Evidence map›Paper›PMID 42774353›Full record

ArticleClinical case reports2026

Hemoperfusion as Adjunctive Therapy in Severe Snake Envenomation Refractory to Antivenom: A Case Series.

Sayed Masoud Hosseini, Shahin Shadnia, Babak Mostafazadeh, Mitra Rahimi, Faraz Zandiyeh, Aida Rabiei Nezhad, Peyman Erfan Talab Evini

Abstract read
In one paragraph

Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Sayed Masoud HosseiniDepartment of Clinical Toxicology, Toxicological Research Center, Excellence Center of Clinical Toxicology, Loghman Hakim Hospital Shahid Beheshti University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0002-2046-1272
Shahin ShadniaDepartment of Clinical Toxicology, Toxicological Research Center, Excellence Center of Clinical Toxicology, Loghman Hakim Hospital Shahid Beheshti University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0002-9401-0781
Babak MostafazadehDepartment of Clinical Toxicology, Toxicological Research Center, Excellence Center of Clinical Toxicology, Loghman Hakim Hospital Shahid Beheshti University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0003-4872-9610
Mitra RahimiDepartment of Clinical Toxicology, Toxicological Research Center, Excellence Center of Clinical Toxicology, Loghman Hakim Hospital Shahid Beheshti University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0002-8785-8207
Faraz ZandiyehDepartment of Clinical Toxicology, Toxicological Research Center, Excellence Center of Clinical Toxicology, Loghman Hakim Hospital Shahid Beheshti University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0001-9790-525X
Aida Rabiei NezhadDepartment of Clinical Toxicology, Toxicological Research Center, Excellence Center of Clinical Toxicology, Loghman Hakim Hospital Shahid Beheshti University of Medical Sciences Tehran Iran.
Peyman Erfan Talab EviniDepartment of Clinical Toxicology, Toxicological Research Center, Excellence Center of Clinical Toxicology, Loghman Hakim Hospital Shahid Beheshti University of Medical Sciences Tehran Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Snake envenomation remains a significant cause of morbidity worldwide, with antivenom serving as the cornerstone of treatment. This case series describes outcomes of three male patients (ages 34-63 years) with severe envenomation who demonstrated progressive local swelling and coagulopathy despite receiving at least 15 vials of antivenom. All received adjunctive hemoperfusion using a Nipro HA230 cartridge via femoral venous access (six two-hour sessions over three days). All patients survived and were discharged after 4-5 days with normalized coagulation parameters and resolved swelling. No hemoperfusion-related complications were documented. Total antivenom ranged from 15 to 25 vials. These findings suggest hemoperfusion may be a feasible adjunctive therapy in refractory cases, though the observational design precludes definitive conclusions. Hemoperfusion should be considered experimental, reserved for severe refractory cases in well-resourced settings.

Indexed as

antiveninsblood coagulation disordershemoperfusionsnake bites

Identifiers

PMID42774353
PMCPMC13594393

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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.