Moog R, Müller N, Köbke A C, Kalb R
Institute for Transfusion Medicine, University Clinics Essen, Germany.
Vox Sang. 1997;72(2):107-10. doi: 10.1046/j.1423-0410.1997.7220107.x.
White cell depletion of platelet concentrates is widely applied to reduce the incidence of transfusion complications. We investigated a new plateletpheresis kit with an integrated filter for leukocyte depletion of platelets.
Parameters of product quality were investigated before and after in-line filtration of 70 single-donor platelet (SDP) units obtained by apheresis. We studied three different filter batches manufactured for the Fresenius AS 104 blood cell separator, and evaluated different softwares and interface positions with respect to platelet (PLT) yield and white blood cell (WBC) contamination.
PLT yields before and after filtration was not statistically different in the protocols studied. WBC contamination after WBC depletion was in the range of 10(4)/SDP unit. Glucose, lactate dehydrogenase, and the morphology score were not statistically different before and after filtration.
In-line WBC filtration of SDP units sufficiently reduced WBC below 5 x 10(6)/unit. The study allowed definition of the filter composition and apheresis parameters to optimize PLT yield and minimize WBC contamination.
血小板浓缩物白细胞去除术被广泛应用以降低输血并发症的发生率。我们研究了一种带有集成过滤器的新型血小板采集套件,用于血小板的白细胞去除。
对通过单采获得的70个单供者血小板(SDP)单位进行在线过滤前后的产品质量参数进行了研究。我们研究了为费森尤斯AS 104血细胞分离机制备的三种不同批次的过滤器,并就血小板(PLT)产量和白细胞(WBC)污染情况评估了不同的软件和接口位置。
在所研究的方案中,过滤前后的PLT产量无统计学差异。白细胞去除后的WBC污染在每SDP单位10⁴个的范围内。过滤前后葡萄糖、乳酸脱氢酶和形态学评分无统计学差异。
SDP单位的在线白细胞过滤可充分将白细胞减少至每单位低于5×10⁶个。该研究确定了过滤器组成和单采参数,以优化PLT产量并使WBC污染最小化。