Kongsgaard U E, Wang M Y, Kvalheim G
Department of Anaesthesiology and Oncology, The Norwegian Radium Hospital, Oslo, Norway.
Acta Anaesthesiol Scand. 1996 Jan;40(1):118-20. doi: 10.1111/j.1399-6576.1996.tb04397.x.
Autologous blood transfusion has been avoided in cancer surgery because of the metastatic potential of reinfused tumour cells.
This study evaluated the efficacy of a blood transfusion filter in removing tumour cells from blood. Whole human blood was admixed with two different malignant cell lines (breast cancer PM1 and MCF7). The blood was filtered through a RC400TE leucocyte depletion filter. Unfiltered blood was used as a control. Detection of malignant cells was performed with immunomagnetic beads and clonogenic assays.
No viable tumour cells were found after filtration with the leucocyte depletion filter.
These findings suggest that the use of a leucocyte filter after intra-operative blood salvage may make autotransfusion safe even in tumour surgery.
