Current Applications > Safety & Efficacy
Overviews
Highly Effective Reduction of C-Reactive Protein in Patients with Coronary Heart Disease by Extracorporeal Low-Density Lipoprotein Apheresis
Wieland E, Schettler V, Armstrong VW.
Atherosclerosis. 2002;162:187-191.

Low-Density Lipoprotein Apheresis in the Treatment of Atherosclerosis and Other Potential Uses
Moriarty PM, Gibson CA.
Curr Atheroscler Rep. 2001;3:156-162.

Effect of HELP-LDL-Apheresis on Outcomes in Patients With Advanced Coronary Atherosclerosis and Severe Hypercholesterolemia
Park J-W, Merz M, Braun P.
Atherosclerosis. 1998;139:401-409.


HELP Apheresis in the Treatment of Sepsis
Samtleben W, Bengsch S, Boos KS, Seidel D.
Artif Organs. 1998;22:43-46.

Safety and Effectiveness of Long-Term LDL-Apheresis in Patients at High Risk
Thiery J, Seidel D.
Curr Opinion Lipidol. 1998;9:521-526.

Abstracts
The Efficacy and Safety of the New Heparin-Induced Extracorporeal Low-Density Lipoprotein Precipitation System (Plasmat Futura) in Comparison With the Currently Used System (Plasmat Secura)
Blessing F, Wang Y, Nagel D, Seidel D.
Ther Apher Dial. 2004;8:33-38.
This study examined whether the heparin-induced apheresis system, Plasmat Futura, was comparable to the Plasmat Secura system in efficiently removing atherogenic components, among other criteria, including clinical safety. Results demonstrate that the Plasmat Futura system is easy to use, displays no adverse events, and is comparable to Plasmat Secura in its ability to remove proatherogenic plasma factors.
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Long-Term Prevention of Premature Coronary Athero
sclerosis in Homozygous Familial Hypercholesterolemia
Jaeger BR, Tsobanelis T, Bengel F, Schwaiger S, Seidel D.
J Pediatr . 2002;141:125-128.
This case study of a 22-year-old woman with homozygous familial hypercholesterolemia demonstrates the safety and efficacy of combined statins and LDL-apheresis using the heparin-induced method.
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Evidence for Maximal Treatment of Atherosclerosis: Drastic Reduction of Cholesterol and Fibrinogen Restores Vascular Homeostasis
Jaeger BR.
Ther Apher. 2001;5:207-211.
This article summarized the clinical and biochemical evidence for maximal treatment of atherosclerosis by a simultaneous 60% to 70% reduction of plasma LDL cholesterol, fibrinogen, and lipoprotein a (LPa) concentrations with statins and LDL-apheresis using the heparin-induced method. Potential future applications are also discussed.
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Consistent Lowering of Clotting Factors for the Treatment of Acute Cardiovascular Syndromes and Hypercoagulability: A Different Pathophysiological Approach
Jaeger BR, Goehring P, Schirmer J, et al.
Ther Apher. 2001;5:252-259.
The use of the heparin-induced method of LDL-apheresis in patients with acute cardiovascular syndromes makes a controlled, immediately effective reduction of clotting factors possible and induces subsequent positive effects on plasma viscosity, erythrocyte aggregation, and microcirculation.
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Lipid Reductions by Low-Density Lipoprotein Apheresis: A Comparison of Three Systems
Jovin IS, Taborski U, Stehr A, Müller-Berghaus G.
Metabolism. 2000;49:1431-1433.
The three commercially available systems for LDL-apheresis are compared based on methods and efficacy. Among the three systems, immunoadsorption caused the greatest percent reduction in LDL-C, while the heparin-induced method most efficiently eliminated LDL-C from the plasma.
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Therapeutic Effects of LDL Apheresis in the Prevention of Atherosclerosis
Kajinami K, Mabuchi H.
Curr Opin Lipidol. 1999;10:401-406.
The efficacy and safety of LDL-apheresis has already been established for lipid lowering in patients with refractory hypercholesterolemia. Two reports described excellent long-term follow-up results for patient with coronary artery disease who had been treated with LDL-apheresis using dextran sulfate cellulose columns plus lipid-lowering therapy.
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Clinical Utility of LDL-Apheresis in the Treatment of Sudden Hearing Loss: A Prospective, Randomized Study
Suckfüll M, Thiery J, Schorn K, Kastenbauer E, Seidel D.
Acta Otolaryngol. 1999;119:763-766.
