{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:41:58Z","timestamp":1791909718880,"version":"4.3.4"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,2,1]],"date-time":"2017-02-01T00:00:00Z","timestamp":1485907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Clinical Apheresis"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Data on plasma exchange therapy in the intensive care unit (ICU) setting are scarce. We aimed to describe the technical aspects and the adverse events associated with the procedure in critically ill patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All adult patients treated by plasma exchange in the medical ICU of the Saint\u2010Louis university hospital between January 1, 2013 and March 31, 2015 were prospectively included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We report on 260 plasma exchange procedures performed in 50 patients. The centrifugation technique was used for 159 (61%) procedures and the filtration technique for the other 101 (39%) procedures. Both techniques had similar efficacy to treat hyperviscosity syndrome (<jats:italic>n<\/jats:italic>\u2009=\u200918). Seventy (26.9%) of the 260 plasma exchange procedures were reported with at least one adverse reaction. Centrifugation and filtration techniques had similar rates of adverse reactions (23.9 vs. 31.7%, <jats:italic>P<\/jats:italic>\u2009=\u2009.19). Hypotension was the most reported (<jats:italic>n<\/jats:italic>\u2009=\u200921, 8%) and correlates with a low hematocrit before therapy. Most complications were related to allergic reactions to the replacement fluids. Coagulation disorders depended on the type of replacement fluid. The post\u2010exchange fibrinogen level was decreased by 54% [48;66] with albumin 5%, and 4% [\u22125;17] with plasma frozen within 24 h. Twenty\u2010three (22.8%) of the 101 filtration procedures experienced filter clotting. Filter clotting was associated with a higher volume exchange prescribed when compared to procedures without filter clotting (4600 [4000;5000] ml vs. 3900 [3600;4800] ml, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Plasma exchange is a relatively safe and generally well\u2010tolerated procedure in the ICU setting. Most adverse events are unpredictable and related to minor allergic reactions.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jca.21529","type":"journal-article","created":{"date-parts":[[2017,2,1]],"date-time":"2017-02-01T14:29:35Z","timestamp":1485959375000},"page":"405-412","source":"Crossref","is-referenced-by-count":64,"title":["Plasma exchange in the intensive care unit: Technical aspects and complications"],"prefix":"10.1002","volume":"32","author":[{"given":"Aur\u00e9lie","family":"Lemaire","sequence":"first","affiliation":[{"name":"Medical Intensive Care Department Saint Louis University Hospital Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalie","family":"Parquet","sequence":"additional","affiliation":[{"name":"Therapeutic Apheresis Department Saint Louis University Hospital Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lionel","family":"Galicier","sequence":"additional","affiliation":[{"name":"Department of Clinical Immunology Saint Louis University Hospital Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Boutboul","sequence":"additional","affiliation":[{"name":"Department of Clinical Immunology Saint Louis University Hospital Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00e9mi","family":"Bertinchamp","sequence":"additional","affiliation":[{"name":"Department of Clinical Immunology Saint Louis University Hospital Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marion","family":"Malphettes","sequence":"additional","affiliation":[{"name":"Department of Immuno\u2010Hematology Saint Louis University Hospital Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillaume","family":"Dumas","sequence":"additional","affiliation":[{"name":"Medical Intensive Care Department Saint Louis University Hospital Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Mariotte","sequence":"additional","affiliation":[{"name":"Medical Intensive Care Department Saint Louis University Hospital Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie\u2010No\u00eblle","family":"Peraldi","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Kidney transplantation Saint Louis University Hospital Paris France"},{"name":"Paris Diderot University, Sorbonne Paris Cit\u00e9 Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginie","family":"Souppart","sequence":"additional","affiliation":[{"name":"Medical Intensive Care Department Saint Louis University Hospital Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benoit","family":"Schlemmer","sequence":"additional","affiliation":[{"name":"Medical Intensive Care Department Saint Louis University Hospital Paris France"},{"name":"Paris Diderot University, Sorbonne Paris Cit\u00e9 Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elie","family":"Azoulay","sequence":"additional","affiliation":[{"name":"Medical Intensive Care Department Saint Louis University Hospital Paris France"},{"name":"Paris Diderot University, Sorbonne Paris Cit\u00e9 Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2143-8082","authenticated-orcid":false,"given":"Emmanuel","family":"Canet","sequence":"additional","affiliation":[{"name":"Medical Intensive Care Department Saint Louis University Hospital Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjh.12629"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0955-3886(90)90088-Z"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jca.2920020203"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jca.2920020204"},{"issue":"9","key":"e_1_2_8_6_1","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.1681\/ASN.V291455","article-title":"Acute plasma separation with hemodialysis equipment","volume":"2","author":"Gerhardt RE","year":"1992","journal-title":"J Am Soc Nephrol"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jca.21276"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01706318"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(12)80135-1"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jca.21257"},{"issue":"12","key":"e_1_2_8_11_1","first-page":"1441","article-title":"[Indications, adverse effects and results of plasmapheresis in critical care patients]","volume":"133","author":"Ben\u00edtez C","year":"2005","journal-title":"Rev M\u00e9dica Chile."},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.medin.2009.03.006"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transci.2011.04.008"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.5603\/AIT.2013.0002"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.01.487"},{"issue":"3","key":"e_1_2_8_16_1","first-page":"M597","article-title":"A simple and accurate method for prescribing plasma exchange","volume":"36","author":"Kaplan AA.","year":"1990","journal-title":"ASAIO Trans."},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1993.03510240069035"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0902413"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0802639"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-004-2440-0"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1159\/000319001"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1159\/000441968"},{"issue":"1","key":"e_1_2_8_23_1","article-title":"Renal replacement therapy in acute kidney injury: controversy and consensus","volume":"19","author":"Ronco C","year":"2015","journal-title":"Crit Care [Internet]."},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1312353"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.2012.09167.x"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.1981.00627.x"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1208626"}],"container-title":["Journal of Clinical Apheresis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjca.21529","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jca.21529","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T16:15:55Z","timestamp":1695572155000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jca.21529"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2]]},"references-count":26,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["10.1002\/jca.21529"],"URL":"https:\/\/doi.org\/10.1002\/jca.21529","archive":["Portico"],"relation":{},"ISSN":["0733-2459","1098-1101"],"issn-type":[{"value":"0733-2459","type":"print"},{"value":"1098-1101","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2]]}}}