Progress of clinical application of autologous plateletpheresis technology in cardiovascular surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZENG Bing , BAI Songjie ,  HUANG Zhiyong

Department of Anesthesiology, Fuwai Hospital, Chinese Academy of Medical Sciences, Shenzhen, 518000, Guangdong, P.R.China;

Corresponding author：

HUANG Zhiyong, Email: huzhyg@gmail.com

Keywords：

Autologous plateletpheresis technology; cardiovascular surgery; blood transfusion; treatment; review

DOI：

10.7507/1007-4848.202001016

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

The incidence of cardiovascular disease remains high, and surgery is an important measure for the treatment of cardiovascular disease. However, cardiovascular surgery is complicated and difficult, and it is one of the departments with the highest rate of allogeneic blood transfusion. Allogeneic blood transfusion significantly increases the complications and mortality of patients, while autologous blood transfusion can effectively reduce allogeneic blood transfusion and adverse reactions. Autologous plateletpheresis technology is a popular autotransfusion method in recent years. This article reviews the autologous plateletpheresis technology and its clinical application in cardiovascular surgery.

Citation： ZENG Bing, BAI Songjie, HUANG Zhiyong. Progress of clinical application of autologous plateletpheresis technology in cardiovascular surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(11): 1353-1356. doi: 10.7507/1007-4848.202001016 Copy

