Automated red cell exchange procedures in patients with sickle cell disease
- PMID: 17584530
- DOI: 10.1016/j.transci.2007.03.012
Automated red cell exchange procedures in patients with sickle cell disease
Abstract
In automated red cell exchange, about 60% of the patient's red blood cells are exchanged via apheresis for those of the donor. We report the outcome of 83 patients with sickle cell anemia (48 women and 35 men; age range, 17-49 years) who underwent a total of 196 apheresis procedures between December 2003 and October 2006 at our institution. We found that automated red cell exchange involving a reduced citrate infusion rate may provide benefit in the prevention or treatment of vaso-occlusive complications in patients with sickle cell disease and may be associated with protean effects on biochemical dynamics.
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