The potential role of extracorporeal cytokine removal with CytoSorb® as an adjuvant therapy in Acute Respiratory Distress Syndrome

Dana Tomescu*, Mihai Popescu, Ali Akil, Amir Ahmad Nassiri, Florian Wunderlich-Sperl, Klaus Kogelmann, Zsolt Molnar, Abdulrahman Alharthy, Dimitrios Karakitsos

*Corresponding author for this work

Research output: Journal article (peer-reviewed)Review article

Abstract

Management of acute respiratory distress syndrome (ARDS) represents one of the greatest challenges in intensive care and despite all efforts mortality remains high. One common phenotype of ARDS is that of a secondary injury to a dysregulated inflammatory host response resulting in increased capillary congestion, interstitial lung edema, atelectasis, pulmonary embolism, muscle wasting, recurring infectious episodes, and multiple organ failure. In cases of hyperinflammation, immunomodulation by extracorporeal cytokine removal such as the CytoSorb hemoadsorption cartridge could conceptually enhance lung recovery during the early course of the disease. The aim of this narrative review is to summarize the currently available data in this field and to provide an overview of pathophysiology and rationale for the use of CytoSorb hemoadsorption in patients with hyperinflammatory ARDS.

Original languageEnglish
Pages (from-to)605-617
Number of pages13
JournalInternational Journal of Artificial Organs
Volume46
Issue number12
DOIs
Publication statusPublished - 01 Dec 2023

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