Nonconventional Management of a Hyperviscosity Syndrome Failing Plasma Exchange. (October 2021)

• Record Type: Journal Article
• Authors: Tavarozzi, Rita; Pollis, Francesca; Inverardi, Daniela; Depaoli, Lorella; Massaia, Massimo; Monaco, Federico; Sacchi, Maria Vittoria; Guaschino, Roberto; Ladetto, Marco
• Is Part Of: Plasmatology. Volume 15(2021)
• Publication Date: 2021-10
• Subjects: Hyperviscosity syndrome -- plasma exchange procedures -- phlebotomy -- Waldenstrom Macroglobulinemia -- IgM-monoclonal gammopathy of undetermined significance; Blood plasma -- Periodicals; Hematology -- Periodicals; Blood -- Diseases -- Periodicals; 612.116
• DOI: 10.1177/26348535211049248
• Languages: English
• ISSNs: 2634-8535

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.