Prevention & lipids

The impact of lipid apheresis on changes of lipoprotein(a): a systematic review and meta-analysis

Eur J Prev CardiolPublished Systematic review and meta-analysis

Pooled result · Serum Lp(a)Result — go to the resultSMD −1.52 95% CI −1.76 to −1.29

Authors' conclusion

Lipid apheresis is effective in significantly lowering serum Lp(a) concentrations across a range of patient groups and treatment modalities.

Study context

Population
Participants undergoing lipid apheresis in a wide array of disorders, particularly CVD43 publications
Participants
2,466 participants67 studies
Comparison
Post- vs pre-lipid apheresis Lp levels
Outcome
Change in serum Lp(a) levels
Methodological detailsrandom-effects model, subgroup and meta-regression analyses
  • Random-effects model
  • Subgroup and meta-regression analyses

Pooled result

Serum Lp(a)

SMD

−1.52

95% CI −1.76 to −1.29

P < 0.001

Post-apheresisvs Pre-apheresis
SMD −1.52 (95% CI −1.76 to −1.29); P < 0.001

As reported in the abstract

Further pooled results

OutcomeSMD (95% CI)P value
Serum Lp(a), one-session lipid apheresis studies (n = 6)−1.51 (−1.72 to −1.29)P < 0.001

Subgroups by Lp(a) detection method, disease background and initial Lp(a)

Significant reductions across subgroups

Sources of heterogeneity (meta-regression)

Publication year and disease background contributed to heterogeneity

Original publication

The impact of lipid apheresis on changes of lipoprotein(a): a systematic review and meta-analysis. Eur J Prev Cardiol. Published 24 February 2026. doi:10.1093/eurjpc/zwag089

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