Verified guide
Invasive (medical procedure)
11 min read

Plasmapheresis in Spain: Prices, Indications & Specialised Clinics

Plasma purification to rejuvenate the cellular environment

Table of contents

What is Plasmapheresis?

Definition and how it works

Plasmapheresis is a procedure in which the patient's blood is drawn, the plasma is separated from the blood cells via centrifugation and filtration, and the cells are reinfused with fresh plasma (albumin or young donor plasma). In the longevity context, it is used to remove pro-inflammatory factors that accumulate with ageing (TGF-β1, β2-microglobulin, VCAM-1) — termed 'rejuvenation-inhibiting factors' by researcher Irina Conboy.

Origin and history

Medical plasmapheresis was developed in the 1960s to treat autoimmune diseases. Its application in longevity stems directly from Conboy's parabiosis studies and the research of startup Alkahest (acquired by Grifols) from 2014 onwards.

Benefits of Plasmapheresis

Removal of inflammatory and pro-ageing factors from plasma

Systemic rejuvenation of the cellular environment

Animal model evidence of cognitive improvement and muscle regeneration

Treatment of severe autoimmune diseases

Reduction of autoantibodies and immune complexes

Potential improvement in neurodegeneration

Plasmapheresis protocol step by step

1

Haematological assessment

Coagulation, calcium, renal and cardiac function. Extended informed consent.

2

Vascular access

Central or large-bore peripheral venous access. Citrate anticoagulation.

3

Plasma separation

Continuous centrifugation in a cell separator. Selective plasma extraction (1–1.5 plasma volumes).

4

Albumin replacement

Reinfusion of cells with 5% human albumin or physiological saline. 2–4 hours total.

5

Post-procedure monitoring

Calcium, blood pressure and symptom monitoring for 1–2 hours post-procedure. Same-day discharge if uneventful.

Reference equipment for Plasmapheresis

EquipmentBrand / Model
Therapeutic cell separatorFresenius Kabi COM.TEC / Haemonetics MCS+
Human albumin for replacementGrifols Albutein / CSL Behring Albuminar

Clinics on LongevityMap declare their exact equipment for objective scoring.

The science behind Plasmapheresis

Scientific evidence summary

The Irina and Michael Conboy group (UC Berkeley) published in Nature (2005) that parabiosis (circulatory union of young and old mice) rejuvenated the old mouse's tissues. In 2022, they demonstrated that plasmapheresis (dilution of aged plasma) produced equivalent rejuvenation effects without needing young plasma. Clinical studies in Alzheimer's (AMBAR trial, Grifols) show slowed progression with periodic plasmapheresis.

Key published studies

Neutral blood exchange rejuvenates aged mouse tissues

Nature Aging · 2022

Dilution of aged plasma reproduces rejuvenation effects without young plasma.

PubMed

AMBAR trial: plasmapheresis slows Alzheimer progression

Alzheimer's & Dementia · 2020

Periodic plasmapheresis with albumin slows progression of moderate Alzheimer's by 61%.

PubMed

How much does Plasmapheresis cost in Spain?

Price per session

€800–2,500 per session

4–8 sessions in initial protocol; six-monthly maintenance

Prices vary by clinic, equipment and practitioner experience. LongevityMap compares price and quality so you always make the best decision.

How we calculate prices

Who is Plasmapheresis for?

Recommended profiles

  • 1People over 50 interested in advanced anti-ageing
  • 2Patients with severe refractory autoimmune diseases
  • 3People with early Alzheimer's or high genetic risk (APOE4)
  • 4Advanced biohackers with access to supervised experimental protocols

Precautions and contraindications for Plasmapheresis

Main contraindications

  • Severe hypotension or haemodynamic instability
  • Severe coagulopathy
  • Decompensated heart failure
  • Uncorrected hypocalcaemia (citrate anticoagulant chelates calcium)

Treatments that combine with Plasmapheresis

Plasmapheresis shows scientific synergy with these treatments:

Where to get Plasmapheresis in Spain?

Compare Plasmapheresis clinics across Spain's main cities. Each page includes local prices, quality scores and verified rankings.

Frequently asked questions about Plasmapheresis

Is longevity plasmapheresis different from medical plasmapheresis?
Standard medical plasmapheresis removes a specific component (antibodies, LDL). Longevity plasmapheresis aims to dilute and remove pro-ageing factors from the plasma, replacing it with albumin or saline. They have different mechanisms.
Is there solid clinical evidence in healthy humans?
The strongest human evidence is the AMBAR trial in Alzheimer's. In healthy individuals for longevity, the data are promising but primarily from animal models. Some centres in Spain and the US offer experimental protocols under extended informed consent.
How long does a session last?
Between 2 and 4 hours, similar to a dialysis session. The patient is seated or reclined with peripheral or central venous access. It is performed at medical centres with specialised staff.

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Content created by the LongevityMap editorial team based on peer-reviewed scientific literature. Sources: PubMed, Cochrane Library. This content does not replace professional medical advice. Our team · Methodology