case_images: PMC11445753_01
case_images: Circuit setup for manual carbon hemoperfusion in the cat (Case 1). (A) Circuit setup for Case 1. A, 53-cm IV extension set; B, Male-male adaptor; C, Christmas tree adaptor; D, cut portion of hemodialysis circuit; E, AimaLogic V100 Atlas Hemoperfusion Column; F, 7-cm IV extension set; G, 3-way stopcock. (B) Cat undergoing manual carbon hemoperfusion. A 12 mL syringe was connected to the stopcock to manually remove blood from the central line, push through the hemoperfusion column, and return the blood via a peripheral IV catheter to minimize access recirculation.
case_images: fvets-11-1395967-g001.jpg
case_images: PMC11445753_01_fvets-11-1395967-g001.jpg
case_images: fig1
case_images: A CHP column (ImmutriX V100 Atlas) (see text footnote 2) was selected, and a circuit was created by cutting part of the line of a neonatal hemodialysis circuit (see text footnote 4) and fitting the cut end onto the circuit with a Christmas tree adaptor (Figure 1). Other circuit components included two 53-cm extension sets, a 7-cm extension set, a three-way stopcock, two male-male adaptors, and a 12-mL syringe (Figure 1).
case_images: PMC11445753_02
case_images: Circuit setup for manual carbon hemoperfusion in the dog (Case 2). (A) Circuit setup in Case 2. A, 53 cm IV extension set; B, Male-male adaptor; C, AimaLogic. V100 Atlas Hemoperfusion Column; D, 3-way stopcock. The male Luer lock end of the extension set was connected to the DIN on the venous side of the column, and the other end of the extension set was connected to a central venous catheter with a male-male adaptor. The air release port was used instead of the access or arterial DIN connection because that is how the circuit was used in previous cases at the author's institution. The effects on blood flow and column adsorption are unknown. In future cases, the access DIN connection could be used to prevent such uncertainty. (B) Dog undergoing manual carbon hemoperfusion. A 12-mL syringe was connected to the stopcock to manually remove blood from the more distal white port of the central line, push through the hemoperfusion column, and return the blood via the more proximal brown port to minimize access recirculation.
case_images: fvets-11-1395967-g002.jpg
case_images: PMC11445753_02_fvets-11-1395967-g002.jpg
case_images: fig2
case_images: A CHP column (ImmutriX v100 Atlas) was selected, and a circuit was created with three 53-cm IV extension sets, a stopcock, a 12-mL syringe, and two male-to-male adaptors (Figure 2).