Quality parameters of cryopreserved red cells
reconstituted in AS-3 solution (Nutricel)
Bohoněk M.1, Petráš M.1, Turek I.1, Urbanová J.1, Hrádek T.1, Staropražská V.1, Koštířová J.1, Horčičková D.1, Duchková S.1, Svobodová J.2, Tejčková E.2
1Oddělení hematologie, biochemie a krevní transfuze, Ústřední vojenská nemocnice, Praha 2Oddělení nukleární medicíny, Ústřední vojenská nemocnice, Praha |
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Summary:
The article summarised partial results the project of evaluation and implementation method for collection and longterm
storage packed red cells (RBC) for strategic, special and therapeutic findings Army of Czech Republic as well
as the country. The essential surveyed method was freezing of RBC collected by double erythrocytapheresis in high
glycerol at -80 °C and stored at -65 °C and lower. Glycerolisation, deglycerolisation and resuspension in Nutricel (AS-
3) was performed with the Haemonetics ACP 215 machine by closed system. Stability of RBC in AS-3 was evaluated
by clinical study with health volunteers by index of therapeutic effectiveness (ITE) as well as by biochemical and haematological
parameters. Reconstituted RBC units were evaluated in days 0,7,47 and 21 after thawing by 51Cr labelled
red cells in two groups: freezing and storage in primary collection bags (group A) and freeing and storage in special
bags for deep freezing (group B). 24-hour survival autologous red cell at health volunteers were observed and set
ITE and via “freeze-thaw-wash-recovery” (FTW%) dependent on amount of haemoglobin in waste after washing
deglycerolised RBCs. Totally 104 RBC units were frozen, reconstituted and measured. Evaluated RBCs both groups
were almost statistically identical ITE: 74.01 (±CI95%: 71.97–76.04), 74.02 (±CI95%: 71.18–76.87) and 74.5
(±CI95%: 71.62–77.38), respectively, regardless of storage time after RBCs deglycerolization. The 4-percent decrease
of 24-hour posttransfusion survival (%) means as well as 4-percent increase of FTW% means were statistically significant
between RBCs group B and A. Haemolysis in the end of storage was below 1% at both group. From haematological
and biochemical parameters haemoglobin, haematocrit, leucocytes, haemolysis, osmolality, pH, potassium,
phosphorus, ATP, ammoniac and 2,3-DPG were observed. Results of these tests demonstrate good applicability frozen
RBC 3 week after thawing and reconstitution in Nutricel and following storage at 2–6 °C.
Key words:
cryopreservation of red cell, deep frozen blood, reconstitution, glycerolisation, deglycerolisation, crisis
blood policy, Nutricel, AS-3, double erythrocytapheresis
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