
H.E.L.P. 针对长颅蛛网膜下腔出血、真空后综合征和慢性疾病的无创疗法
H.E.L.P. Apheresis 对 Long Covid 有什么好处?
H.E.L.P. (Heparin-induced Extracorporeal LDL Precipitation) Apheresis is an extracorporeal (=outside of the patient’s body) blood treatment that has been in use for over 40 years with great success. It was initially developed as a treatment for microcirculation and blood flow issues and excess cholesterol. The treatments biggest strength is to resolve microcirculation and blood flow disorders whilst at the same time removing hundreds of pathogens, inflammation proteins, viral persistence/spike proteins and cholesterol+autoantibodies from the blood.
Selected scientific sources and studies for H.E.L.P. Apheresis used in Long Covid/Post Vac and microcirculation/blood flow disorders in Long Covid as well as H.E.L.P. Apheresis resolving microcirculation and blood flow disorders:
‘During the H.E.L.P. Apheresis treatment numerous inflammatory mediators (CRP, cytokines, etc.) as well as any virus components/spike proteins present are filtered out. The cleaned blood is returned to the patient.
H.E.L.P. Long Covid 患者的研究表明,microclots ,尖峰蛋白通过与肝素结合而被过滤掉。不同患者所需的无细胞抽吸次数不同,也取决于症状的严重程度。
Microcirculation and blood flow disorders are an official indication of H.E.L.P. Apheresis.’
(来源:德国博朗公司/瑞士博朗公司)
H.E.L.P. Apheresis 是如何工作的?
‘H.E.L.P. (heparin-induced extracorporeal LDL precipitation) apheresis is a treatment method that has been in use for decades and was initially developed as a treatment option for refractory lipid metabolism disorders. Over time, other medical indications were added that are a result of a microcirculation and blood flow disorder, such as idiopathic hearing loss and dry macular degeneration as well as Multiple Sclerosis.
During the H.E.L.P. procedure, the plasma is first of all separated from the other components that make up the blood. Heparin and an acetate buffer are then added, which lower the plasma’s pH. This changes the surface charge of LDL-C, Lp(a) and other substances, which leads to increased binding to the heparin used. In addition to LDL, the process also filters out various inflammatory mediators (CRP, cytokines, etc.) as well as any virus components or spike proteins present. The resulting precipitates are filtered out and subsequently removed from the plasma in circulation through the machine.’
‘The excess heparin is eliminated by adsorption. The physiologic pH is then restored by removing the buffer solution via dialysis. Finally, the purified blood is returned to the patient at the end of the treatment.
根据最近的文献,在健康人的血液样本中加入尖峰蛋白,就可以在显微镜下看到假定形成的microclots 。Long Covid 患者的研究已经表明,这些microclots 可通过H.E.L.P. 血液透析溶解,而尖峰蛋白则可通过与肝素结合而被过滤掉。
The number of rounds of apheresis required varies from patient to patient and also depends on the severity of the symptoms.’
来源:B.BraunB.Braun
帮助 血液透析可以清除/吸收血液中的以下物质:
- 纤维蛋白原、其他凝血因子和microclots (可使微循环增加 20%,释放小血管,同时降低血液粘度约 10)
- 炎症调节剂/蛋白质,如 CRP、细胞因子和趋化因子(可减轻炎症)。
- SarsCov2 病毒和尖峰蛋白/碎片(通过与所使用的肝素结合)。
- 数百种基于蛋白质的病原体
- 低密度脂蛋白和脂蛋白(a)胆固醇(改善内皮功能和纤维蛋白溶解)+附着于其上的自身抗体
您可以在这里找到我们关于H.E.L.P. Apheresis 和联合疗法的完整介绍:
关于H.E.L.P. Apheresis 的发明者,Prof. Dr. med. Dr. h. c. Dietrich Seidel 的更多信息,请点击此处。Dietrich Seidel 博士的更多信息:
You will find extensive information on our blog post about different types of Apheresis and which type is suitable for which purpose HERE
H.E.L.P. ,减少 SarsCov2 Spike 蛋白的生成

H.E.L.P. Apheresis 治疗后尖峰蛋白水平的降低(pg/ml)。观察到尖峰蛋白减少了 92%。(资料来源H.E.L.P. Apheresis:COVID-19、长COVID和COVID-19疫苗接种后综合征的治疗进展)
通过H.E.L.P. 血液净化减少Microclots

Analysis of microclot-like structures from RT-DC measurements of 0.45 µl of whole blood. A-D. Bar plots of n = 16 patients (repeat samples were not received for three patients). A. Count of microclot-like structures per 0.45 µl of blood. B. Microclot-like structures expressed as a percentage of all measured events (blood cells and cell agglomerates). C. Projected area (µm²) of microclot-like structures. D. Standard deviation of the projected area (µm²) of microclot-like structures. (Source: State of the Art H.E.L.P. Apheresis: Advances in Management of COVID-19, Long COVID, and Post-COVID-19 Vaccination Syndrome)
