Variations in Therapeutic Plasma Exchange and Extracorporeal Photopheresis Practice Patterns: Survey Results From the <scp>ASFA</scp> Solid Organ Transplantation Subcommittee
Apheresis practice patterns for complications of heart and lung transplant vary among institutions. In this study, we conducted an international survey distributed to all members of the American Society for Apheresis to characterize how therapeutic plasma exchange (TPE) and extracorporeal photopheresis (ECP) are used for complications related to heart and lung transplantation. In total, there were 49 survey responders. For both heart and lung transplant, there was significant variability in factors used to determine whether to initiate apheresis, technical aspects of performing apheresis, assessment of response to apheresis, and utilization of additional apheresis for inadequate responses. This survey highlights the variability and need for standardization in TPE and ECP practice patterns for complications of heart and lung transplant. By understanding variabilities in apheresis practice patterns, guidelines may be developed in the future to optimize and standardize care for patients.
Authors
- Jay S. Raval (ORCID: https://orcid.org/0000-0001-9835-957X)
- Matthew S. Karafin (ORCID: https://orcid.org/0000-0001-7533-6842)
- Parmatma Prasad Tripathi (ORCID: https://orcid.org/0000-0003-0913-8375)
- Yvette C. Tanhehco (ORCID: https://orcid.org/0000-0002-7800-3119)
- Mohamed Alsammak (ORCID: https://orcid.org/0000-0003-2890-7731)
- Caroline R. Alquist (ORCID: https://orcid.org/0000-0001-9352-2585)
- Nour AlMozain (ORCID: https://orcid.org/0000-0002-0733-5466)
- Quentin Eichbaum (ORCID: https://orcid.org/0000-0003-3480-7892)
- Jennifer Webb (ORCID: https://orcid.org/0000-0003-1463-4963)
- Grace M. Lee (ORCID: https://orcid.org/0000-0002-0051-2466)
- C. Michael Knudson (ORCID: https://orcid.org/0000-0003-3964-5466)
- Jennifer Schneiderman (ORCID: https://orcid.org/0000-0002-1851-7521)
- Adela Mattiazzi (ORCID: https://orcid.org/0000-0002-3388-5648)
- Muharrem Yünce (ORCID: https://orcid.org/0000-0002-8634-6410)
- Divya Setya (ORCID: https://orcid.org/0000-0003-2593-5235)
- Ileana Lopez‐Plaza
- Chisa Yamada
- Divjot Singh Lamba
- Poyyapakkam R. Srivaths
Institutions
- Northwestern University (US)
- University of North Carolina at Chapel Hill (US)
- University of Iowa (US)
- Roswell Park Comprehensive Cancer Center (US)
- Lurie Children's Hospital (US)
- Children's National (US)
- NewYork–Presbyterian Hospital (US)
- Alfaisal University (SA)
- Henry Ford Health System (US)
- Baylor College of Medicine (US)
- University of Michigan (US)
- Columbia University Irving Medical Center (US)
- University of Vermont Medical Center (US)
- Jackson Memorial Hospital (US)
- Yashoda Hospital (IN)
- Duke University Health System (US)
- Texas Children's Hospital (US)
- Post Graduate Institute of Medical Education and Research (IN)
- University of Cincinnati (US)
- National Institute of Mental Health and Neurosciences (IN)
- Temple University (US)
- Stanford University (US)
Publication Details
- Journal
- Journal of Clinical Apheresis
- Published
- 2026-03-12
- DOI
- https://doi.org/10.1002/jca.70113
- Primary Topic
- Transplantation: Methods and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00