
The authors carried out sixteen hemoperfusions with alpha-amanitin in vitro in a closed system using active charcoal, Amberlite XAD-2 and Amberlite XAD-4 in hemoperfusion capsules. As a perfusion solution 4 liters of 0.9% NaCl solution was used. The alpha-amanitin concentration in the solution was 8.3 +/- 0.36 mg/L. Individual hemoperfusion lasted 5 hours. Two hundred and forty minutes of Amberlite XAD-2 hemoperfusion led to the zero values of alpha-amanitin concentration in 0.9% NaCl solution. When using active charcoal the adsorption capacity of the hemoperfusion capsule was already exhausted at 120 min. The results gathered suggest that the most effective alpha-amanitin hemoperfusion in vitro was obtained with Amberlite XAD-2 and the least effective with active charcoal. The authors recommend the use of hemoperfusion with Amberlite XAD-2 for acute intoxication with Amanita phalloides in humans up to 24-36 hours after poisoning.
Amanitins, Mushroom Poisoning, In Vitro Techniques, Sodium Chloride, Hemoperfusion, Resins, Synthetic, Charcoal, Dialysis Solutions, Humans, Adsorption, Particle Size
Amanitins, Mushroom Poisoning, In Vitro Techniques, Sodium Chloride, Hemoperfusion, Resins, Synthetic, Charcoal, Dialysis Solutions, Humans, Adsorption, Particle Size
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