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Hematology: Polycythemia vera — Phlebotomy. Treatment

Polycythemia vera is a type of chronic leukemia characterized by a persistent increase in the number of red blood cells. This slows down the blood flow in the vessels and increases the propensity to thrombosis. To prevent the hemorrhagic complications, the patients are prescribed the procedures aimed at removal of the excessive red blood cells from the body.

Treatment

Phlebotomy (or bloodletting) is indicated as a primary therapy. The treatment is started when the number of red blood cells is increased by more than 10%. Every 2-3 days, about 0.3 to 0.5 liters of blood is removed. The sessions are continued as long as the hemoglobin level drops to 150 g/l. The missing volume of blood is substituted with plasma-fill solutions.

The blood is taken from the cubital vein, after putting a harness of the patient’s on the shoulder. The puncture is made with Dufaut’s needle. Upon completion of the procedure, a pressure bandage is placed onto the puncture site.

RBCX may become an alternative to phlebotomy. Its essence of which is to purify the blood of the red blood cells outside the body of the patient. The methodology is implemented using special equipment. During the procedure, 500 to 800 ml of blood is taken from the patient. In a centrifugal apparatus, the erythrocytes are extracted from it, after which the purified mass is re-injected into the patient’s bloodstream. 2 to 3 such cycles are usually enough to normalize the blood values.

The treatment is carried out under the supervision of a hematologist. The further advice are developed individually for each case.

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Luisenhospital

9.8/10 from 3 Votes

Department of Gastroenterology, Cardiology, Diabetology, Pulmonology and Oncology

Phlebotomy in polycythemia vera #332303

The Department of Gastroenterology, Cardiology, Diabetology, Pulmonology and Oncology offers a wide spectrum of medical services ranging from gastroenterology (diseases of the stomach, intestines, pancreas and liver), cardiology (heart disease and circulatory disorders) and diabetes (diabetes m...


Duration: 5 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Aachen

University Hospital Bonn

9.2/10 from 150 Votes

Department of Oncology, Hematology, Rheumatology and Immunoncology

Phlebotomy in polycythemia vera #87839

The key objective of the Department of Internal Medicine III is to create and offer optimal treatments for internal diseases on inpatient, partially inpatient and outpatient basis.


Duration: 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Bonn
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University Hospital Cologne

9.8/10 from 82 Votes

Department of Internal Medicine I: oncology, hematology, clinical infectiology, clinical immunology, hemostasis, intensive care

Phlebotomy in polycythemia vera #165639

The Department of Internal Medicine I deals with the treatment of various internal diseases. The department specializes in the following medical focuses: oncology, hematology, clinical infectology, clinical immunology, hemostasis, intensive care.


Duration: 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne
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University Hospital Frankfurt

9.5/10 from 97 Votes

Department of Hematology, Oncology, Hemostaseology, Rheumatology and Infectiology

Phlebotomy in polycythemia vera #76451

The Department of Hematology, Oncology, Hemostaseology, Rheumatology and Infectiology specializes in the treatment of all diseases of the hematopoietic system and solid tumors.


Duration: 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Charite University Hospital Berlin

9/10 from 95 Votes

Charité Comprehensive Cancer Center

Phlebotomy in polycythemia vera #229133

The Charite Comprehensive Cancer Center integrates all departments and units dealing with cancer treatment. The center offers patients the most advanced comprehensive cancer treatment.


Duration: 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin
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Academic Hospital Schwabing

8.5/10 from 7 Votes

Department of Hematology, Oncology, Immunology, Palliative Medicine, Infectiology and Tropical Medicine

Phlebotomy in polycythemia vera #177499

The Department of Hematology, Oncology, Immunology, Palliative Medicine, Infectious Diseases and Tropical Medicine in Schwabing treats all benign blood diseases, disorders of the immune and coagulation system, all forms of blood cancer, and the most of cancers.


