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Ghodrat Siami

Ghodrat Siami

Vanderbilt University, USA

Title: Dialysis patients requiring combination therapy during dialysis

Biography

Biography: Ghodrat Siami

Abstract

Introduction: Combination Therapy is for dialysis patients requiring another extracorporeal therapy such as plasmapheresis.

Purpose: of study was to evaluate the safety and efficacy of both procedures.

Methods: We performed Cryofiltration Apheresis which I created 30 years ago, to treat patients with cryoglobulinemia to remove cryoglobulin from blood, LDL- Pheresis for dialysis patients with cardiovascular and coronary artery diseases which can be done by 8 different methods; Immunoadsorptiom to remove immune complex; and dialysis patients may need Plasma Purification and Whole Blood Purification for toxicology. We have developed procedures to do combination therapy safely and effectively.

Result: show all above procedures are safe and effective. Hemodialysis takes 4 hours and Apheresis 3.5 hours if they perform separately with total of 7.5 hours. But the Combination Therapy, if done together takes only 4 hours.

Conclusions: Both procedures take only 4 hours not 7.5 hours, Patients and Dialysis Nurse does not need to be on the machine/working almost all day. This will be less tiring and more acceptable for Patients and Nurses. The cost will be lower compared to doing them separately.