Is there a subset of ANCA vasculitis patients for which you would try plasma exchange?
Answer from: at Academic Institution
Circling back to this now that we have more data. I agree with Dr. @Quiceno's main conclusion that GN or the presence of concomitant anti-GBM antibodies are the primary scenarios in which there may be a role for plasma exchange patients with ANCA-associated vasculitis.Following the PEXIVAS trial, wh...
In general, the studies of plasma exchange in ANCA-associated vasculitis have been negative, but patients with rapidly progressive glomerulonephritis or concomitant anti-GBM disease might benefit from plasma exchange. At our center, we don’t use plasma exchange very often, but some of my pulmo...