Safety and efficacy of cell-free and concentrated ascites reinfusion therapy (CART) in refractory ascites: Post-marketing surveillance results.

We performed post-marketing surveillance to evaluate the safety and efficacy of cell-free and concentrated ascites reinfusion therapy (CART). In total, 356 CART sessions in 147 patients at 22 centers were performed. The most common primary disease was cancer (128 cases, 300 sessions). Mean amount of...

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Main Authors: Norio Hanafusa, Ayako Isoai, Tomoaki Ishihara, Tetsuya Inoue, Ken Ishitani, Taiju Utsugisawa, Toshihiko Yamaka, Tetsuya Ito, Hiroshi Sugiyama, Atsushi Arakawa, Yosuke Yamada, Yasuo Itano, Hirokazu Onodera, Ryosuke Kobayashi, Naoko Torii, Toyoko Numata, Taihei Kashiwabara, Yoshihiro Matsuno, Michio Kato
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0177303&type=printable
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author Norio Hanafusa
Ayako Isoai
Tomoaki Ishihara
Tetsuya Inoue
Ken Ishitani
Taiju Utsugisawa
Toshihiko Yamaka
Tetsuya Ito
Hiroshi Sugiyama
Atsushi Arakawa
Yosuke Yamada
Yasuo Itano
Hirokazu Onodera
Ryosuke Kobayashi
Naoko Torii
Toyoko Numata
Taihei Kashiwabara
Yoshihiro Matsuno
Michio Kato
author_facet Norio Hanafusa
Ayako Isoai
Tomoaki Ishihara
Tetsuya Inoue
Ken Ishitani
Taiju Utsugisawa
Toshihiko Yamaka
Tetsuya Ito
Hiroshi Sugiyama
Atsushi Arakawa
Yosuke Yamada
Yasuo Itano
Hirokazu Onodera
Ryosuke Kobayashi
Naoko Torii
Toyoko Numata
Taihei Kashiwabara
Yoshihiro Matsuno
Michio Kato
author_sort Norio Hanafusa
collection DOAJ
description We performed post-marketing surveillance to evaluate the safety and efficacy of cell-free and concentrated ascites reinfusion therapy (CART). In total, 356 CART sessions in 147 patients at 22 centers were performed. The most common primary disease was cancer (128 cases, 300 sessions). Mean amount of ascites collected was 3.7 L, and mean concentration ratio was 9.2. Mean amount of reinfused protein was 67.8 g (recovery rate, 72.0%). Performance status, dietary intake, urine volume, body weight and abdominal circumference were significantly improved after CART. Body temperature increased significantly, by 0.3°C on average. Concomitant steroids and/or NSAIDs use before reinfusion was significantly and negatively associated with increases in body temperature. Most adverse events were fever and chills. This study examined a large number of patients compared with previous studies, and showed that CART is an effective and relatively safe treatment for refractory ascites, such as malignant ascites.
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spelling doaj-art-7affb2ecce05439796224d035af5cf8b2025-08-20T03:04:39ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01125e017730310.1371/journal.pone.0177303Safety and efficacy of cell-free and concentrated ascites reinfusion therapy (CART) in refractory ascites: Post-marketing surveillance results.Norio HanafusaAyako IsoaiTomoaki IshiharaTetsuya InoueKen IshitaniTaiju UtsugisawaToshihiko YamakaTetsuya ItoHiroshi SugiyamaAtsushi ArakawaYosuke YamadaYasuo ItanoHirokazu OnoderaRyosuke KobayashiNaoko ToriiToyoko NumataTaihei KashiwabaraYoshihiro MatsunoMichio KatoWe performed post-marketing surveillance to evaluate the safety and efficacy of cell-free and concentrated ascites reinfusion therapy (CART). In total, 356 CART sessions in 147 patients at 22 centers were performed. The most common primary disease was cancer (128 cases, 300 sessions). Mean amount of ascites collected was 3.7 L, and mean concentration ratio was 9.2. Mean amount of reinfused protein was 67.8 g (recovery rate, 72.0%). Performance status, dietary intake, urine volume, body weight and abdominal circumference were significantly improved after CART. Body temperature increased significantly, by 0.3°C on average. Concomitant steroids and/or NSAIDs use before reinfusion was significantly and negatively associated with increases in body temperature. Most adverse events were fever and chills. This study examined a large number of patients compared with previous studies, and showed that CART is an effective and relatively safe treatment for refractory ascites, such as malignant ascites.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0177303&type=printable
spellingShingle Norio Hanafusa
Ayako Isoai
Tomoaki Ishihara
Tetsuya Inoue
Ken Ishitani
Taiju Utsugisawa
Toshihiko Yamaka
Tetsuya Ito
Hiroshi Sugiyama
Atsushi Arakawa
Yosuke Yamada
Yasuo Itano
Hirokazu Onodera
Ryosuke Kobayashi
Naoko Torii
Toyoko Numata
Taihei Kashiwabara
Yoshihiro Matsuno
Michio Kato
Safety and efficacy of cell-free and concentrated ascites reinfusion therapy (CART) in refractory ascites: Post-marketing surveillance results.
PLoS ONE
title Safety and efficacy of cell-free and concentrated ascites reinfusion therapy (CART) in refractory ascites: Post-marketing surveillance results.
title_full Safety and efficacy of cell-free and concentrated ascites reinfusion therapy (CART) in refractory ascites: Post-marketing surveillance results.
title_fullStr Safety and efficacy of cell-free and concentrated ascites reinfusion therapy (CART) in refractory ascites: Post-marketing surveillance results.
title_full_unstemmed Safety and efficacy of cell-free and concentrated ascites reinfusion therapy (CART) in refractory ascites: Post-marketing surveillance results.
title_short Safety and efficacy of cell-free and concentrated ascites reinfusion therapy (CART) in refractory ascites: Post-marketing surveillance results.
title_sort safety and efficacy of cell free and concentrated ascites reinfusion therapy cart in refractory ascites post marketing surveillance results
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0177303&type=printable
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