Literature DB >> 28275328

Assessment of the Clinical Performance of Platelet Concentrates Treated by Pathogen Reduction Technology in Santiago de Compostela.

M Dolores Vilariño1, Azucena Castrillo2, Alfredo Campos1, Rachel Kilian3, Mercedes Villamayor1, Marcia Cardoso3.   

Abstract

INTRODUCTION: This study assessed the feasibility, performance, and safety of Mirasol®-treated platelet concentrates (M-PC) stored for up to 7 days.
METHODS: This prospective observational study was approved by the ethical committee of the University Clinic of Santiago de Compostela. Informed consent was asked from patients receiving M-PC. M-PCs were treated with the Mirasol system according to the manufacturer's instructions. Thrombocytopenic patients were transfused according to the Spanish transfusion guidelines. Post-transfusion platelet counts were measured at 1 h and/or 24 h after transfusion. Post-transfusion surveillance of patients was maintained during the study.
RESULTS: Data from 54 evaluable patients and 135 transfusions were analyzed. The mean age of patients was 58 years. The mean age of M-PC at transfusion was 3.6 days. The mean platelet dose was 3.7 × 1011. The transfusion responses measured as mean corrected count increment 1 h after transfusion (CCI1h) and CCI24h were 9,659 and 4,751, respectively. 65% of transfusions resulted in CCI1h values ≥ 7,500. 51% of transfusions resulted in CCI24h values ≥ 4,500.
CONCLUSION: The use of M-PC in the supportive treatment proved to be safe and effective for this cohort of thrombocytopenic patients.

Entities:  

Keywords:  Clinical performance; Pathogen reduction; Riboflavin-based pathogen reduction

Year:  2016        PMID: 28275328      PMCID: PMC5318921          DOI: 10.1159/000447643

Source DB:  PubMed          Journal:  Transfus Med Hemother        ISSN: 1660-3796            Impact factor:   3.747


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7.  Transfusing methylene blue-photoinactivated plasma instead of FFP is associated with an increased demand for plasma and cryoprecipitate.

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8.  The clinical impact of platelet refractoriness: correlation with bleeding and survival.

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9.  Comparison of transfusion efficacy of amotosalen-based pathogen-reduced platelet components and gamma-irradiated platelet components.

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10.  Therapeutic efficacy of platelet transfusion in patients with acute leukemia: an evaluation of methods.

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2.  Budget impact of implementing platelet pathogen reduction into the Italian blood transfusion system.

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3.  In Vitro Comparative Study of Platelets Treated with Two Pathogen-Inactivation Methods to Extend Shelf Life to 7 Days.

Authors:  Nicolas Malvaux; Fanette Defraigne; Styliani Bartziali; Camille Bellora; Kathleen Mommaerts; Fay Betsou; Anne Schuhmacher
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  3 in total

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