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dc.creatorNogales-Gaete,Jorge
dc.creatorValenzuela T,Daniel
dc.creatorLiendo P,Federico
dc.creatorVidal A,Pamela
dc.creatorGil F,Gloria
dc.creatorSáez M,David
dc.date2004-03-01
dc.date.accessioned2019-11-14T12:59:18Z
dc.date.available2019-11-14T12:59:18Z
dc.identifierhttps://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000300003
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/119400
dc.descriptionBackground: Plasmapheresis can be useful in myasthenia gravis, Guillain Barré syndrome and chronic demyelinating inflamatory polyradiculoneuritis. Aim: To report our experience with plasmapheresis in patients with neurological diseases. Material and methods: Retrospective review of plasmapheresis procedures done between 1995 and 2001, in a public hospital. Indications criteria, clinical results and technical yield were analyzed. Results: One hundred fifty nine procedures were reviewed. One hundred forty (88%) were indicated for neurological diseases (44% for Guillain Barré syndrome and 29% for myasthenia gravis). Clinical improvement or eventual complications were avoided in 70% of patients with Guillain Barré syndrome and 100% of patients with myasthenia gravis. Hypotension in 10% and paresthesias in 7% were observed. All complications were successfully controlled with crystalloid or fresh plasma infusions or citrate management. In 11 cases, the procedure was interrupted due to obstruction of the venous access, that was peripheral in eight of these. The most common difficulties of the procedure were delay in performing it in 50% of patients and insufficient exchange volumes in 30%. Conclusions: Plasmapheresis was safe and useful in patients with myasthenia gravis and Guillain Barré syndrome. The drawbacks of the procedure are its costs and requirement of special equipment (Rev Méd Chile 2004; 132: 295-8).
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dc.languagees
dc.publisherSociedad Médica de Santiago
dc.relation10.4067/S0034-98872004000300003
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourceRevista médica de Chile v.132 n.3 2004
dc.subjectMyasthenia Gravis
dc.subjectPlasma exchange
dc.subjectPlasmapheresis
dc.subjectPolyradiculoneuritis
dc.titlePlasmaféresis indicada por enfermedad neurológica: Experiencia de 140 procedimientos en 47 pacientes


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