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FAQ – Frequently Asked Questions
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Selected scientific sources and studies for H.E.L.P. Apheresis used in Long Covid/Post Vac and microcirculation/blood flow disorders in Long Covid as well as H.E.L.P. Apheresis resolving microcirculation and blood flow disorders:
ISFA 2023 (International Society for Apheresis World Conference)
Gavin Infectious Diseases Diagnosis & Treatment
Researchgate
Springer
Frontiers
ScienceDirect
Therapheutic Apheresis and Dialysis
Journal of Thrombosis and Haemostasis
Springer Nature
The American Journal of Medicine
PubMedCentral
Science
A collection of sources which have published success rates can be found at the Long Covid Apheresis Community (LCA Community): https://lcacommunity.org/research
The results published by the LCA Community have been confirmed at the ISFA2023:
ISFA 2023 (International Society for Apheresis World Conference)
You will find extensive information on our blog post about different types of Apheresis and which type is suitable for which purpose HERE
Apheresis means ‘separation/extraction’: A separation of the big blood parts (white and red blood cells and blood platelets) from the rest of the blood (plasma) and extraction of pathogens.
But that is where the similarities of HE.L.P. Apheresis with ANY OTHER type of apheresis end.
H.E.L.P. Apheresis is in fact a ‘live laboratory process’ in a machine circuit.
Unlike any other form of apheresis it uses 400.000 units of heparin (heparan sulfate to be exact) in the extracorporeal machine circuit and it turns the blood plasma temporarily acidic to ensure the highest technically possible levels of selective pathogen adsorption in that environment. For one H.E.L.P. apheresis session 30 kilogram of one-use parts are used.
H.E.L.P. Apheresis is the ONLY type of apheresis specifically designed to resolve coagulation issues and interfere into the coagulation cascade. It increases microcirculation (blood flow in the small capillaries/blood vessels) by 20% whilst reducing the viscosity of the blood by 10% per session.
It is a highly selective (by means of adsorption – heparin precipitation) form of apheresis and has higher adsorption rates than any other form of apheresis. It does NOT use filtration (which is non-selective) but it uses adsorption/precipitation – this means it only takes out the pathogens (viruses/viral spike, bacteria, fungus, inflammation proteins, cholesterol+autoantibodies and hundreds of pathogens more) but leaves all other substances in the blood – hormones, messengers etc.
H.E.L.P. Apheresis has been successfully applied for:
– Long Covid
– Post Vac Syndrome / Vaccine Injury
– ME/CFS
– Lyme
– Fibromyalgia
– Multiple Sclerosis
– Lupus
– Other illnesses where microcirculation issues/blood flow issues, viral or bacterial persistence, inflammation proteins, cholesterol+autoantibodies or toxins/pathogens are present
如果患者符合要求(通过问卷调查明确),则会对患者进行详细的面谈和评估。目的是确定症状的严重程度,并明确是否满足使用H.E.L.P. Apheresis 的先决条件,即 Plasmat Futura 设备的预期用途。
目前,每次治疗的费用为 1685 欧元,由患者自行承担。当然,患者也可以单独向其医疗保险公司申请报销。
H.E.L.P. apheresis is recognised in the EU and Switzerland for the indication of microcirculation and blood flow disorders and several other indications. The Plasmat Futura machines used for H.E.L.P. are EMA licensed and CE certified. Clinical studies for H.E.L.P. Apheresis in Long Covid have been published:
Pub Med Central
Gavin Publishers
The symptoms of Long Covid are enormously varied. Any organ system can be affected. Treatments carried out so far suggest that many of these symptoms can be successfully treated by improving microcirculation/blood flow. The amount of treatments needed is individual (we see in average 5-6 H.E.L.P. treatments over the last years per patient). Whilst the content of the precipitation filter and heparin adsorber are not always helpful to identify if further treatments are meaningful, the latest study has shown that venous oxygen measurement is of great help for better treatment direction.
