Evidence map›Paper›PMID 38488713›Full record

Trial reportThe journal of extra-corporeal technology2024

Preliminary report of extracorporeal blood purification therapy in patients receiving LVAD: Cytosorb or Jafron HA330.

Zhuldyz Nurmykhametova, Timur Lesbekov, Rymbay Kaliyev, Bolat Bekishev, Nilufar Jabayeva, Svetlana Novikova, Linar Faizov, Ivan Vakhrushev, Yuriy Pya

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The journal of extra-corporeal technology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 45% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 2 countries.

Zhuldyz NurmykhametovaDepartment of Perfusiology and Assisted Circulation Laboratory, National Research Cardiac Surgery Center, Astana 010000, Kazakhstan.ORCID 0000-0002-4174-5784
Timur LesbekovDepartment of Adult Cardiac Surgery, National Research Cardiac Surgery Center, Astana 010000, Kazakhstan.
Rymbay KaliyevDepartment of Perfusiology and Assisted Circulation Laboratory, National Research Cardiac Surgery Center, Astana 010000, Kazakhstan.
Bolat BekishevDepartment of Anesthesiology and Intensive Care, National Research Cardiac Surgery Center, Astana 010000, Kazakhstan.
Nilufar JabayevaDepartment of Anesthesiology and Intensive Care, National Research Cardiac Surgery Center, Astana 010000, Kazakhstan.
Svetlana NovikovaDepartment of Adult Cardiac Surgery, National Research Cardiac Surgery Center, Astana 010000, Kazakhstan.
Linar FaizovDepartment of Perfusiology and Assisted Circulation Laboratory, National Research Cardiac Surgery Center, Astana 010000, Kazakhstan.
Ivan VakhrushevDepartment of Anesthesiology and Intensive Care, National Research Cardiac Surgery Center, Astana 010000, Kazakhstan.
Yuriy PyaDepartment of Adult Cardiac Surgery, National Research Cardiac Surgery Center, Astana 010000, Kazakhstan.
National Center for Biotechnology · KZ

Funding

This research was funded by the Science Committee of the Ministry of Education and Science of the Republic of Kazakhstan BR10965200 and AP09258870
6 · The paper itself

Abstract

backgroundLeft ventricular assist device (LVAD) candidates are at increased risk of immune dysregulation and infectious complications. To attenuate the elevated proinflammatory cytokine levels and associated adverse clinical outcomes, it has been postulated that extracorporeal blood purification could improve the overall survival rate and morbidity of patients undergoing LVAD implantation.

methodsWe retrospectively reviewed prospectively collected data of 15 patients who underwent LVAD implantation at our center between January 2021 and March 2022. Of these, 15 (100%) who received HeartMate 3™ (St. Jude Medical, Abbott, MN, USA) device were eligible. Intraoperatively, patients were single randomized 1:1:1 to three groups: group 1, patients who received Cytosorb therapy (n = 5; installed in the CPB circuit); group 2, patients who received Jafron HA330 (n = 5; installed in the CPB circuit); and control group 3, patients who did not receive filter (n = 5; usual care, neither Cytosorb nor Jafron during CPB). Baseline patient characteristics and intraoperative data were compared between the groups. Blood sample analyses were performed to assess the levels of inflammatory markers (IL-1, 6, 8; CRP, Leukocyte, Lactate, PCT, NT-proBNP, TNF-α) in both preoperative and postoperative data.

resultsBaseline patient characteristics were similar in all three groups. We found that IL1α; IL 6; IL8; Lactatedehydrogenase, PCT, pro-BNP, CRP; Leukocyte, and TNFα levels significantly increased with LVAD implantation and that neither Cytosorb nor Jafron influenced this response. In-hospital mortality and overall survival during follow-up were similar among the groups.

conclusionOur preliminary results showed that hemoadsorption therapy using Cytosorb or Jafron hemoadsorption (HA) 330 may not be clinically beneficial for patients with advanced heart failure undergoing LVAD implantation. Large prospective studies are needed to evaluate the potential role of HA therapy in improving outcomes in patients undergoing LVAD implantation.

Indexed as

Heart-Assist DevicesHeart FailureHumansProspective StudiesRetrospective StudiesTreatment OutcomeCytokinesExtracorporeal blood purificationLeft ventricular assist devices

Identifiers

PMID38488713
PMCPMC10941830
OpenAlexW4389608715

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.