Leucoreduction of blood components: an effective way to increase blood safety?
- PMID: 26710353
- PMCID: PMC4918553
- DOI: 10.2450/2015.0154-15
Leucoreduction of blood components: an effective way to increase blood safety?
Abstract
Over the past 30 years, it has been demonstrated that removal of white blood cells from blood components is effective in preventing some adverse reactions such as febrile non-haemolytic transfusion reactions, immunisation against human leucocyte antigens and human platelet antigens, and transmission of cytomegalovirus. In this review we discuss indications for leucoreduction and classify them into three categories: evidence-based indications for which the clinical efficacy is proven, indications based on the analysis of observational clinical studies with very consistent results and indications for which the clinical efficacy is partial or unproven.
Comment in
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Leucoreduction of blood components: clinical and molecular evidence.Blood Transfus. 2016 May;14(2):212-3. doi: 10.2450/2015.0291-15. Epub 2015 Dec 16. Blood Transfus. 2016. PMID: 26710355 Free PMC article. No abstract available.
Comment on
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-
Bedside filtration of blood products in the prevention of HLA alloimmunization--a prospective randomized study. Alloimmunisation Study Group.Blood. 1994 May 15;83(10):3028-35. Blood. 1994. PMID: 8180400 Clinical Trial.
-
The effect of prestorage WBC reduction on the rates of febrile nonhemolytic transfusion reactions to platelet concentrates and RBC.Transfusion. 2004 Jan;44(1):10-5. doi: 10.1046/j.0041-1132.2003.00518.x. Transfusion. 2004. PMID: 14692961
-
Reduction of febrile but not allergic reactions to RBCs and platelets after conversion to universal prestorage leukoreduction.Transfusion. 2004 Jan;44(1):16-24. doi: 10.1046/j.0041-1132.2004.00608.x. Transfusion. 2004. PMID: 14692962
-
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-
Transfusion of leukoreduced red blood cells may decrease postoperative infections: two meta-analyses of randomized controlled trials.Can J Anaesth. 2004 May;51(5):417-24. doi: 10.1007/BF03018302. Can J Anaesth. 2004. PMID: 15128625
-
Factors affecting posttransfusion platelet increments, platelet refractoriness, and platelet transfusion intervals in thrombocytopenic patients.Blood. 2005 May 15;105(10):4106-14. doi: 10.1182/blood-2003-08-2724. Epub 2005 Feb 3. Blood. 2005. PMID: 15692069 Free PMC article. Clinical Trial.
-
Transfusion of leukoreduced cellular blood components from cytomegalovirus-unscreened donors in allogeneic hematopoietic transplant recipients: analysis of 72 recipients.Bone Marrow Transplant. 2005 Sep;36(6):499-501. doi: 10.1038/sj.bmt.1705090. Bone Marrow Transplant. 2005. PMID: 16044143
-
The intention-to-treat principle in clinical trials and meta-analyses of leukoreduced blood transfusions in surgical patients.Transfusion. 2007 Apr;47(4):573-81. doi: 10.1111/j.1537-2995.2007.01158.x. Transfusion. 2007. PMID: 17381614
-
Effects of blood transfusion with leucocyte depletion on length of hospital stay, respiratory assistance and survival after curative surgery for colorectal cancer.Acta Oncol. 2007;46(8):1123-30. doi: 10.1080/02841860701441830. Acta Oncol. 2007. PMID: 17851860 Clinical Trial.
-
Cause-specific mortality associated with leukoreduced, buffy coat-depleted, or no blood transfusion after elective surgery for colorectal cancer: a posttrial 15-year follow-up study.Transfusion. 2011 Feb;51(2):259-63. doi: 10.1111/j.1537-2995.2010.02825.x. Epub 2010 Aug 30. Transfusion. 2011. PMID: 20804531
-
All clinically-relevant blood components transmit prion disease following a single blood transfusion: a sheep model of vCJD.PLoS One. 2011;6(8):e23169. doi: 10.1371/journal.pone.0023169. Epub 2011 Aug 17. PLoS One. 2011. PMID: 21858015 Free PMC article.
-
Impact of leucocyte depletion and prion reduction filters on TSE blood borne transmission.PLoS One. 2012;7(7):e42019. doi: 10.1371/journal.pone.0042019. Epub 2012 Jul 31. PLoS One. 2012. PMID: 22860049 Free PMC article.
-
Safety of leukoreduced, cytomegalovirus (CMV)-untested components in CMV-negative allogeneic human progenitor cell transplant recipients.Transfusion. 2012 Oct;52(10):2270-2. doi: 10.1111/j.1537-2995.2012.03739.x. Transfusion. 2012. PMID: 23110735 No abstract available.
-
Impact of more restrictive blood transfusion strategies on clinical outcomes: a meta-analysis and systematic review.Am J Med. 2014 Feb;127(2):124-131.e3. doi: 10.1016/j.amjmed.2013.09.017. Epub 2013 Oct 7. Am J Med. 2014. PMID: 24331453
-
Experimental prestorage filtration removes antibodies and decreases lipids in RBC supernatants mitigating TRALI in vivo.Blood. 2014 May 29;123(22):3488-95. doi: 10.1182/blood-2013-10-532424. Epub 2014 Apr 18. Blood. 2014. PMID: 24747436 Free PMC article.
-
Lower versus higher hemoglobin threshold for transfusion in septic shock.N Engl J Med. 2014 Oct 9;371(15):1381-91. doi: 10.1056/NEJMoa1406617. Epub 2014 Oct 1. N Engl J Med. 2014. PMID: 25270275 Clinical Trial.
-
Evaluation of the protection of primates transfused with variant Creutzfeldt-Jakob disease-infected blood products filtered with prion removal devices: a 5-year update.Transfusion. 2015 Jun;55(6):1231-41. doi: 10.1111/trf.12999. Epub 2015 Feb 3. Transfusion. 2015. PMID: 25647476
References
-
- Davenport RD, Snyder EL. Cytokines in transfusion medicine: a primer. Bethesda, MD: American Association of Blood Banks; 1997.
-
- Fergusson D, Khanna MP, Tinmouth A, Hébert PC. Transfusion of leukoreduced red blood cells may decrease postoperative infections: two meta-analyses of randomized controlled trials. Can J Anaesth. 2004;51:417–24. - PubMed
-
- Blumberg N, Zhao H, Wang H, et al. The intention-to-treat principle in clinical trials and meta-analyses of leukoreduced blood transfusions in surgical patients. Transfusion. 2007;47:573–81. - PubMed
-
- Blajchman MA. The clinical benefits of the leucoreduction of blood products. J Trauma. 2006;60:S83–90. - PubMed
-
- Bilgin YM, van de Watering LM, Brand A. Clinical effects of leucoreduction of blood transfusions. Neth J Med. 2011;69:441–50. - PubMed
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