Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
|
pubmed:dateCreated |
1992-6-29
|
pubmed:abstractText |
The collection efficiency (CE) of the Fenwall CS3000 continuous flow blood cell separator in the apheresis of peripheral blood stem cells during haemopoietic recovery following myelosuppressive chemotherapy was analysed. Ninety-three apheresis were performed in 19 patients using procedure 3 on the Fenwal CS3000. The overall CE was calculated from the pre-apheresis cell counts and the stated blood volume processed. Instantaneous CE was calculated from cell counts in the inlet and return lines. The overall mononuclear cell and granulocyte-macrophage colony forming unit CE were 64.0% and 55.8%, respectively, significantly lower than the instantaneous CEs of 94.5% and 95.4%, respectively (P = 0.0001, t test, for both comparisons). Three factors unrelated to machine performance contributed to the lower overall CE despite a high instantaneous CE: (1) A fall in the patient's mononuclear cell counts during apheresis leading to an overestimation of the cells available for collection, (2) dilution of blood by anti-coagulant, and (3) the operational dead space of the Fenwal CS3000. The overall CE corrected for these 3 factors approximated the instantaneous CE closely. Thus there is little room for further enhancement of machine performance because the Fenwal CS3000 is already operating with a very high instantaneous CE. To achieve major improvement in the yield of peripheral blood stem cell harvests, more effective mobilization protocols and better timing of apheresis are required.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:issn |
0733-2459
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
7
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
6-11
|
pubmed:dateRevised |
2007-11-15
|
pubmed:meshHeading |
pubmed-meshheading:1350588-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:1350588-Blood Cell Count,
pubmed-meshheading:1350588-Blood Cells,
pubmed-meshheading:1350588-Blood Component Removal,
pubmed-meshheading:1350588-Blood Transfusion, Autologous,
pubmed-meshheading:1350588-Bone Marrow Diseases,
pubmed-meshheading:1350588-Cyclophosphamide,
pubmed-meshheading:1350588-Cytarabine,
pubmed-meshheading:1350588-Daunorubicin,
pubmed-meshheading:1350588-Evaluation Studies as Topic,
pubmed-meshheading:1350588-Hematopoietic Stem Cell Transplantation,
pubmed-meshheading:1350588-Hematopoietic Stem Cells,
pubmed-meshheading:1350588-Humans,
pubmed-meshheading:1350588-Leukemia, Myeloid, Acute,
pubmed-meshheading:1350588-Neoplasms,
pubmed-meshheading:1350588-Thioguanine
|
pubmed:year |
1992
|
pubmed:articleTitle |
A discrepancy between the instantaneous and the overall collection efficiency of the Fenwal CS3000 for peripheral blood stem cell apheresis.
|
pubmed:affiliation |
Leukaemia Research Unit, Institute of Medical and Veterinary Science, Adelaide, Australia.
|
pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
|