exchange for the treatment of anti‐NMDA receptor encephalitis, Journal of Clinical Apheresis, 26, 6, (320-325), (2011).
  • , Rapid increases in parasitemia following red cell exchange for malaria, Journal of Clinical Apheresis, 26, 6, (315-319), (2011).
  • , The potential role of plasma exchange as a treatment for bilateral diffuse uveal melanocytic proliferation: A report of two cases, Journal of Clinical Apheresis, 26, 6, (356-361), (2011).
  • , Adjunct therapeutic plasma exchange for anti‐N‐methyl‐D‐aspartate receptor antibody encephalitis: A case report and review of literature, Journal of Clinical Apheresis, 26, 6, (362-365), (2011).
  • , ABO antibody titer monitoring for incompatible renal transplantation, Transfusion, 51, 3, (454-457), (2011).
  • , Role of Plasma Exchange in the Thyroid Storm, Therapeutic Apheresis and Dialysis, 15, 6, (522-531), (2011).
  • , Therapeutic apheresis, ISBT Science Series, 6, 1, (132-135), (2011).
  • , Role of plasmapheresis in immunological kidney diseases. Experience from 1050 completed plasmapheresis treatment sessions, Orvosi Hetilap, 152, 28, (1110), (2011).
  • , Role of apheresis in the management of familial hypercholesterolemia and elevated Lp(a) levels, Clinical Lipidology, 10.2217/clp.11.43, 6, 5, (523-538), (2011).
  • , Scope and application of therapeutic apheresis: Experience from a tertiary care hospital in North India, Transfusion and Apheresis Science, 45, 3, (239), (2011).
  • , Hemapheresis, Henry's Clinical Diagnosis and Management by Laboratory Methods, 10.1016/B978-1-4377-0974-2.00037-3, (746-773), (2011).
  • , Management of Severe Thyrotoxicosis When the Gastrointestinal Tract Is Compromised, Thyroid, 21, 3, (215), (2011).
  • , Bone marrow processing with the AMICUS™ separator system, Journal of Clinical Apheresis, 26, 4, (195-199), (2011).
  • , Cost-minimization analysis of the direct costs of TPE and IVIg in the treatment of Guillain-Barré syndrome, BMC Health Services Research, 11, 1, (2011).
  • , Current management of catastrophic antiphospholipid syndrome, International Journal of Clinical Rheumatology, 10.2217/ijr.11.18, 6, 3, (297-303), (2011).
  • , Therapeutic plasma exchange for the management of refractory systemic autoimmune diseases: Report of 31 cases and review of the literature, Autoimmunity Reviews, 10, 11, (679), (2011).
  • , Therapeutic plasma exchange in an intensive care unit (ICU): A 10-year, single-center experience, Transfusion and Apheresis Science, 45, 2, (161), (2011).
  • , Experience with extracorporeal elimination therapy in myasthenia gravis, Transfusion and Apheresis Science, 45, 3, (251), (2011).
  • , Therapeutic leukapheresis in patients with leukostasis secondary to acute myelogenous leukemia, Journal of Clinical Apheresis, 26, 4, (181-185), (2011).
  • , Successful treatment of patients with systemic lupus erythematosus complicated with autoimmune thyroid disease using double‐filtration plasmapheresis: A retrospective study, Journal of Clinical Apheresis, 26, 4, (174-180), (2011).
  • , Decline of thyroid hormones following preoperative therapeutic plasma exchange for stabilization of thyrotoxicosis, Journal of Clinical Apheresis, 25, 6, (362-363), (2010).
  • , Identification of anti-PP1Pk in a blood donor and her family: A case report following her pregnancy and review, Transfusion and Apheresis Science, 43, 3, (369), (2010).
  • , Therapeutic Plasma Exchange Outcomes in Cairo University Hospitals: 6 Years Experience, Therapeutic Apheresis and Dialysis, , (2018).