Duration: 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Academic Hospital Nordwest

9.5/10 from 24 Votes

Department of Oncology and Hematology

Phlebotomy in polycythemia vera #34977

The Department of Oncology and Hematology at the Hospital Nordwest is a medical institution, which deals with the diagnosis, treatment and follow-up care of patients with benign and malignant tumors of the hematopoietic system, as well as all kinds of cancer.


Duration: 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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University Hospital RWTH Aachen

8.7/10 from 41 Votes

Department of Oncology, Hematology and Stem Cell Transplant

Phlebotomy in polycythemia vera #105681

The Department of Oncology, Hematology and Stem Cell Transplant provides patient care on both inpatient and outpatient basis. The focuses of the inpatient treatment are acute leukemia and high-dose chemotherapy followed by autologous blood stem cell transplantation.


Duration: 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen
certificate

Alfried Krupp Hospital in Essen-Ruettenscheid

7.4/10 from 42 Votes

Department of Internal Medicine I (Gastroenterology, Hematology, Onkology, Cardiology, Pulmology, Sport Medicine)

Phlebotomy in polycythemia vera #53397

The main treatment areas of the Department of Internal Medicine I, headed by Prof. Dr. med. Thomas Budde, are invasive and non-invasive cardiac diagnostics and therapy of all cardiac diseases.


Duration: 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

University Hospital Düsseldorf

9.9/10 from 71 Votes

Department of Hematology, Oncology and Clinical Immunology

Phlebotomy in polycythemia vera #166197

The Department of Hematology, Oncology and Clinical Immunology at the University Hospital Dusseldorf provides treatment of patients with blood diseases, cancer and immune system diseases. The Department focuses on the treatment of malignant diseases of  blood, bone marrow and lymph nodes.


Duration: 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Duesseldorf

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

Department of Hematology

Phlebotomy in polycythemia vera #331102

The Department of Hematology at the Tel Aviv Sourasky Medical Center provides expert care for patients with a variety of blood disorders, including malignant hematological diseases.


Duration: 5 days
Type of Treatment: Inpatient
location_onCountry: Israel
location_searchingCity: Tel Aviv

Hannover Medical School

9.8/10 from 43 Votes

Department of Hematology, Hemostaseology, Oncology and Stem Cell Transplantation

Phlebotomy in polycythemia vera #246997

The Department of Hematology, Hemostasiology, Oncology and Stem Cell Transplantation at the Hannover Medical School specializes in diagnosis and treatment of the entire range of malignant tumors, benign hematological diseases and blood coagulation disorders.


Duration: 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
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Academic Hospital Neuperlach

9.8/10 from 11 Votes

Department of Hematology and Oncology

Phlebotomy in polycythemia vera #144993

The department of hematology and oncology diagnosed and treated malignant tumors. The therapeutic spectrum includes all medicamentous treating methodes including chemotherapy, antibody, immune and hormone therapy. Cancer patients benefit from interdisciplinary treatment.


Duration: 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

District Hospital Waldbröl Oberberg

9.7/10 from 23 Votes

Department of Hematology, Oncology, Palliative Medicine and Sleep Laboratory

Phlebotomy in polycythemia vera #286479

The Department of Hematology, Oncology, Palliative Medicine, Pneumology and Somnology at the District Hospital of Waldbröl (Medical Department III) has 30 beds. A competent treatment is provided by three medical specialists in the field of hematology and oncology and a professional anesthesiologist.


Duration: 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Waldbrоl

University Hospital Halle (Saale)

9.6/10 from 78 Votes

Department of Hematology and Oncology (Department of Internal Medicine IV)

Phlebotomy in polycythemia vera #251037

The Department of Internal Medicine IV (Hematology and Oncology) covers the whole range of hematology and oncology. This includes prevention, diagnosis, therapy and post-operative care for cancer of all organs and blood.


Duration: 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Halle
certificate

University Hospital Essen

9.6/10 from 23 Votes

Department of Hematology

Phlebotomy in polycythemia vera #290683

The Department of Hematology at the Essen University Hospital is the largest center for blood diseases in the Ruhr Area.


Duration: 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen




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