Leukocyte depletion of red cell units at the bedside by transfusion through a new filter

G. Sirchia, P. Rebulla, A. Parravicini, V. Carnelli, G. A. Gianotti, F. Bertolini

Research output: Contribution to journalArticle

Abstract

Standard packed red cell (PRC) units can be depleted of leukocytes and platelets if they are transfused through a blood administration set in which the usual 170-μ filter has been replaced by a leukocyte removal filter (Sepacell R-500). During a 6-month period, 1550 PRC units were transfused through this filter in 611 transfusions to 80 multitransfused patients with thalassemia who had had a patient reaction rate (PRR) of 63 and a transfusion reaction rate (TRR) of 13 percent when given standard PRC or buffy-coat-depleted PRC. When given filtered PRC, PRR and TRR became 3.7 percent and 0.5 percent, respectively. The effectiveness of the filter was also evaluated in vitro. By filtering 2 standard PRC units through the same filter, median values (and ranges) for red cell recovery and for residual leukocytes and platelets were 87 percent (83-92), 6.1 x 106 (0-100), and 2.7 x 109 (0.6-9.7), respectively. Although refinements are needed to improve standardization of the filter and to increase red cell recovery (which is low when 1 unit is filtered through one filter) and blood administration rate, the ability to provide leukocyte-free red cells prepared at the bedside for virtually all recipients appears to be a realistic goal.

Original languageEnglish
Pages (from-to)402-405
Number of pages4
JournalTransfusion
Volume27
Issue number5
Publication statusPublished - 1987

ASJC Scopus subject areas

  • Immunology
  • Hematology

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    Sirchia, G., Rebulla, P., Parravicini, A., Carnelli, V., Gianotti, G. A., & Bertolini, F. (1987). Leukocyte depletion of red cell units at the bedside by transfusion through a new filter. Transfusion, 27(5), 402-405.