Cardiothoracic & vascular anesthesia

Efficacy of Hemoadsorption in Cardiac Surgery with Cardiopulmonary Bypass: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

J Cardiothorac Vasc AnesthPublished Systematic review and meta-analysis of randomised trials

Pooled result · AKI incidence, RRT requirement and mortality (primary outcomes)Result — go to the resultRelative risk 0.75 95% CI 0.59–0.96

Authors' conclusion

Intraoperative HA during CPB reduces the risk of AKI but does not significantly affect other major postoperative outcomes.

Study context

Population
Patients undergoing cardiac surgery with cardiopulmonary bypass (CPB)
Participants
1,133 patients · 16 randomized controlled trials (RCTs)
Comparison
CPB with vs without intraoperative hemoadsorption
Outcome
AKI incidence, RRT requirement and mortality
Methodological detailsPRISMA guidelines
  • PRISMA guidelines

Pooled result

As reported in the abstract

AKI incidence, RRT requirement and mortality (primary outcomes)

Relative risk

0.75

95% CI 0.59–0.96

P = 0.020

HA vs No HA
RR 0.75 (95% CI 0.59–0.96); P = 0.020
RRT requirement: no significant difference
RR 0.64; p = 0.58
Mortality: no significant difference
RR 0.96; p = 0.861

Further pooled results

ICU/hospital LOS, postoperative delirium, stroke, sepsis, reoperation

No significant effects for secondary outcomes

Original publication

Efficacy of Hemoadsorption in Cardiac Surgery with Cardiopulmonary Bypass: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Cardiothorac Vasc Anesth. Published 10 January 2026. doi:10.1053/j.jvca.2026.01.012

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