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：

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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.	中國心胸血管麻醉學會血液管理分會. 心血管手術患者血液管理專家共識. 中國輸血雜志, 2018, 31(4): 321-325.
5.	王惠, 梁碧霞, 于坤, 等. 改良自體血小板分離技術在心臟手術中應用. 中國體外循環雜志, 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, 趙麗云, 等. 不同自體血分離量對急性主動脈夾層大血管手術患者凝血功能的影響分析. 中國醫藥, 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, 周耀銓, 等. 自體血小板分離回輸對體外循環心臟直視手術患者血液的保護作用. 同濟大學學報 (醫學版), 2016, 37(5): 44-53.
14.	王永旺, 喻文立, 王清平, 等. 急性血小板分離或自體血回輸對體外循環冠狀動脈旁路移植術患者血液保護的影響. 天津醫科大學學報, 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.	鄧麗, 劉宗弘, 楊慧, 等. 自體富含血小板血漿分離技術在主動脈外科中的應用. 中國心血管病研究, 2015, 13(10): 925-929.
26.	袁輝, 黃維勤, 羅綱, 等. 自體血小板分離回輸在 Stanford A 型主動脈夾層手術中血液保護作用的隨機對照試驗. 中國胸心血管外科臨床雜志, 2017, 24(2): 104-109.
27.	王澍, 武婷, 陳慶良, 等. 自體血小板分離技術在 A 型主動脈夾層手術患者的應用. 江蘇醫藥, 2019, 45(4): 397-400.
28.	林培容, 侯宇希, 趙麗云, 等. 急性血小板分離技術對深低溫停循環主動脈手術患者凝血功能的影響. 臨床麻醉學雜志, 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.	劉煒, 王小云. 富血小板血漿分離與急性等容性血液稀釋血液保護效果的對比分析. 中西醫結合心血管病電子雜志, 2019, 7(12): 18-20.
31.	石晟, 王古巖. 自體血小板分離技術用于心臟瓣膜手術的前瞻隨機對照研究. 中國分子心臟病學雜志, 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. 中國心胸血管麻醉學會血液管理分會. 心血管手術患者血液管理專家共識. 中國輸血雜志, 2018, 31(4): 321-325.
5. 王惠, 梁碧霞, 于坤, 等. 改良自體血小板分離技術在心臟手術中應用. 中國體外循環雜志, 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, 趙麗云, 等. 不同自體血分離量對急性主動脈夾層大血管手術患者凝血功能的影響分析. 中國醫藥, 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, 周耀銓, 等. 自體血小板分離回輸對體外循環心臟直視手術患者血液的保護作用. 同濟大學學報 (醫學版), 2016, 37(5): 44-53.
14. 王永旺, 喻文立, 王清平, 等. 急性血小板分離或自體血回輸對體外循環冠狀動脈旁路移植術患者血液保護的影響. 天津醫科大學學報, 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. 鄧麗, 劉宗弘, 楊慧, 等. 自體富含血小板血漿分離技術在主動脈外科中的應用. 中國心血管病研究, 2015, 13(10): 925-929.
26. 袁輝, 黃維勤, 羅綱, 等. 自體血小板分離回輸在 Stanford A 型主動脈夾層手術中血液保護作用的隨機對照試驗. 中國胸心血管外科臨床雜志, 2017, 24(2): 104-109.
27. 王澍, 武婷, 陳慶良, 等. 自體血小板分離技術在 A 型主動脈夾層手術患者的應用. 江蘇醫藥, 2019, 45(4): 397-400.
28. 林培容, 侯宇希, 趙麗云, 等. 急性血小板分離技術對深低溫停循環主動脈手術患者凝血功能的影響. 臨床麻醉學雜志, 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. 劉煒, 王小云. 富血小板血漿分離與急性等容性血液稀釋血液保護效果的對比分析. 中西醫結合心血管病電子雜志, 2019, 7(12): 18-20.
31. 石晟, 王古巖. 自體血小板分離技術用于心臟瓣膜手術的前瞻隨機對照研究. 中國分子心臟病學雜志, 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.

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