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Updated: Feb 13, 2026

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload
Published on: March 14, 2017
Use of red blood cell exchange for treating acute complications of sickle cell disease
Ilknur Kozanoglu1, Hakan Ozdogu2
1Baskent University Medical Faculty Department of Physiology, Turkey; Baskent University Dr. Turgut Noyan Research and Training Center Apheresis Unit, Turkey.
Abstract:
Sickle cell disease (SCD) is a life-threatening chronic condition primarily caused by genetic mutation. The disease is characterized by intermittent vaso-occlusive events and chronic hemolytic anemia. Acute complications in patients with SCD are difficult to manage due to the pathophysiological nature of the disease. Transfusion therapy is the cornerstone of management of acute complications and significantly reduces SCD morbidity and mortality. Red cell exchange (RCE), which is characterized by low iron accumulation and volume overload, has been widely used for transfusion therapy in recent years.
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