It was discovered in the 1950s that leukocytes present in blood sensitize transfusion recipients, resulting in Nonhemolytic FebrileTransfusion Reaction (NHFTR). Since then, allogeneic leukocytes in various blood components have been shown to be involved in a number of adverse responses in recipients.
The following table shows the relationship between the number of residual leukocytes and adverse reactions. Side effects can be avoided if residual leukocytes are reduced to around 106, which most researchers currently agree is the target.
Filtration is the best method
Methods of leukocyte reduction include centrifugation, washing, freezing, buffy coat removal and filtration. Efficiency varies in each method.
Sepacell filters apply selective filtration technology combining depth and adsorption filtration to achieve the highest efficiency. Depth filters are usually composed of densely packed fibers to remove particles, either by adherence or absorption onto the fibers, or by entrapment between fibers as particles pass through the filter.
Adsorption filters utilize the properties of white blood cells, which selectively adhere to filter fibers.
The following table summarizes Sepacell filter efficiency.
When is leukocyte reduced blood transfusion recommended?
Leukocyte-free blood transfusion is recommended in:
Thalassemia major
Aplastic anemia
Sickle cell anemia
Leukemia
Transfusion-transmitted infection
Patients awaiting organ transplantation
Prevention of platelet refractoriness in thrombocytopenia
Multiply or chronically transfused patients
Sepacell features
High leukocyte reduction rate
Optimal performance at the bedside or in the laboratory
High red cell recovery (R series filters)
High platelet recovery (PL series filters)
Easy to use
Prefiltration reduces blockages and maintains flow rates
Configurations available for a variety of needs
Sepacell is a trademark of Asahi Kasei Medical Co., Ltd.
Sepacell filter units are manufactured by Asahi Kasei Medical Co., Ltd.
Sepacell filter products, filter units with tubing kits, are produced by Asahi Kasei Kuraray Medical Co., Ltd.