1.	Dasararaju R, Marques M. Adverse effects of transfusion. Cancer Control, 2015, 22(1): 16-25.
2.	Shaw RE, Johnson CK, Ferrari G, et al. Blood transfusion in cardiac surgery does increase the risk of 5-year mortality: results from a contemporary series of 1714 propensity-matched patients. Transfusion, 2014, 54(4): 1106-1113.
3.	Aubron C, Aries P, Le Niger C, et al. How clinicians can minimize transfusion-related adverse events? Transfus Clin Biol, 2018, 25(4): 257-261.
4.	中国心胸血管麻醉学会血液管理分会. 心血管手术患者血液管理专家共识. 中国输血杂志, 2018, 31(4): 321-325.
5.	王惠, 梁碧霞, 于坤, 等. 改良自体血小板分离技术在心脏手术中应用. 中国体外循环杂志, 2018, 16(5): 273-277.
6.	Alberts M, Bandarenko N, Gaca J, et al. Reduced use of allogeneic platelets through high-yield perioperative autologous plateletpheresis and reinfusion. Transfusion, 2014, 54(5): 1348-1357.
7.	何琛, 裴馨, 赵丽云, 等. 不同自体血分离量对急性主动脉夹层大血管手术患者凝血功能的影响分析. 中国医药, 2019, 14(4): 517-521.
8.	Society of Thoracic Surgeons Blood Conservation Guideline Task Force, Ferraris VA, Brown JR, et al. 2011 update to the Society of Thoracic Surgeons and the Society of Cardiovascular Anesthesiologists blood conservation clinical practice guidelines. Ann Thorac Surg, 2011, 91(3): 944-982.
9.	Hofer J, Fries D, Solomon C, et al. A snapshot of coagulopathy after cardiopulmonary bypass. Clin Appl Thromb Hemost, 2016, 22(6): 505-511.
10.	Van Poucke S, Stevens K, Wetzels R, et al. Early platelet recovery following cardiac surgery with cardiopulmonary bypass. Platelets, 2016, 27(8): 751-757.
11.	Khalaf Adeli E, Mostafa Alavi S, Alizadeh-Ghavidel A, et al. Perioperative changes in platelet count and function in patients undergoing cardiac surgery. Med J Islam Repub Iran, 2017, 31: 37.
12.	Harke H, Tanger D, Fürst-Denzer S, et al. Effect of a preoperative separation of platelets on the postoperative blood loss subsequent to extracorporeal circulation in open heart surgery (author's transl). Anaesthesist, 1977, 26(2): 64-71.
13.	李沅敏, 周健, 周耀铨, 等. 自体血小板分离回输对体外循环心脏直视手术患者血液的保护作用. 同济大学学报 (医学版), 2016, 37(5): 44-53.
14.	王永旺, 喻文立, 王清平, 等. 急性血小板分离或自体血回输对体外循环冠状动脉旁路移植术患者血液保护的影响. 天津医科大学学报, 2016, 22(6): 494-497.
15.	Shore-Lesserson L, Reich DL, DePerio M, et al. Autologous platelet-rich plasmapheresis: risk versus benefit in repeat cardiac operations. Anesth Analg, 1995, 81(2): 229-235.
16.	Wajon P, Gibson J, Calcroft R, et al. Intraoperative plateletpheresis and autologous platelet gel do not reduce chest tube drainage or allogeneic blood transfusion after reoperative coronary artery bypass graft. Anesth Analg, 2001, 93(3): 536-542.
17.	Zhai Q, Wang Y, Yuan Z, et al. Effects of platelet-rich plasmapheresis during cardiovascular surgery: A meta-analysis of randomized controlled clinical trials. J Clin Anesth, 2019, 56: 88-97.
18.	Patel AN, Selzman CH, Kumpati GS, et al. Evaluation of autologous platelet rich plasma for cardiac surgery: outcome analysis of 2000 patients. J Cardiothorac Surg, 2016, 11(1): 62.
19.	Vermeer H, Aalders-Bouhuijs SSF, Steinfelder-Visscher J, et al. Platelet-leukocyte rich gel application in the prevention of deep sternal wound problems after cardiac surgery in obese diabetic patients. J Thorac Dis, 2019, 11(4): 1124-1129.
20.	Reed H, Berg KB, Janelle GM. Aortic surgery and deep-hypothermic circulatory arrest: anesthetic update. Semin Cardiothorac Vasc Anesth, 2014, 18(2): 137-145.
21.	Velasquez CA, Singh M, Bin Mahmood SU, et al. The effect of blood transfusion on outcomes in aortic surgery. Int J Angiol, 2017, 26(3): 135-142.
22.	Welsh KJ, Nedelcu E, Bai Y, et al. How do we manage cardiopulmonary bypass coagulopathy? Transfusion, 2014, 54(9): 2158-2166.
23.	Robich MP, Koch CG, Johnston DR, et al. Trends in blood utilization in United States cardiac surgical patients. Transfusion, 2015, 55(4): 805-814.
24.	Zhou SF, Estrera AL, Loubser P, et al. Autologous platelet-rich plasma reduces transfusions during ascending aortic arch repair: a prospective, randomized, controlled trial. Ann Thorac Surg, 2015, 99(4): 1282-1290.
25.	邓丽, 刘宗弘, 杨慧, 等. 自体富含血小板血浆分离技术在主动脉外科中的应用. 中国心血管病研究, 2015, 13(10): 925-929.
26.	袁辉, 黄维勤, 罗纲, 等. 自体血小板分离回输在 Stanford A 型主动脉夹层手术中血液保护作用的随机对照试验. 中国胸心血管外科临床杂志, 2017, 24(2): 104-109.
27.	王澍, 武婷, 陈庆良, 等. 自体血小板分离技术在 A 型主动脉夹层手术患者的应用. 江苏医药, 2019, 45(4): 397-400.
28.	林培容, 侯宇希, 赵丽云, 等. 急性血小板分离技术对深低温停循环主动脉手术患者凝血功能的影响. 临床麻醉学杂志, 2016, 32(5): 421-425.
29.	Yaffee DW, DeAnda A, Ngai JY, et al. Blood conservation strategies can be applied safely to high-risk complex aortic surgery. J Cardiothorac Vasc Anesth, 2015, 29(3): 703-709.
30.	刘炜, 王小云. 富血小板血浆分离与急性等容性血液稀释血液保护效果的对比分析. 中西医结合心血管病电子杂志, 2019, 7(12): 18-20.
31.	石晟, 王古岩. 自体血小板分离技术用于心脏瓣膜手术的前瞻随机对照研究. 中国分子心脏病学杂志, 2019, 19(4): 2976-2979.
32.	Triulzi DJ, Gilmor GD, Ness PM, et al. Efficacy of autologous fresh whole blood or platelet-rich plasma in adult cardiac surgery. Transfusion, 1995, 35(8): 627-634.
33.	Tomar AS, Tempe DK, Banerjee A, et al. Preoperative autologous plateletpheresis in patients undergoing open heart surgery. Ann Card Anaesth, 2003, 6(2): 136-142.
34.	Pagano D, Milojevic M, Meesters MI, et al. 2017 EACTS/EACTA guidelines on patient blood management for adult cardiac surgery. Eur J Cardiothorac Surg, 2018, 53(1): 79-111.
35.	Mueller MM, Van Remoortel H, Meybohm P, et al. Patient blood management: Recommendations from the 2018 Frankfurt Consensus Conference. JAMA, 2019, 321(10): 983-997.

