title: A randomized comparison of plateletpheresis with the same donors using four blood separators at a single blood center.
abstract: At one blood center, each of 20 donors underwent plateletpheresis on four blood cell separators in random order. We compared the CS3000+, Amicus V 2.41, MCS Plus, and Spectra LRS V 7 Turbo regarding platelet (PLT) yield, pre- and post-procedure PLT counts, percent fall in donor PLT count, process time, efficiency, PLT product and donor PLT volume (MPV). Using >or= 150 x 10(9) PLTs/L pre-donation counts, a goal was set of 4.5 x 10(11) PLTs unit in up to 100 minutes processing time. Results were (mean values) PLT yields of Amicus, Spectra, CS3000+, and MCS Plus: 4.3, 4.6, 4.3, 4.0 x 10(11) PLTS, respectively; percent donor PLT fall: 24, 32, 30, 29%, respectively; processing times: 50, 74, 87, 101 minutes, respectively; relative efficiency (RE): 2.2, 1.6, 1.2,1.0, respectively (based on the MCS Plus performance with RE of 1 = 4 x 10(9) PLTS/min); PLT product MPV: 6.7, 7.4, 6.8,7.1 fL, respectively; pre-procedure donor MPV: 7.7, 7.3, 7.6 and 7.6 fL, respectively; and percent donor MPV change: -5.2, 0, -6.6, and -10%, respectively. Significant changes in the donor MPV were noted (P < 0.05) but could not be related to product MPV. Spectra seemed to collect larger PLTs (higher MPV); the significance remains unknown for both donors and recipients. Importantly, all four separators gave acceptable and comparable PLT yields (P < 0.05) with Spectra trending higher. The short process time and high RE together indicate highly efficient collections particularly by Amicus and Spectra.
authors.affiliation: Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA.
authors.forename: Grace C
authors.initials: GC
authors.lastname: Tenorio
authors.forename: Ronald G
authors.initials: RG
authors.lastname: Strauss
authors.forename: Martha J
authors.initials: MJ
authors.lastname: Wieland
authors.forename: Timothy A
authors.initials: TA
authors.lastname: Behlke
authors.forename: Gerald A
authors.initials: GA
authors.lastname: Ludwig
mesh_terms: D001782:Blood Donors; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D010976:Platelet Count; D010983:Plateletpheresis / Q000009:adverse effects / Q000295:instrumentation* / Q000592:standards; D011446:Prospective Studies; D013997:Time Factors