Large volume leukapheresis: Efficacy and safety of processing patient's total blood volume six times

被引:23
作者
Bojanic, Ines [1 ]
Dubravcic, Klara [2 ]
Batinic, Drago [2 ]
Cepulic, Branka Golubic [1 ]
Mazic, Sanja [1 ]
Hren, Darko [3 ]
Nemet, Damir [4 ]
Labar, Boris [4 ]
机构
[1] Univ Hosp Ctr Zagreb, Dept Transfus Med & Cellular Therapy, Zagreb 10000, Croatia
[2] Univ Hosp Ctr Zagreb, Dept Immunol, Zagreb 10000, Croatia
[3] Univ Split, Fac Philosophy, Zajceva Bb, Split, Croatia
[4] Univ Hosp Ctr Zagreb, Dept Internal Med, Zagreb 10000, Croatia
关键词
STEM-CELL COLLECTION; COLONY-FORMING-UNITS; PROGENITOR CELLS; GRANULOCYTE-MACROPHAGE; MULTIPLE-MYELOMA; CROSSOVER TRIAL; CD34(+) CELLS; HEMATOPOIETIC PROGENITORS; PEDIATRIC-PATIENTS; APHERESIS;
D O I
10.1016/j.transci.2011.01.005
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Large-volume leukapheresis (LVL) differs from standard leukapheresis by increased blood flow and an altered anticoagulation regimen. An open issue is to what degree a further increase in processed blood volume is reasonable in terms of higher yields and safety. In 30 LVL performed in patients with hematologic malignancies, 6 total blood volumes were processed. LVL resulted in a higher CD34+ cell yield without a change in graft quality. Although a marked platelet decrease can be expected, LVL is safe and can be recommended as the standard procedure for patients who mobilize low numbers of CD34+ cells and when high number of CD34+ cells are required. (C) 2011 Elsevier Ltd. All rights reserved.
引用
收藏
页码:139 / 147
页数:9
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