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. 2022 Jul 4;12(4):43–48. doi: 10.55729/2000-9666.1064

Supplementary Table 1.

Findings of studies reviewed from other meta-analyses

Authors Year Patient population Type of Intervention Outcomes
Kramer et al.29 2000 20 patients with cirrhosis who developed HE (ACLF); median age: 56 years, range: 33–71 years, 13 men BioLogic-DT (n = 10)
  • Decreased platelet count (from 75 to 26 g/L; p = 0.01) and fibrinogen (from 185 to 106 mg/dL; p < 0.001) level

  • Increased INR (from 2.0 to 2.2; p < 0.001)

  • Decreased creatinine (from 1.0 to 0.9; p = 0.007) and BUN (from 28 to 25; p = 0.01)

  • No change in albumin, bilirubin, AST, ALT or ammonia

Kramer et al.30 2002 8 cirrhotic patients with hepatorenal syndrome; etiologies:
-alcoholic (6)
-Hepatitis C (1)
-Cryptogenic (1)
Prometheus (n = 8)
  • Significant decreases in bilirubin (p = 0.002), BUN (p = 0.02) and creatinine (p < 0.001) from baseline

  • No incidences of bleeding or hemodynamic instability observed

Stadlbauer et al.31 2006 8 patients with ACLF:
-alcoholic cirrhosis (4)
-Chronic HCV (1)
-Metastatic colon cancer (1)
-Liver graft dysfunction (1)
MARS and Prometheus, cross-over (n = 8)
  • No significant changes in serum levels of any cytokine were found after treatments with MARS or Prometheus

  • In MARS treatments, IL-10 was cleared from plasma more efficiently than IL-6

  • Clearance of IL-10 was higher in Prometheus than in MARS treatments.

Stadlbauer et al.32 2007 8 patients with ACLF:
-alcoholic cirrhosis (4)
-Chronic HCV (1)
-Metastatic colon cancer (1)
-Liver graft dysfunction (1)
MARS and Prometheus, cross-over (n = 8)
  • Total and individual bile acids were removed efficiently by both systems

  • With both devices, absolute reduction of chenodeoxycholic acid (CDCA) was higher than that of cholic acid (CA)

  • Reduction ratios were significantly higher for CA than for CDCA in Prometheus, no difference with MARS

Klammt et al.33 2008 24 patients with ACLF MARS (n = 12)
  • Improvement of albumin binding capacity was more frequent in the albumin dialysis group than in the control group

Dethloff et al.34 2008 24 patients under evaluation for liver transplant:
-Alcoholic cirrhosis (15)
-Hepatitis C (2)
-Autoimmune (2)
-PBC, porthyria, cholesterol storage disorder, hemochromartosis, unknown (1 each)
Prometheus (n = 8)
MARS (n = 8)
Hemodialysis (control, n = 8)
  • Increase in arterial pressure in the MARS group (P = 0.008)

  • Significant decrease in creatinine levels in the MARS (P = 0.03) and hemodialysis (P = 0.04)groups

  • Decreased platelet count in the Prometheus group (P = 0.04)

Iarustovski et al.35 2014 26 patients with ALF and MODS as postoperative complications after cardiac surgery MARS (n = 9)
Prometheus (n = 17)
  • Decreased in serum total bilirubin (8.6% in MARS-group (p = 0.028) and 33% in Prometheus-group (p < 0.001))

  • Decreased unconjugated bilirubin levels (29% in Prometheus-group (p = 0.003))

Klammt et al.36 2014 24 patients with a decompensation of a pre-existing cirrhosis (ACLF) with severe hyperbilirubinemia (total serum bilirubin >20 mg/dL) MARS (n = 12)
  • 11 out of 12 patients (91.7%) in the MARS group survived the study period; 6/12 patients (50%) in the control group died

  • No relationship was found between the decline of platelet count and the number of consecutive treatments

Sponholz et al.37 2016 32 patients with ALF, ACLF and graft failure MARS and SPAD
  • Plasma bilirubin levels were significantly reduced by both systems (MARS: median −68 μmol/L, p = 0.001; SPAD: −59 μmol/L, p = 0.001)

  • Only MARS significantly reduced bile salts (−39 μmol/L, p < 0.001), creatinine (−24 μmol/L, p < 0.001) and urea (−0.9 mmol/L, p = 0.024)

  • Albumin-binding capacity was increased by MARS (+10%, p < 0.001)