Comparison of two apheresis systems for granulocyte collection without hydroxyethyl starch.

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Title: Comparison of two apheresis systems for granulocyte collection without hydroxyethyl starch.
Authors: Hosoi, Hiroki1,2 (AUTHOR) h-hosoi@wakayama-med.ac.jp, Nakajima, Shiho2 (AUTHOR), Tsujimoto, Hiroshi3 (AUTHOR), Murata, Shogo1 (AUTHOR), Hori, Yoshikazu1 (AUTHOR), Kuriyama, Kodai1,4 (AUTHOR), Mushino, Toshiki1 (AUTHOR), Matsunami, Misako2 (AUTHOR), Nishikawa, Akinori1,2 (AUTHOR), Kounami, Shinji3 (AUTHOR), Hanaoka, Nobuyoshi1,5 (AUTHOR), Sonoki, Takashi1,2 (AUTHOR)
Source: Vox Sanguinis. Jan2024, Vol. 119 Issue 1, p62-69. 8p.
Subject Terms: *HYDROXYETHYL starch, *ERYTHROCYTES, *LEUKAPHERESIS, *BLOOD sedimentation, *HEMODILUTION, *COLLECTIONS
Abstract: Background and Objectives: Granulocyte transfusion (GTX) is a treatment option for severe infections in patients with neutropenia. In previous studies, hydroxyethyl starch (HES) was used to enhance red blood cell sedimentation for granulocyte collection (GC). However, there are safety concerns about HES, and HES is not readily available in some countries. Therefore, we compared the granulocyte counts and GC efficiency achieved by two apheresis systems without HES. Materials and Methods: All consecutive GC procedures performed between July 2011 and March 2018 at our hospital were analysed. COBE Spectra was used until 5 February 2016, and Spectra Optia was used afterwards. HES was not used. Results: Twenty‐six GC procedures were performed, including 18 performed using COBE Spectra and 8 using Spectra Optia. When Spectra Optia was used, >1 × 1010 neutrophils were collected from seven of the eight (88%) procedures. Although there was no significant difference in the granulocyte yield between COBE Spectra‐based and Spectra Optia‐based GC procedures, the collection efficiency of Spectra Optia was significantly higher than that of COBE Spectra (p = 0.021). Furthermore, the granulocyte yields of Spectra Optia‐based GC tended to be more strongly correlated with the peripheral blood neutrophil count on the day of apheresis than those of COBE Spectra‐based GC. Conclusion: Our results suggest that Spectra Optia achieves greater GC efficiency than COBE Spectra, even without HES. GTX may be a therapeutic option for severe neutropenia, even in places where HES is not available. [ABSTRACT FROM AUTHOR]
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  Data: Comparison of two apheresis systems for granulocyte collection without hydroxyethyl starch.
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  Data: <searchLink fieldCode="AR" term="%22Hosoi%2C+Hiroki%22">Hosoi, Hiroki</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> h-hosoi@wakayama-med.ac.jp</i><br /><searchLink fieldCode="AR" term="%22Nakajima%2C+Shiho%22">Nakajima, Shiho</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tsujimoto%2C+Hiroshi%22">Tsujimoto, Hiroshi</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Murata%2C+Shogo%22">Murata, Shogo</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hori%2C+Yoshikazu%22">Hori, Yoshikazu</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kuriyama%2C+Kodai%22">Kuriyama, Kodai</searchLink><relatesTo>1,4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mushino%2C+Toshiki%22">Mushino, Toshiki</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Matsunami%2C+Misako%22">Matsunami, Misako</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nishikawa%2C+Akinori%22">Nishikawa, Akinori</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kounami%2C+Shinji%22">Kounami, Shinji</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hanaoka%2C+Nobuyoshi%22">Hanaoka, Nobuyoshi</searchLink><relatesTo>1,5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sonoki%2C+Takashi%22">Sonoki, Takashi</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Vox+Sanguinis%22">Vox Sanguinis</searchLink>. Jan2024, Vol. 119 Issue 1, p62-69. 8p.
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  Data: *<searchLink fieldCode="DE" term="%22HYDROXYETHYL+starch%22">HYDROXYETHYL starch</searchLink><br />*<searchLink fieldCode="DE" term="%22ERYTHROCYTES%22">ERYTHROCYTES</searchLink><br />*<searchLink fieldCode="DE" term="%22LEUKAPHERESIS%22">LEUKAPHERESIS</searchLink><br />*<searchLink fieldCode="DE" term="%22BLOOD+sedimentation%22">BLOOD sedimentation</searchLink><br />*<searchLink fieldCode="DE" term="%22HEMODILUTION%22">HEMODILUTION</searchLink><br />*<searchLink fieldCode="DE" term="%22COLLECTIONS%22">COLLECTIONS</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background and Objectives: Granulocyte transfusion (GTX) is a treatment option for severe infections in patients with neutropenia. In previous studies, hydroxyethyl starch (HES) was used to enhance red blood cell sedimentation for granulocyte collection (GC). However, there are safety concerns about HES, and HES is not readily available in some countries. Therefore, we compared the granulocyte counts and GC efficiency achieved by two apheresis systems without HES. Materials and Methods: All consecutive GC procedures performed between July 2011 and March 2018 at our hospital were analysed. COBE Spectra was used until 5 February 2016, and Spectra Optia was used afterwards. HES was not used. Results: Twenty‐six GC procedures were performed, including 18 performed using COBE Spectra and 8 using Spectra Optia. When Spectra Optia was used, >1 × 1010 neutrophils were collected from seven of the eight (88%) procedures. Although there was no significant difference in the granulocyte yield between COBE Spectra‐based and Spectra Optia‐based GC procedures, the collection efficiency of Spectra Optia was significantly higher than that of COBE Spectra (p = 0.021). Furthermore, the granulocyte yields of Spectra Optia‐based GC tended to be more strongly correlated with the peripheral blood neutrophil count on the day of apheresis than those of COBE Spectra‐based GC. Conclusion: Our results suggest that Spectra Optia achieves greater GC efficiency than COBE Spectra, even without HES. GTX may be a therapeutic option for severe neutropenia, even in places where HES is not available. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Vox Sanguinis is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/vox.13558
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      – Code: eng
        Text: English
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      – SubjectFull: HYDROXYETHYL starch
        Type: general
      – SubjectFull: ERYTHROCYTES
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              Text: Jan2024
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              Y: 2024
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