


Cold Extremities Treatment in DNTRIPLED Medical Services Therapeutic Apheresis Center
About the clinic
Cold extremities care at DNTRIPLED Medical Services in Warsaw, Poland, includes assessment and therapeutic apheresis options. A DFPP or LDL apheresis session may cost around $2,600, while hemoperfusion may cost around $6,600; the clinic follows ASFA and German Society of Nephrology standards.
Assessment before treatment
Doctors review medical records remotely or in person to assess treatment suitability. Remote reviews take 2–3 business days. Additional blood tests may be requested before qualification, and laboratory analysis can examine eluate for autoantibodies, toxins, and specific proteins.
Apheresis options for cold extremities
The clinic offers procedures that target blood factors linked to inflammation and microcirculation. Dr. med. Łukasz Maciejewski, a specialist in anesthesiology, intensive care, and emergency medicine, supervises apheresis procedures.
- Double filtration plasmapheresis (DFPP): Blood cells are separated from plasma. The plasma passes through a second filter, then returns through a closed loop. This method can remove immune complexes, autoantibodies, immunoglobulins, atherogenic lipoproteins, triglycerides, inflammatory mediators, and selected toxins. Sessions last 3–4 hours, using forearm veins. The doctor sets the number of sessions during consultation.
- LDL apheresis: This uses the DFPP method with filters selected to remove LDL cholesterol, lipoprotein(a), triglycerides, and selected immune factors. Sessions last 3–4 hours.
- Hemoperfusion: Whole blood passes through an adsorption cartridge without plasma separation. Filters can remove inflammatory mediators, bilirubin, metabolic and protein-bound toxins, fats, myoglobin, and β2-microglobulin. Sessions last 3–4 hours.
Equipment and session inclusions
DFPP and LDL apheresis use the AFERsmart Plus system from Medica S.p.A. Hemoperfusion uses adsorption filters from Jafron, Medica S.p.A., and other manufacturers. The clinic was the first private clinic in Poland to offer DFPP and LDL apheresis.
- DFPP and LDL sessions: Include single-use filters and tubing, monitoring by a specialist doctor and apheresis nurse, a cardiomonitor, IV fluids, medications, and materials.
- Hemoperfusion sessions: Include single-use adsorption filters, medical monitoring, a cardiomonitor, IV fluids, medications, and materials.
Patients can request a consultation through Bookimed to discuss assessment and treatment options.
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Treatments prices in the clinic
| treatment | Price | |
|---|---|---|
| Intravenous vitamin C therapy | Price on request |
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DNTRIPLED Medical Services Therapeutic Apheresis Center: more details about the clinic
DNTRIPLED Medical Services – Modern Apheresis is a private single-specialty medical center located in Warsaw, Poland, specializing in advanced therapeutic apheresis, including double-filtration plasmapheresis (DFPP), LDL apheresis, and hemoperfusion. All procedures are performed under direct physician supervision in accordance with recognized American and German clinical guidelines, using modern apheresis systems from Medica S.p.A. (Italy) and sterile single-use kits. The clinic serves only adult patients and is most frequently visited by patients from Europe and the Commonwealth, as well as the USA, Canada, and Australia.
The clinic focuses on extracorporeal blood purification therapies designed for patients with complex metabolic, inflammatory, autoimmune, and cardiovascular conditions, as well as those seeking support in longevity, detoxification, and improvement of physical and cognitive performance. Treatment is based on individualized medical assessment and performed in a controlled clinical environment using advanced filtration and adsorption technologies.
Therapeutic apheresis procedures—including double-filtration plasmapheresis (DFPP), hemoperfusion, and LDL apheresis—are extracorporeal blood purification methods in which blood is processed outside the body to selectively remove targeted pathogenic substances before being returned to the circulation. The goal is to reduce the concentration of specific circulating factors that may contribute to disease development or progression.
Double-filtration plasmapheresis (DFPP) is a two-stage blood purification technique in which plasma is separated from blood cells and further filtered through specialized membranes. This allows selective reduction of immune complexes, autoantibodies, immunoglobulins, lipoproteins, inflammatory mediators, heavy metals, and selected toxins. Depending on the condition, DFPP may support immune modulation, reduction of systemic inflammation, and improvement of metabolic balance and cellular function.
LDL apheresis is a selective therapeutic procedure aimed at reducing LDL cholesterol and lipoprotein(a) levels through plasma separation and adsorption-based filtration. It may help lower atherogenic lipoproteins, reduce cardiovascular risk, slow progression of atherosclerosis, stabilize plaques, and improve long-term outcomes in patients with treatment-resistant dyslipidemia.
Hemoperfusion is a blood purification technique in which whole blood passes through adsorption cartridges that remove specific toxins and biologically active substances. Depending on clinical indications, this may include inflammatory mediators, cytokines, bilirubin, metabolic toxins, drug overdoses, poisons, β2-microglobulin, excess parathyroid hormone, leptin, protein-bound toxins, triglycerides, LDL cholesterol, and myoglobin. Potential effects include reduction of toxic load, decreased systemic inflammation, and support of metabolic stabilization depending on the underlying condition.
Clinical outcomes depend on the underlying disease and individual patient condition and cannot be guaranteed.
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ul. Brygady Pościgowej 6, office 99-6U12, 03-984 Warsaw, Poland
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