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. 2024 Nov 1;13(21):6587.
doi: 10.3390/jcm13216587.

Hemoperfusion with CytoSorb® in Pediatric Patients: A Monocentric Case Series

Eva Rihar  1 , Vanja Peršič  2   3 , Alexander Jerman  2 , Tina Plankar Srovin  4 , Gorazd Mlakar  5 , Neva Bezeljak  2 , Marko Pokorn  1   3 , Petja Fister  3   6
Affiliations

Hemoperfusion with CytoSorb® in Pediatric Patients: A Monocentric Case Series

Eva Rihar et al. J Clin Med. .

Abstract

Background: Pro- and anti-inflammatory cytokines help regulate the inflammatory response. A cytokine storm is a dysregulated cytokine response associated with sepsis and other conditions that result in a hyper-inflammatory state. Extracorporeal cytokine adsorption has the potential to restore a balanced inflammatory response. Hemoperfusion with CytoSorb® (CS) appears to be a short-term mode of treatment of sepsis in both adults and children. Objective: We present a case series of eight critically ill children involving the use of hemoperfusion with CS at the University Medical Center Ljubljana to treat clinically manifested cytokine storm. Results: In our preliminary experience, it was applied without complication in five children weighing more than 10 kg, who all survived. The effect of age on complications regarding CS treatment is unclear, yet in our case series, all three patients weighing less than 10 kg died of their disease. Conclusions: In our preliminary experience, cytokine adsorption with CS remains a potential adjunctive treatment for cytokine storm in critically ill children.

Keywords: CytoSorb; child; cytokine storm; hemoadsorption; hemoperfusion; neonate; sepsis.

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Conflict of interest statement

The authors declare no conflicts of interest.

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