1. Dasararaju R, Marques M. Adverse effects of transfusion. Cancer Control, 2015, 22(1): 16-25.
2. Shaw RE, Johnson CK, Ferrari G, et al. Blood transfusion in cardiac surgery does increase the risk of 5-year mortality: results from a contemporary series of 1714 propensity-matched patients. Transfusion, 2014, 54(4): 1106-1113.
3. Aubron C, Aries P, Le Niger C, et al. How clinicians can minimize transfusion-related adverse events? Transfus Clin Biol, 2018, 25(4): 257-261.
4. 中国心胸血管麻醉学会血液管理分会. 心血管手术患者血液管理专家共识. 中国输血杂志, 2018, 31(4): 321-325.
5. 王惠, 梁碧霞, 于坤, 等. 改良自体血小板分离技术在心脏手术中应用. 中国体外循环杂志, 2018, 16(5): 273-277.
6. Alberts M, Bandarenko N, Gaca J, et al. Reduced use of allogeneic platelets through high-yield perioperative autologous plateletpheresis and reinfusion. Transfusion, 2014, 54(5): 1348-1357.
7. 何琛, 裴馨, 赵丽云, 等. 不同自体血分离量对急性主动脉夹层大血管手术患者凝血功能的影响分析. 中国医药, 2019, 14(4): 517-521.
8. Society of Thoracic Surgeons Blood Conservation Guideline Task Force, Ferraris VA, Brown JR, et al. 2011 update to the Society of Thoracic Surgeons and the Society of Cardiovascular Anesthesiologists blood conservation clinical practice guidelines. Ann Thorac Surg, 2011, 91(3): 944-982.
9. Hofer J, Fries D, Solomon C, et al. A snapshot of coagulopathy after cardiopulmonary bypass. Clin Appl Thromb Hemost, 2016, 22(6): 505-511.
10. Van Poucke S, Stevens K, Wetzels R, et al. Early platelet recovery following cardiac surgery with cardiopulmonary bypass. Platelets, 2016, 27(8): 751-757.
11. Khalaf Adeli E, Mostafa Alavi S, Alizadeh-Ghavidel A, et al. Perioperative changes in platelet count and function in patients undergoing cardiac surgery. Med J Islam Repub Iran, 2017, 31: 37.
12. Harke H, Tanger D, Fürst-Denzer S, et al. Effect of a preoperative separation of platelets on the postoperative blood loss subsequent to extracorporeal circulation in open heart surgery (author's transl). Anaesthesist, 1977, 26(2): 64-71.
13. 李沅敏, 周健, 周耀铨, 等. 自体血小板分离回输对体外循环心脏直视手术患者血液的保护作用. 同济大学学报 (医学版), 2016, 37(5): 44-53.
14. 王永旺, 喻文立, 王清平, 等. 急性血小板分离或自体血回输对体外循环冠状动脉旁路移植术患者血液保护的影响. 天津医科大学学报, 2016, 22(6): 494-497.
15. Shore-Lesserson L, Reich DL, DePerio M, et al. Autologous platelet-rich plasmapheresis: risk versus benefit in repeat cardiac operations. Anesth Analg, 1995, 81(2): 229-235.
16. Wajon P, Gibson J, Calcroft R, et al. Intraoperative plateletpheresis and autologous platelet gel do not reduce chest tube drainage or allogeneic blood transfusion after reoperative coronary artery bypass graft. Anesth Analg, 2001, 93(3): 536-542.
17. Zhai Q, Wang Y, Yuan Z, et al. Effects of platelet-rich plasmapheresis during cardiovascular surgery: A meta-analysis of randomized controlled clinical trials. J Clin Anesth, 2019, 56: 88-97.
18. Patel AN, Selzman CH, Kumpati GS, et al. Evaluation of autologous platelet rich plasma for cardiac surgery: outcome analysis of 2000 patients. J Cardiothorac Surg, 2016, 11(1): 62.
