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Therapeutic plasma exchange using the Spectra Optia cell separator compared with the COBE Spectra

Authors
 Do-kyun Kim  ;  Sinyoung Kim  ;  Seok Hoon Jeong  ;  Hyun Ok Kim  ;  Hyung Jik Kim 
Citation
 Annals of Laboratory Medicine, Vol.35(5) : 506-509, 2015 
Journal Title
 Annals of Laboratory Medicine 
ISSN
 2234-3806 
Issue Date
2015
MeSH
Adult ; Blood Component Removal/methods* ; Female ; Graft Rejection/prevention & control ; Hematocrit ; Hemoglobins/analysis ; Humans ; Kidney Transplantation ; Leukocyte Count ; Male ; Middle Aged ; Plasma Exchange* ; Platelet Count ; Retrospective Studies
Keywords
Apheresis ; Efficacy ; Kidney transplantation ; Plasma exchange
Abstract
BACKGROUND: The Spectra Optia (SPO) is a novel continuous-flow centrifugal apheresis system based on the COBE Spectra (CSP) platform. There have been few attempts to validate the advantages of the SPO. We performed a retrospective study comparing the two cell separators for therapeutic plasma exchange (TPE) procedures in kidney transplant (KT) patients and seeing efficacy and safety. METHODS: We analyzed 720 TPE procedures performed between August 2012 and July 2014. Procedures included desensitization TPE before KT and TPE for the management of acute and chronic antibody-mediated graft rejection. Demographic characteristics, operational TPE variables, and laboratory data were analyzed. RESULTS: Demographic characteristics for the SPO (n=389) and CSP (n=331) groups did not differ significantly. The procedure time to exchange one plasma volume was 94.2±10.3 min in the SPO group and 100.4±11.2 min in the CSP group (P<0.001). The plasma removal efficiency (PRE) was 92.5±4.9% in the SPO group and 83.2±3.7% in the CSP group (P<0.001). There were no significant differences across the two apheresis systems for changes in hematologic parameters. CONCLUSIONS: Compared with the CSP, the SPO was associated with an improved PRE and a shorter procedure time to exchange one plasma volume. Our results in KT patients show that the SPO is superior to the CSP in TPE procedures.
Files in This Item:
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DOI
10.3343/alm.2015.35.5.506
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers
Yonsei Authors
김도균(Kim, Dokyun) ORCID logo https://orcid.org/0000-0002-0348-5440
김신영(Kim, Sin Young) ORCID logo https://orcid.org/0000-0002-2609-8945
김현옥(Kim, Hyun Ok) ORCID logo https://orcid.org/0000-0002-4964-1963
정석훈(Jeong, Seok Hoon) ORCID logo https://orcid.org/0000-0001-9290-897X
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/156742
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