H.E.L.P. apheresis is generally very well tolerated and has few complications. As with any treatment, there are risks and side effects. However, these are very rare and easy to control. For example, there may be haematomas at the injection sites, a short-term so-called vasovagal reaction or temporary fatigue. From the 500.000 treatments undertaken in the last 30 years, over 200.000 have been scientifically documented – this makes H.E.L.P. one of the best researched and safest treatments there is.
Since 2023 we do offer Triple Anticoagulation Therapy for microcirculation and hyper-coagulation issues, but only under certain circumstances. The Triple Therapy needs constant monitoring of the blood to minimize the risk of (brain and gut) bleeding. A physical presence of the patient at the clinic of 3-4 months is therefore necessary. The often strong side effects from toxins and pathogens being released into the blood of the patient need to be controlled with steroids and antihistamines. We follow the original protocol that was published by Dr. Jaco Laubscher.
The differences between H.E.L.P. Apheresis and Triple Anticoagulation Therapy:
– If your local GP/PCP supports you and takes on the responsibility of constantly monitoring your blood while you are administered a combination of three anticoagulant medications at once (bleeding risk), the costs are lower than H.E.L.P. and you do not need to be present at the clinic for 3-4 months
– Patients often do suffer from constant side-effects of the Triple Therapy from toxins and pathogens being released into the blood. Steroids and antihistamines are a way to reduce them
– H.E.L.P. Apheresis has a higher safety profile with over 30 years of scientific data behind it
– H.E.L.P. Apheresis does not only remove the microclots from the blood but also does remove inflammation, viral spike protein, cholesterol+autoantibodies and hundreds of pathogens and furthermore it reduces the viscosity of the blood around 10% per treatment and increases the microcirculation by 20% in total.
We do only recommend Triple Anticoagulation Therapy in first 6 months after infection/onset and/or if your local GP/PCP supports and monitors it.
From our clinical experience H.E.L.P. Apheresis as part of the Combination Therapy is preferable and shows better results. The individually adapted Combination Therapy often does include anticoagulation and fibrinolytic protocols.
In Triple Therapy the body needs to deal with all the toxins and pathogens released from the microclots. Through H.E.L.P. Apheresis all toxins and pathogens are taken out of the blood by the apheresis machine and it furthermore does not only get rid of the microclots but does additionally remove inflammation proteins, viral spike protein, cholesterol+autoantibodies and hundreds of pathogens and reduces the viscosity of the blood around 10% per treatment whilst increasing the microcirculation by 20% in total. This means it has several modes of action instead of just a single mode like triple therapy.
Advantages:
– No stinging with needles required (sometimes with Long Covid damaged veins several tries with the needles despite ultrasound are needed, sometimes there can’t be any proper blood flow established, sometimes veins shrink under stress or from a bradykinin shock)
– No constant kneading of therapy/stress ball to maintain blood circulation at needed level needed (ideal if you have fatigue)
– No constant visibility of blood/needles (good if you have anxiety/fear of needles and blood)
– You don’t need to keep your arms with needles inside still for hours
– No risk of penetrating the backside of the vein if you accidentally lift your arms
– You can sleep during treatment
– You can go to toilet during treatment
– You don’t have to get needles placed for every treatment
– The blood flow volume is higher – 20% more efficiency, higher amount of plasma treated, shorter treatment duration, less burden on the body
– You can eat and watch a movie or even work on the laptop during treatment – your hands are free
– In case of low blood flow the catheter is closer at the bodies center (upper leg) that enables treatment even with lower blood pressure
– works as constant reminder so you will pace much better
Disadvantages:
– Cost of 1000 to 1100 Euros (depending on the size/make of the catheter – this ‘pays for itself’ after 4-5 treatments as with catheters in average 20-25% more plasma volume can be processed and the constant flow speed technically leads to a higher adsorption rate)
– Can feel inconvenient at times
– Restricted movement (max. a few hundred meters radius a day or less is recommended to avoid irritation of the vein) – but many patients reported in return it helped to pace well
– Medical risks: 4 in 100.000 will suffer from nerve damage/irritation next to the vein when the catheter is placed and the risk of clotting is increased (which can be minimized by the anticoagulants being administered and by not moving too much). In rare cases the exit point can get inflamed and antibiotics need to be administered, waterproof covers and special catheters avoid that very well.