19. Vermeer H, Aalders-Bouhuijs SSF, Steinfelder-Visscher J, et al. Platelet-leukocyte rich gel application in the prevention of deep sternal wound problems after cardiac surgery in obese diabetic patients. J Thorac Dis, 2019, 11(4): 1124-1129.
20. Reed H, Berg KB, Janelle GM. Aortic surgery and deep-hypothermic circulatory arrest: anesthetic update. Semin Cardiothorac Vasc Anesth, 2014, 18(2): 137-145.
21. Velasquez CA, Singh M, Bin Mahmood SU, et al. The effect of blood transfusion on outcomes in aortic surgery. Int J Angiol, 2017, 26(3): 135-142.
22. Welsh KJ, Nedelcu E, Bai Y, et al. How do we manage cardiopulmonary bypass coagulopathy? Transfusion, 2014, 54(9): 2158-2166.
23. Robich MP, Koch CG, Johnston DR, et al. Trends in blood utilization in United States cardiac surgical patients. Transfusion, 2015, 55(4): 805-814.
24. Zhou SF, Estrera AL, Loubser P, et al. Autologous platelet-rich plasma reduces transfusions during ascending aortic arch repair: a prospective, randomized, controlled trial. Ann Thorac Surg, 2015, 99(4): 1282-1290.
25. 邓丽, 刘宗弘, 杨慧, 等. 自体富含血小板血浆分离技术在主动脉外科中的应用. 中国心血管病研究, 2015, 13(10): 925-929.
26. 袁辉, 黄维勤, 罗纲, 等. 自体血小板分离回输在 Stanford A 型主动脉夹层手术中血液保护作用的随机对照试验. 中国胸心血管外科临床杂志, 2017, 24(2): 104-109.
27. 王澍, 武婷, 陈庆良, 等. 自体血小板分离技术在 A 型主动脉夹层手术患者的应用. 江苏医药, 2019, 45(4): 397-400.
28. 林培容, 侯宇希, 赵丽云, 等. 急性血小板分离技术对深低温停循环主动脉手术患者凝血功能的影响. 临床麻醉学杂志, 2016, 32(5): 421-425.
29. Yaffee DW, DeAnda A, Ngai JY, et al. Blood conservation strategies can be applied safely to high-risk complex aortic surgery. J Cardiothorac Vasc Anesth, 2015, 29(3): 703-709.
30. 刘炜, 王小云. 富血小板血浆分离与急性等容性血液稀释血液保护效果的对比分析. 中西医结合心血管病电子杂志, 2019, 7(12): 18-20.
31. 石晟, 王古岩. 自体血小板分离技术用于心脏瓣膜手术的前瞻随机对照研究. 中国分子心脏病学杂志, 2019, 19(4): 2976-2979.
32. Triulzi DJ, Gilmor GD, Ness PM, et al. Efficacy of autologous fresh whole blood or platelet-rich plasma in adult cardiac surgery. Transfusion, 1995, 35(8): 627-634.
33. Tomar AS, Tempe DK, Banerjee A, et al. Preoperative autologous plateletpheresis in patients undergoing open heart surgery. Ann Card Anaesth, 2003, 6(2): 136-142.
34. Pagano D, Milojevic M, Meesters MI, et al. 2017 EACTS/EACTA guidelines on patient blood management for adult cardiac surgery. Eur J Cardiothorac Surg, 2018, 53(1): 79-111.
35. Mueller MM, Van Remoortel H, Meybohm P, et al. Patient blood management: Recommendations from the 2018 Frankfurt Consensus Conference. JAMA, 2019, 321(10): 983-997.

Previous Article
Prognostic value of metastatic lymph node ratio for patients with gastric cancer
Next Article
Advances in the prevention and management of heart disease in pregnancy

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Progress of clinical application of autologous plateletpheresis technology in cardiovascular surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content