Albumin-based dialysis appears to have some of the same clinical effects as HVP, such as improving systemic vascular resistance, blood pressure, and HE grade in adults.31 Albumin-based dialysis (MARS, prometheus) was performed only in selected centers with experience, although there is no evidence of survival seen in adults or children.22 Albumin-based dialysis cannot be performed in our center. This evidence concerns the gene ALB and hereditary elliptocytosis.