PLATELET COLLECTION BY APHERESIS WITH REDUCED USE OF CITRATE - QUANTITATIVE AND QUALITATIVE EVALUATION OF 3 PROTOCOLS

被引:1
作者
MOHKLAREN, J [1 ]
BERRIOT, N [1 ]
LECRUBIER, C [1 ]
SAMAMA, M [1 ]
ANDREU, G [1 ]
机构
[1] HOTEL DIEU PARIS,CENT HEMATOL LAB,F-75181 PARIS 04,FRANCE
关键词
APHERESIS; BLOOD DONATION; PLATELET AGGREGATION;
D O I
10.1016/S1246-7820(05)80045-X
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Three protocols of platelet collection by apheresis on Cobe Spectra with different citrate concentrations were compared. First we determined until what level we could diminish the ratio anticoagulant/whole blood flow to enhance the efficiency without clotting in the cell separator by platelet aggregates. We found that protocol 2 had a better platelet collection efficiency than the standard protocol 1 : respectively 59 % versus 52 %. Protocol 3 had even a better efficiency but, due to the risk of clotting (5 % of the procedures) we rejected it for routine use. We compared in vitro platelet fonctions of protocols I and 2 by aggregometry in vitro. The results with the different aggregating agents indicated that the less citrated environment kept the platelets more fonctional in vitro. A disadvantage of protocol 2 compared to the standard protocol is the more important number of platelet concentrates that contain more than 10(6) leucocytes.
引用
收藏
页码:181 / 188
页数:8
相关论文
empty
未找到相关数据