Cabibbo Sergio, Fidone Carmelo, Garozzo Giovanni, Antolino Agostino, Manenti Giovanna Oriella, Bennardello Francesco, Licitra Vincenzo, Calabrese Salvatore, Costantino Francesco, Travali Simone, Distefano Roberto, Bonomo Pietro
Centro diagnosi e Cura della Talassemia, Azienda Ospedaliera, Civile-M.P. Arezzo P.zza Igea 1 97100 Ragusa, Italy.
Transfus Apher Sci. 2005 Jun;32(3):315-21. doi: 10.1016/j.transci.2005.03.003.
We tracked the results of 394 manual or automatic red blood cell exchanges done with a cell separator in 20 sickle cell patients at high risk for recurrent complications. Over an average of 6 years, none of the patients developed complications related to the procedure or to the increased blood use. It was safe and effective in preventing complications of sickle cell disease, and if done automatically, reduced iron overload. Ferritin levels also decreased in patients treated with automatic red blood cell exchange. Furthermore, using Single Donor Red Blood Cell units (SDRC) we reduced the potential exposure to transfusion transmitted infectious diseases (TTI).