This study sought to assess the effect of LDL-apheresis via the heparin-induced method in removing LDL-cholesterol, fibrinogen, and lipoprotein (a) from the plasma in patients with sudden hearing loss. Compared with standard therapy, the heparin-induced method significantly reduced LDL-cholesterol, fibrinogen, and lipoprotein (a).
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Long-term Efficacy of Low-Density Lipoprotein Apheresis on Coronary Heart Disease in Familial Hypercholesterolemia
Mabuchi H, Koizumi J, Shimizu M, et al, for the Hokuriku-FH-LDL-Apheresis Study Group.
Am J Cardiol. 1998;82:1489-1495.
This study describes the 6-year safety and efficacy of intensive cholesterol-lowering therapies with LDL-apheresis in heterozygous FH patients with CHD. Patients were treated with lipid-lowering drugs alone or with combined drug therapy and LDL-apheresis. Both treatment groups had significant reduction in cholesterol levels.
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Heparin-Induced Extracorporeal Fibrinogen/LDL Precipitation (HELP): A Promising Regimen for the Treatment of Vascular Diseases
Walzl M, Walzl B, Haas A.
Angiology. 1997;48:1031-1036.
Risk factors, such as elevated fibrinogen levels and lipoproteins, contribute to the development of atherosclerotic disease and to the deterioration of the hemorrheological, which reduces perfusion. LDL-apheresis therapy via the heparin-induced method ensures a safe and quick return of risk factors, yielding substantial improvement of the microcirculation.
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HELP for the Treatment of Different Atherosclerotic Diseases
Walzl M, Walzl B, and the HELP Study Group.
Jpn J Apheresis. 1997;16:237-238.
The authors review various diseases in which LDL-apheresis therapy via the heparin-induced method may be applied, including cerebrovascular disease and ocular microcirculatory disorders.
Full abstract not available.
Additional Citations
HELP Apheresis Therapy in the Treatment of Severe Hypercholesterolemia: 10 Years of Clinical Experience
Seidel D.
Artif Organs. 1996;20:303-310.
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Efficacy of Lipid Apheresis: Definitions and Influencing Factors
Bosch T, Seidel D, Gurland HJ.
Int J Artif Organs. 1995;18:210-215.
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Regression of Transplant Coronary Artery Disease During Chronic HELP Therapy: A Case Study
Park J-W, Vermeltfoort M, Braun P, May E, Merz M.
Atherosclerosis. 1995;115:1-8.
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Lack of Plasma Lipid Peroxidation During LDL-Apheresis by Heparin-Induced Extracorporeal LDL-Precipitation
Wieland E, Schettler V, Creutzfeldt C, Kickbusch H, Schuff-Werner P.
Eur J Clin Invest. 1995;25:838-842.
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Advances in LDL-Apheresis for the Treatment of Severe Hypercholesterolemia
Gordon BR, Saal SD.
Curr Opin Lipidol. 1994;5:69-73.
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Assessment of Currently Available Low-Density Lipoprotein Apheresis Systems
Matsuda Y, Malchesky PS, Nose Y.
Artif Organs. 1994;18:93-99.
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Extracorporeal Fibrinogen and Platelet Precipitation as a New Haemorheological Treatment for Acute Stroke
Walzl B, Walzl M, Lechner H.
J Neurol Sci. 1994;126:25-29.
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Long-Term Efficiency, Biocompatibility, and Clinical Safety of Combined Simultaneous LDL-Apheresis and Haemodialysis in Patients With Hypercholesterolaemia and End-Stage Renal Failure
Bosch TH, Thiery J, Gurland HJ, Seidel D.
Nephrol Dial Transplant. 1993;8:1350-1358.
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Weekly Treatment of Diet/Drug-Resistant Hypercholesterolemia With the Heparin-Induced Extracorporeal Low-Density Lipoprotein Precipitation (HELP) System by Selective Plasma Low-Density Lipoprotein Removal
Lane DM, McConathy WJ, Laughlin LO, et al.
Am J Cardiol. 1993;71:816-822.
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Recent Developments in Low-Density Lipoprotein Apheresis
Demant T, Seidel D.
Curr Opin Lipidol. 1992;3:43-48.
Full abstract not available.
Complement Activation and Depletion During LDL-Apheresis by Heparin-Induced Extracorporeal LDL-Precipitation (HELP)
Würzner R, Schuff-Werner P, Franzke A, et al.
Eur J Clin Invest. 1991;21:288-294.
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