The survival, function, and hemolysis of human RBCs stored at 4 degrees C in additive solution (AS-1, AS-3, or AS-5) for 42 days and then biochemically modified, frozen, thawed, washed, and stored at 4 degrees C in sodium chloride and glucose solution for 24 hours
Cr. Valeri et al., The survival, function, and hemolysis of human RBCs stored at 4 degrees C in additive solution (AS-1, AS-3, or AS-5) for 42 days and then biochemically modified, frozen, thawed, washed, and stored at 4 degrees C in sodium chloride and glucose solution for 24 hours, TRANSFUSION, 40(11), 2000, pp. 1341-1345
BACKGROUND: A study was done to assess the quality of RBCs stored at 4 degr
eesC in AS-1, AS-3, or AS-5 for 42 days before biochemical modification and
freezing.
STUDY DESIGN AND METHODS: RBCs were stored at 4 degreesC for 42 days in AS-
1, AS-3, or AS-5 and then biochemically modified with pyruvate, inosine, ph
osphate, and adenine solution (Rejuvesol), frozen with 40-percent (wt/vol)
glycerol, and stored at -80 degreesC for at least 2 months. The RBCs were d
eglycerolized by the use of a cell washer (Haemonetics 115), and stored for
24 hours at 4 degreesC in a 0.9-percent sodium chloride and 0.2-percent gl
ucose solution before the autologous transfusion.
RESULTS: The mean freeze-thaw-wash recovery process produced RBC recovery v
alues of 85 percent, with the mean 24-hour posttransfusion survival at 75 p
ercent, and the mean index of therapeutic effectiveness at 64 percent for t
he RBCs stored at 4 degreesC in AS-1, AS-3, or AS-5 for 42 days before bioc
hemical modification and freezing. All the units exhibited normal or slight
ly higher than normal 2,3 DPG levels after deglycerolization and postwash s
torage at 4 degreesC for 24 hours.
CONCLUSION: RBCs stored in AS-1, AS-3, or AS-5 at 4 degreesC for 42 days an
d then biochemically modified with pyruvate, inosine, phosphate, and adenin
e and glycerolized, frozen, washed, and stored at 4 degreesC for 24 hours b
efore autologous transfusion had acceptable in vitro and in vivo measuremen
ts.