For placement durations over 21 days the anti-pathogenic protect catheters we use avoid issues reliably (below 21 days classic catheters are used and if the duration unexpectedly increases, antibiotic treatment is applied for safety precautions). The protect coating creates a catheter surface with very good anti-pathogenic characteristics. The adhesion of bacteria, which is normally the starting point of a catheter-related bloodstream infection, is effectively prevented in this non-leaching catheters. Examples: brochure for download here and watch the video here (Source of both: B.Braun.com)
You can find explanation videos about H.E.L.P. Apheresis with apheresis needles access and with leg catheter access click here for videos
H.E.L.P. 用于长 Covid 治疗的血液透析视频
H.E.L.P. Apheresis – How does it work? A simplified (non-medical) explanation.
我们的患者杰里米(Jeremy)允许我们拍摄他的H.E.L.P. Apheresis 第 8 次治疗,以便人们在亲自接受治疗之前可以详细了解治疗过程。我们试图以非常简单易懂的形式来解释问题,并牺牲了一些医学和科学上的精确性,以换取更容易观看。
You find Jeremy’s interview about his treatment experience click here to see
导管接入视频
H.E.L.P. 使用腿部导管进行血液透析
Our patient Stephen allowed us to film his H.E.L.P. Apheresis treatment, so that people can get an insight on how the treatment works with the use of a catheter (a special apheresis catheter is used if you have very small veins, bad/affected veins that make them inaccessible with apheresis needles, or in some cases if your apheresis needles keep getting blocked). You can find more information on catheters at the bottom of the in the FAQ section here
H.E.L.P. 离心机准备/启动视频
在处理前约一小时,必须准备好 30 千克的液体(氯化钠、醋酸盐、碳酸氢盐、硫酸头孢酯)、管道、吸附器和过滤器,并将其连接起来,然后冲洗、测试和准备 Plasmat Futura 设备,并进行多次机械自检,以检查所有泵、夹具、传感器和电子设备是否 100% 准确和正常工作(此过程称为启动)。
视频中未涉及/解释的主题:
- 视频中未涉及/解释的主题:
- Disinfection prior to the treatment / use of liquid gloves
- Covid rapid tests and unmasking
- Blood panel/test prior to treatment
- Doctor’s assessment and interview prior to treatment
- Preparation and test of the machine/safety precautions
- Preparation of the catheter (flushing with aspirator) which will cause the sterile protection sheet to be slightly stained
- Other medical/safety factors before/during/after the treatment
- Instructions of the patient how to take care of the needle stitches/catheter and optimal hydration/nutrition/rest after the treatment
- 注意事项我们在视频中没有使用精确的语言/描述,仅供演示之用。杰里米和斯蒂芬对光线、声音和动作不再敏感,因此我们无需采取特别的预防措施。
注意事项我们在视频中没有使用精确的语言/描述,仅供演示之用。杰里米和斯蒂芬对光线、声音和动作不再敏感,因此我们无需采取特别的预防措施。
ARTE 电视纪录片 "Long Covid - 塞浦路斯的愈合
ARTE TV Documentary ‘Long Covid – Healing in Cyprus’ about our Apheresis Center
The documentary aired in June 2024. A team of journalists from European TV channel ARTE TV accompanied three of our Long Covid and Post Vac Syndrom patients and interviewed them and our team at the Apheresis Center. Here you can watch an excerpt of the documentary which is also easy to watch for patients with cognitive dysfunction, brainfog and related migraines. English audio by Dubly.
Since the documentary was filmed, new scientific findings have been made, you can find the latest studies published here.
Markus has published a blog post here, where he describes the developments and updates since the documentary was filmed.