TRANSFUSION MEDICINE Transfusion of human volunteers with older, stored red blood cells produces extravascular hemolysis and circulating non–transferrin-bound iron

نویسندگان

  • Eldad A. Hod
  • Gary M. Brittenham
  • Genia B. Billote
  • Richard O. Francis
  • Yelena Z. Ginzburg
  • Jeanne E. Hendrickson
  • Jeffrey Jhang
  • Joseph Schwartz
  • Shruti Sharma
  • Sujit Sheth
  • Anthony N. Sireci
  • Hannah L. Stephens
  • Brie A. Stotler
  • Boguslaw S. Wojczyk
  • James C. Zimring
  • Steven L. Spitalnik
چکیده

Departments of 1Pathology and Cell Biology and 2Pediatrics and Medicine, Columbia University College of Physicians and Surgeons–New York Presbyterian Hospital, New York, NY; 3New York Blood Center, New York, NY; 4Aflac Cancer Center and Blood Disorders Service, Children’s Healthcare of Atlanta, Division of Pediatric Hematology/Oncology, Atlanta, GA; and 5Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA

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منابع مشابه

Transfusion of human volunteers with older, stored red blood cells produces extravascular hemolysis and circulating non-transferrin-bound iron.

Transfusions of RBCs stored for longer durations are associated with adverse effects in hospitalized patients. We prospectively studied 14 healthy human volunteers who donated standard leuko-reduced, double RBC units. One unit was autologously transfused "fresh" (3-7 days of storage), and the other "older" unit was transfused after 40 to 42 days of storage. Of the routine laboratory parameters ...

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Prolonged red cell storage before transfusion increases extravascular hemolysis.

BACKGROUND Some countries have limited the maximum allowable storage duration for red cells to 5 weeks before transfusion. In the US, red blood cells can be stored for up to 6 weeks, but randomized trials have not assessed the effects of this final week of storage on clinical outcomes. METHODS Sixty healthy adult volunteers were randomized to a single standard, autologous, leukoreduced, packe...

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Washing older blood units before transfusion reduces plasma iron and improves outcomes in experimental canine pneumonia.

In a randomized controlled blinded trial, 2-year-old purpose-bred beagles (n = 24), with Staphylococcus aureus pneumonia, were exchanged-transfused with either 7- or 42-day-old washed or unwashed canine universal donor blood (80 mL/kg in 4 divided doses). Washing red cells (RBC) before transfusion had a significantly different effect on canine survival, multiple organ injury, plasma iron, and c...

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A Root Cause Analysis of Haemolysis Encountered in Leuco-filtration of Stored Packed Red Cells Units

Background and Aims: Leukoreduction of blood components has reduced the incidence of transfusion-associated adverse events. Leucofiltration is the most effective method of leukoreduction. We encountered haemolysis in a series of leucofiltered units. This stressed our precious inventory, added to financial loss, increased our turn-around time to issue leucofiltered blood units, and placed doubts...

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Evaluation of Blood Storage Lesions in Leuko-depleted Red Blood Cell Units

Background: Red blood cells (RBCs) undergo biochemical and morphologic alterations during storage that are known as the storage lesions causing decreased RBC quality and are correlated with transfusion reactions in certain groups especially in infants and critically ill patients. Microvesicles (MVs) as one of storage lesions may be derived from various cell types and have key roles in several...

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تاریخ انتشار 2011