title: A case report of hepatorenal syndrome treated with plasma diafiltration (selective plasma filtration with dialysis).
abstract: Plasma diafiltration (PDF) (selective plasma filtration with dialysis) is blood purification therapy in which simple plasma exchange is performed using a membrane plasma separator (Evacure EC-2A) while dialysate flows outside of the hollow-fibers. A 74-year old man with hepatorenal syndrome underwent four sessions of PDF and three sessions of HDF. Finally he recovered from hepatorenal syndrome. In this therapy, the levels of total bilirubin, interleukin-18, creatinine, and cystatin C were significantly reduced. On the other hand, there were no significant differences in the total protein and albumin levels before and after PDF. PDF may be one of the most useful blood purification therapies for hepatorenal syndrome in terms of medical economics.
authors.affiliation: Department of Integrated Medicine, Division of Emergency and Critical Care Medicine, Akita University School of Medicine, Akita, Japan. nakaeh@doc.med.akita-u.ac.jp
authors.forename: Hajime
authors.initials: H
authors.lastname: Nakae
authors.forename: Toshiko
authors.initials: T
authors.lastname: Igarashi
authors.forename: Kimitaka
authors.initials: K
authors.lastname: Tajimi
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Kusano
authors.forename: Satoshi
authors.initials: S
authors.lastname: Shibata
authors.forename: Makoto
authors.initials: M
authors.lastname: Kume
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Sato
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Yamamoto
mesh_terms: D000368:Aged; D017583:Hemodiafiltration; D006530:Hepatorenal Syndrome / Q000628:therapy*; D006801:Humans; D008297:Male; D010951:Plasma Exchange