Literature DB >> 31068031

Multiple HLA-matched platelet transfusions for a single patient with broad anti-HLA antibodies: a case report.

Takeshi Hagino1, Nelson Hirokazu Tsuno2, Fumihiro Azuma2, Hideo Ohtani3, Reina Matsui3, Chie Someya1, Yutaka Kato1, Satoko Osanai1, Hiroko Hidai1, Hisashi Tsutsumi3, Hideki Akiyama1, Sayuri Motomura1, Tetsunori Tasaki4.   

Abstract

The efficacy of 30 platelet concentrate (PC) products transfused to a patient with myelodysplastic syndrome (MDS) was evaluated by calculating the 1-hour post-transfusion corrected count increment (1h-CCI). Of the 30 transfusions, all HLA-A/B-matched, the cross-match (CM) test was negative in 23 (CM(-)-PC) and weakly positive (CM(+)-PC) in 2, and the CM test was not conducted in 5 (non-CM-PC). The effective rate was higher with CM(-)-PC compared to non-CM-PC (82.6% vs 60%), but statistical significance was not achieved, which suggested that the CM test of PC may still be a not satisfactorily effective predictor of PC refractoriness. Studies are ongoing in Japan to confirm on the importance of CM test of PC.

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Keywords:  ABH-compatible platelet units; Anti-HLA antibody; corrected count increment; crossmatch-positive platelet units; platelet transfusion refractoriness

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Year:  2019        PMID: 31068031     DOI: 10.1080/09537104.2019.1609664

Source DB:  PubMed          Journal:  Platelets        ISSN: 0953-7104            Impact factor:   3.862


  1 in total

1.  The Analysis of the Effect of Blood Transfusion on Changes of Blood Platelet Parameters in Patients with Leukemia Treated with Chemotherapy.

Authors:  Yangxin He; Shanshan Liang; Yali Xu; Chunjing Wan; Feng Ma; Baoyan Wang
Journal:  Evid Based Complement Alternat Med       Date:  2022-08-29       Impact factor: 2.650

  1 in total

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