Extracorporeal methods in the treatment of atherosclerosis and dyslipidemia

The aim of this review is the assessment of prospects to use of extracorporeal methods in the treatment of atherosclerosis and atherogenic dyslipidemia in the modern medicine. Today there are different methods of treatment of severe atherosclerosis, which cause a positive rheological effect from the...

Full description

Bibliographic Details
Main Authors: E. V. Mazdorova, K. Yu. Nikolaev
Format: Article
Language:Russian
Published: Siberian Branch of Russian Academy of Sciences, Research Institute of Internal and Preventive Medicine, branch of the Institute of Cytology and Genetics 2012-12-01
Series:Атеросклероз
Subjects:
Online Access:https://ateroskleroz.elpub.ru/jour/article/view/653/590
_version_ 1797965734588973056
author E. V. Mazdorova
K. Yu. Nikolaev
author_facet E. V. Mazdorova
K. Yu. Nikolaev
author_sort E. V. Mazdorova
collection DOAJ
description The aim of this review is the assessment of prospects to use of extracorporeal methods in the treatment of atherosclerosis and atherogenic dyslipidemia in the modern medicine. Today there are different methods of treatment of severe atherosclerosis, which cause a positive rheological effect from the selective removal of harmful components from plasma. This methods are called rheopheresis and carried by using special cascade plasma filters (rheofilters), heparin-LDL-precipitation (HELP) and provides the immunoadsorption of low-density lipoproteins (LDL) and apolipoprotein(a) (Lp(a)). This improves blood flow and microcirculation, which caused by decrease viscosity in blood and plasma. The Сascade Plasmafiltration (CPP) with special rheofilters, HELP and immunoadsorption of LDL and Lp(a) improves the blood rheology and microcirculation most effectively in patients with severe hypercholesterolemia. The aim of extracorporeal methods of treatment of coronary heart disease is the correction of metabolism (normalization of lipid metabolism, state of coagulation), blood viscosity, improvement of microcirculation, increase of myocardial perfusion and tolerance to the drug therapy. The Plasmapheresis is one of the most simple and accessible extracorporeal methods, which effectively eliminate macromolecular structures. The Plasmapheresis is use in the combination treatment of patients with familial hypercholesterolemia, homozygous and heterozygous (refractory to lipid-lowering therapy). The Plasmapheresis is a non-selective methods of blood correction. This explains a significant therapeutic range of this method.
first_indexed 2024-04-11T02:04:44Z
format Article
id doaj.art-05df17ded07c4548b4bfe23343f05487
institution Directory Open Access Journal
issn 2078-256X
language Russian
last_indexed 2024-04-11T02:04:44Z
publishDate 2012-12-01
publisher Siberian Branch of Russian Academy of Sciences, Research Institute of Internal and Preventive Medicine, branch of the Institute of Cytology and Genetics
record_format Article
series Атеросклероз
spelling doaj.art-05df17ded07c4548b4bfe23343f054872023-01-03T03:11:32ZrusSiberian Branch of Russian Academy of Sciences, Research Institute of Internal and Preventive Medicine, branch of the Institute of Cytology and GeneticsАтеросклероз2078-256X2012-12-01823950Extracorporeal methods in the treatment of atherosclerosis and dyslipidemiaE. V. Mazdorova0K. Yu. Nikolaev1RAMS Russian Federation SB RAMS Establishment of the Russian Academy of Medical Sciences Research Institute of TherapyRAMS Russian Federation SB RAMS Establishment of the Russian Academy of Medical Sciences Research Institute of TherapyThe aim of this review is the assessment of prospects to use of extracorporeal methods in the treatment of atherosclerosis and atherogenic dyslipidemia in the modern medicine. Today there are different methods of treatment of severe atherosclerosis, which cause a positive rheological effect from the selective removal of harmful components from plasma. This methods are called rheopheresis and carried by using special cascade plasma filters (rheofilters), heparin-LDL-precipitation (HELP) and provides the immunoadsorption of low-density lipoproteins (LDL) and apolipoprotein(a) (Lp(a)). This improves blood flow and microcirculation, which caused by decrease viscosity in blood and plasma. The Сascade Plasmafiltration (CPP) with special rheofilters, HELP and immunoadsorption of LDL and Lp(a) improves the blood rheology and microcirculation most effectively in patients with severe hypercholesterolemia. The aim of extracorporeal methods of treatment of coronary heart disease is the correction of metabolism (normalization of lipid metabolism, state of coagulation), blood viscosity, improvement of microcirculation, increase of myocardial perfusion and tolerance to the drug therapy. The Plasmapheresis is one of the most simple and accessible extracorporeal methods, which effectively eliminate macromolecular structures. The Plasmapheresis is use in the combination treatment of patients with familial hypercholesterolemia, homozygous and heterozygous (refractory to lipid-lowering therapy). The Plasmapheresis is a non-selective methods of blood correction. This explains a significant therapeutic range of this method.https://ateroskleroz.elpub.ru/jour/article/view/653/590atherosclerosismicrocirculationextracorporeal methods of treatmentplasmapheresis
spellingShingle E. V. Mazdorova
K. Yu. Nikolaev
Extracorporeal methods in the treatment of atherosclerosis and dyslipidemia
Атеросклероз
atherosclerosis
microcirculation
extracorporeal methods of treatment
plasmapheresis
title Extracorporeal methods in the treatment of atherosclerosis and dyslipidemia
title_full Extracorporeal methods in the treatment of atherosclerosis and dyslipidemia
title_fullStr Extracorporeal methods in the treatment of atherosclerosis and dyslipidemia
title_full_unstemmed Extracorporeal methods in the treatment of atherosclerosis and dyslipidemia
title_short Extracorporeal methods in the treatment of atherosclerosis and dyslipidemia
title_sort extracorporeal methods in the treatment of atherosclerosis and dyslipidemia
topic atherosclerosis
microcirculation
extracorporeal methods of treatment
plasmapheresis
url https://ateroskleroz.elpub.ru/jour/article/view/653/590
work_keys_str_mv AT evmazdorova extracorporealmethodsinthetreatmentofatherosclerosisanddyslipidemia
AT kyunikolaev extracorporealmethodsinthetreatmentofatherosclerosisanddyslipidemia