2010, Number S1
<< Back Next >>
Rev Mex Med Transfus 2010; 3 (S1)
Harvesting of stem cells in children
Aguilar ED, Lordmendez JD
Language: Spanish
References: 10
Page: 71-74
PDF size: 181.74 Kb.
ABSTRACT
Background: The hematopoietic stem cells trasplantación of peripheral blood, is a benign alternative of treatment for patients with certain diseases of malignant type or hemopatologías. It offers advantages like the facility in the harvesting when it is realized by expert personnel, under risk during the procedure and faster hematological recovery. In the paediatric patients considerations are due to make special.
Methods: Phase pre-harvesting: Conditions of patient donor/: Weight Sanguineous group Venous accesses Characteristics of the cellular separator: Type of flows. Extracorporeal volume. Speeds of/return extraction. Additional routes. Phase of harvesting: Beginning of the harvesting Anticoagulation.
Results: The harvesting begins with 5 to 20 cells CD34+ microlitre in peripheral blood. ACD-A was used (citrate). For aphaeresis of great volume the combination of ACD-A with Heparina and in both continuous infusion of Gluconato of calcium was used.
Conclusion: The number of procedures to realize is variable and will depend on the success of the mobilization, of the final dose of the harvest calculated in relation to the weight of the patient, which means that it is possible that 2 or 3 procedures are even realized until a second cycle. The harvestings will conclude until having reports of final harvest and the therapeutic dose has been obtained.
REFERENCES
Metcalf D. Cellular hematopoyesis in the twentieth century. Seminars in Hematol 1999; 36: 5-12.
Heldal D, Tjonnfjord G, Brinch L et al. A randomized study of allogeneic transplantation with stem cells from blood or bone marrow. Bone Marrow Transplant 2000; 25: 1129-1136.
Benjamin RJ, Linsley L, Fountain D, Churchill WH, Sieff C, Cannon ME, Uhl L, Gaynes L, Antin JH, Wheeler C. Preapheresis peripheral blood CD34+ mononuclear cell counts as predictors of progenitor cell yield. Transfusion 1997; 37: 79-85.
Armitage S, Hargreaves R, Samson D, Brennan M, Kanfer E, Navarrete C. CD34 counts to predict the adequate collection of peripheral blood progenitor cells. Bone Marrow Transplant 1997; 20: 587-591.
Takanori Teshima, Mine Harada. Granulocyte colony-stimulating factor (G-CSF)-Induced mobilization of circulating haemopoietic stem cells. British Journal of Hematology 1993, 84: 570-573.
Pulsipher MA, Nagler A, Iannone R, Nelson RM. Weighing the risks of G-CSF administration, leukopheresis, and standard marrow harvest: ethical and safety considerations for normal pediatric hematopoietic cell donors. Pediatr Blood Cancer 2006; 46: 422-33.
Jeter EK, Roby LR. Pediatrics apheresis. In: McLeod BC, Price TH, Drew MJ, eds. Apheresis: Principles and practice. Bethesda, MD: AABB Press, 1997.
Torrabadella T, Olive J, Ortega J, Massuet L. Enhanced HPC recruitment in children using LVL and a new automated apheresis system. Transfusion 200; 40: 404-410.
Morton JAP, Baker DP, Hutchins CJ, Durrant STS. The COBE Spectra cell separator is more effective than the Haemonetics MCS-3P cell separator for peripheral blood progenitor cell harvest after mobilization with cyclophosphamide and filgrastm. Transfusion 1997: 37631-633.
Bambi F, Azzari LB, Gelli AMG, Tambuini A, Tintori V et al. Pediaric peripheral blood progenitor cell collection: Haemonetics MCS 3P versus COBE Spectra versus Fresenius AS 104. Transfusion 1998; 38: 70-74.