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Related Experiment Videos

Effects on complement activation of a new continuous autotransfusion system

A Bengtsson1, A Avall, M Tylman

  • 1Department of Anaesthesiology & Intensive Care, Sahlgrenska University Hospital, Gothenburg, Sweden.

Transfusion Medicine (Oxford, England)
|June 1, 1997
PubMed
Summary

This study found that the Fresenius CATS autotransfusion system effectively removes inflammatory complement mediators. However, the processed blood contains high levels of free hemoglobin, a potential concern for patients receiving autologous blood transfusions.

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Area of Science:

  • Transfusion Medicine
  • Immunology
  • Biomedical Engineering

Background:

  • Allogeneic blood transfusions carry risks like infection and allergic reactions.
  • Autotransfusion techniques aim to mitigate these risks by reinfusing a patient's own blood.
  • The Fresenius CATS is a continuous autotransfusion system requiring evaluation.

Purpose of the Study:

  • To assess the impact of the Fresenius CATS on the complement system.
  • To evaluate the effects on erythrocytes and leucocytes during autotransfusion.
  • To analyze the composition of the retransfused blood.

Main Methods:

  • Eighteen hip replacement surgery patients were studied.
  • Complement variables (C4d, factor Bb, C3a, SC5b-9) and blood components were measured pre- and post-transfusion.

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  • Analysis included blood in the reservoir, waste bag, and retransfused product.
  • Main Results:

    • Elevated C3a and SC5b-9 concentrations were observed in collected reservoir blood.
    • Washing and centrifugation significantly reduced these complement activation markers.
    • The processed blood exhibited high concentrations of free hemoglobin (median 260g/L).

    Conclusions:

    • The continuous autotransfusion technique effectively removes inflammatory mediators from the complement cascade.
    • The processed blood product contains substantial levels of free hemoglobin.
    • Further research is needed to address the implications of free hemoglobin in autotransfused blood.