Treatment of congenital afibrinogenemia with cryoprecipitate collected through a plasmapheresis program using dedicated donors

A child with afibrinogenemia was evaluated for prophylactic cryoprecipitate transfusion due to recurrent episodes of traumatic bleeding. The parents would only consider ongoing transfusion therapy if a limited donor program could be established. Automated plasmapheresis was performed on a regular ba...

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Veröffentlicht in:Journal of clinical apheresis 1998, Vol.13 (4), p.143-145
Hauptverfasser: Thompson, Hannis W., Touris, Sondra, Giambartolomei, Sheryl, Nuss, Rachelle
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container_end_page 145
container_issue 4
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container_title Journal of clinical apheresis
container_volume 13
creator Thompson, Hannis W.
Touris, Sondra
Giambartolomei, Sheryl
Nuss, Rachelle
description A child with afibrinogenemia was evaluated for prophylactic cryoprecipitate transfusion due to recurrent episodes of traumatic bleeding. The parents would only consider ongoing transfusion therapy if a limited donor program could be established. Automated plasmapheresis was performed on a regular basis on the patient's parents and a limited number of selected donors. Studies on the initial units collected demonstrated that a single 500 mL plasmapheresis yielded a mean of 606 mg fibrinogen in the cryoprecipitate, which was stored in two bags. A total of 166 U of cryoprecipitate from 84 individual plasmapheresis donations were transfused prophylactically every 2–3 weeks over a 16‐month period. Compared to transfusions from random donors, the use of a limited number of apheresis donors resulted in a donor exposure reduction of 87%. Clinically, the patient has had minimal bleeding during this period. J. Clin. Apheresis 13:143–145, 1998. © 1998 Wiley‐Liss, Inc.
doi_str_mv 10.1002/(SICI)1098-1101(1998)13:4<143::AID-JCA1>3.0.CO;2-C
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The parents would only consider ongoing transfusion therapy if a limited donor program could be established. Automated plasmapheresis was performed on a regular basis on the patient's parents and a limited number of selected donors. Studies on the initial units collected demonstrated that a single 500 mL plasmapheresis yielded a mean of 606 mg fibrinogen in the cryoprecipitate, which was stored in two bags. A total of 166 U of cryoprecipitate from 84 individual plasmapheresis donations were transfused prophylactically every 2–3 weeks over a 16‐month period. Compared to transfusions from random donors, the use of a limited number of apheresis donors resulted in a donor exposure reduction of 87%. Clinically, the patient has had minimal bleeding during this period. J. Clin. 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Clin. Apheresis</addtitle><description>A child with afibrinogenemia was evaluated for prophylactic cryoprecipitate transfusion due to recurrent episodes of traumatic bleeding. The parents would only consider ongoing transfusion therapy if a limited donor program could be established. Automated plasmapheresis was performed on a regular basis on the patient's parents and a limited number of selected donors. Studies on the initial units collected demonstrated that a single 500 mL plasmapheresis yielded a mean of 606 mg fibrinogen in the cryoprecipitate, which was stored in two bags. A total of 166 U of cryoprecipitate from 84 individual plasmapheresis donations were transfused prophylactically every 2–3 weeks over a 16‐month period. Compared to transfusions from random donors, the use of a limited number of apheresis donors resulted in a donor exposure reduction of 87%. Clinically, the patient has had minimal bleeding during this period. J. Clin. Apheresis 13:143–145, 1998. © 1998 Wiley‐Liss, Inc.</description><subject>afibrinogenemia</subject><subject>Afibrinogenemia - congenital</subject><subject>Afibrinogenemia - therapy</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Blood Donors</subject><subject>Blood Preservation - methods</subject><subject>Blood Specimen Collection - methods</subject><subject>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</subject><subject>Chemical Precipitation</subject><subject>cryoprecipitate</subject><subject>Cryopreservation</subject><subject>Humans</subject><subject>Infant</subject><subject>limited donor exposure</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Plasmapheresis</subject><subject>Transfusions. Complications. Transfusion reactions. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Blood Donors</topic><topic>Blood Preservation - methods</topic><topic>Blood Specimen Collection - methods</topic><topic>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</topic><topic>Chemical Precipitation</topic><topic>cryoprecipitate</topic><topic>Cryopreservation</topic><topic>Humans</topic><topic>Infant</topic><topic>limited donor exposure</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Plasmapheresis</topic><topic>Transfusions. Complications. Transfusion reactions. 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Compared to transfusions from random donors, the use of a limited number of apheresis donors resulted in a donor exposure reduction of 87%. Clinically, the patient has had minimal bleeding during this period. J. Clin. Apheresis 13:143–145, 1998. © 1998 Wiley‐Liss, Inc.</abstract><cop>New York</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>9886792</pmid><doi>10.1002/(SICI)1098-1101(1998)13:4&lt;143::AID-JCA1&gt;3.0.CO;2-C</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record>
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subjects afibrinogenemia
Afibrinogenemia - congenital
Afibrinogenemia - therapy
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood Donors
Blood Preservation - methods
Blood Specimen Collection - methods
Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis
Chemical Precipitation
cryoprecipitate
Cryopreservation
Humans
Infant
limited donor exposure
Male
Medical sciences
Plasmapheresis
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
title Treatment of congenital afibrinogenemia with cryoprecipitate collected through a plasmapheresis program using dedicated donors
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