Chinese Journal of Blood Purification ›› 2026, Vol. 25 ›› Issue (02): 146-150.doi: :10.3969/j.issn.1671-4091.2026.02.013

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Research progress and practice of therapeutic plasma exchange in tandem with continuous renal replacement therapy

SUN Xian-kun, WANG Fang, LI Xu, ZHANG Ling, CHEN Zhi-wen   

  1. 1Department of Nephrology, West China Hospital, Sichuan University, Chengdu 610041, China
  • Received:2025-07-23 Revised:2025-12-06 Online:2026-02-12 Published:2026-02-02
  • Contact: 610041 成都,1四川大学华西医院肾脏内科 E-mail: kiyuhot@163.com

Abstract: Therapeutic plasma exchange (TPE) has been proven effective for various diseases, but some conditions may require concurrent continuous renal replacement therapy (CRRT). The TPE-CRRT combination technique enables both forms of extracorporeal blood purification to be performed simultaneously. However, the feasibility, safety, therapeutic efficacy, and application prospects of the TPE-CRRT combination technique remain unclear. In light of this, our team reviewed the literature, introduced the forms of TPE, summarized the forms of TPE combined with CRRT, and outlined advantages and disadvantages of the combined therapy, as well as our clinical experience, to facilitate future research on combined therapy.

Key words: Therapeutic plasma exchange, Continuous renal replacement therapy, Tandem

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