A NEW POROUS POLYURETHANE FILTER TO REMOVE LEUKOCYTES FROM PLATELET CONCENTRATES

Tsuneo A. Takahashi, M. Hosoda, Y. Mogi, Hitoshi Kuroki, Shinichiro Kuroda, Mineo Sado, Sadayoshi, Sekiguchi
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Abstract

A NEW POROUS POLYURETHANE FILTER TO REMOVE LEUKOCYTES FROM PLATELET CONCENTRATES Tsuneo A. Takahashi, Mani Hosoda, Yuko Mogi, Hitoshi Kuroki, Shinichiro Kuroda, Mineo Sado and Sadayoshi Sekiguchi Recent studies have shown that the transfusion of leukocyte-depleted platelet concentrates (PCs) could reduce HLA alloimmunization and platelet refractoriness. The authors developed a new porous polyurethane filter for the depletion of leukocytes from PCs and evaluated its efficiency in removing leukocytes. The new filter, the Imugard PL, is designed to be used without priming at the patient's bedside. The leukocyte removal rate, platelet recovery and platelet functions were studied. The leukocyte removal rate was higher than 99. 9% when a pool of 10 units of PCs stored for 1-3 days or apheresis PCs similar in number to 15 units of PCs stored for 1 day was filtered. The platelet recovery was higher than 92. 5% for the apheresis PCs and 96% for the pools of 10 PCs. The morphology and functions of platelets were not affected by the filtration except for a slight increase of the response to aggregation and a decrease of mean platelet volume after filtration. The Imugard PL is effective in removing leukocytes without losing platelets and should help to improve platelet transfusion therapy.
一种新型多孔聚氨酯过滤器,用于去除血小板浓缩物中的白细胞
Tsuneo A. Takahashi, Mani Hosoda, Yuko Mogi, Hitoshi Kuroki, Shinichiro Kuroda, Mineo Sado和Sadayoshi Sekiguchi最近的研究表明,输注白细胞耗尽的血小板浓缩物(PCs)可以降低HLA异体免疫和血小板的耐受性。作者研制了一种新型多孔聚氨酯过滤器,用于清除pc中的白细胞,并对其去除白细胞的效率进行了评价。新的过滤器,Imugard PL,被设计为在病人床边使用而不启动。研究白细胞去除率、血小板回收率及血小板功能。白细胞去除率大于99%。当存储1-3天的10台pc池或数量与存储1天的15台pc相似的apheresis pc被过滤时,则为9%。血小板回收率大于92。单台pc 5%, 10台池96%。滤过后血小板的形态和功能不受影响,但对聚集的反应略有增加,滤过后血小板平均体积略有下降。Imugard PL在清除白细胞而不丢失血小板方面是有效的,应该有助于改善血小板输注治疗。
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