Nonconventional Management of a Hyperviscosity Syndrome Failing Plasma Exchange

Author:

Tavarozzi Rita1ORCID,Pollis Francesca2,Inverardi Daniela2,Depaoli Lorella1,Massaia Massimo3,Monaco Federico1,Sacchi Maria Vittoria1,Guaschino Roberto2,Ladetto Marco14

Affiliation:

1. Struttura Complessa di Ematologia, Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy,

2. Struttura Complessa di Medicina Trasfusionale, Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy,

3. Haematology Unit, ASO Santa Croce e Carle, Cuneo, Italy,

4. Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy.

Abstract

Hyperviscosity syndrome (HVS) is a life-threatening haematological emergency. We report a severe HSV case in which extracorporeal plasma polymerization prevented an effective plasma exchange procedure. We elaborated an unconventional successful approach consisted in the manual removal of whole patient blood followed by red blood cells (RBC) and plasma support.

Publisher

SAGE Publications

Subject

Hematology

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