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Selection of donor platelets for alloimmunized patients using a platelet-associated IgG assay

Journal Article · · Blood; (United States)
OSTI ID:5942713
A quantitative immunofluorescence platelet-associated immunoglobulin-G (PA-IgG) assay was used to detect alloimmunity to platelets in 8/12 multitransfused patients and to perform platelet crossmatching in the 8 alloimmunized patients. The correct separation of multitransfused patients into alloimmune and nonalloimmune groups was substantiated with chromium-51-labeled platelet survival studies. For 5 alloimmunized patients, compatible and incompatible donor platelets were demonstrated by PA-IgG crossmatching and were confirmed by platelet survival studies. With the other 3 alloimmunized patients, only Pa-IgG incompatible donor platelets were found. Survival studies with 5 of these incompatible donor platelets showed markedly reduced survival times on 4 occasions. Pa-IgG compatible donor platelets survived 3.5 to 8.7 days, while Pa-IgG incompatible platelets showed survival times of 0.1 to 2.4 days.
Research Organization:
Brown Univ., Pawtucket, RI
OSTI ID:
5942713
Journal Information:
Blood; (United States), Journal Name: Blood; (United States) Vol. 58:3; ISSN BLOOA
Country of Publication:
United States
Language:
English