Abstract
Apheresis techniques are generally safe, and serious adverse events rarely occur. However, apheresis procedures cause major physiologic changes in donors and patients, including hypocalcemia due to citrate infusion, hemodynamic changes associated with fluid shifts, and/or depletion of cellular and plasma components. Moreover, adverse events may be unrelated to the apheresis procedure itself (e.g., hematomas and/or infections from line). In general, these adverse events can be system or local; they can also be differentiated based on the etiology, such as immunologic (e.g., side effects from admission of blood components and of ethylene oxide) and non-immunologic events (e.g., hypovolemia, hypocalcemia). Besides this, the complications can be acute (i.e., during the apheresis procedure) but can also happen hours, days, or maybe even years after apheresis procedure. Measures can be taken to avoid complications during apheresis to identify population at risks for these complications, for example, special considerations for children for whom therapeutic apheresis procedures are indicated to avoid complications.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Buchta C, Macher M, Bieglmayer C, Höcker P, Dettke M (2003) Reduction of adverse citrate reactions during autologous large-volume PBPC apheresis by continuous infusion of calcium-gluconate. Transfusion 43(11):1615–1621
Bueno JL, Castro E, GarcÃa F, Barea L, González R (2006) Hematomas in multicomponent apheresis: searching for related factors. Transfusion 46:2184–2191
Horowitz SH (2000) Venipuncture-induced causalgia: anatomic relations of upper extremity superficial veins and nerves, and clinical considerations. Transfusion 40:1036–1040
http://www.transfusionguidelines.org.uk/transfusion-handbook/5-adverse-effects-of-transfusion
Kleinman S, Caulfield T, Chan P, Davenport R, McFarland J, McPhedran S, Meade M, Morrison D, Pinsent T, Robillard P, Slinger P (2004) Toward an understanding of transfusion-related acute lung injury: statement of a consensus panel. Transfusion 44:1774–1789
Lee G, Arepally GM (2012) Anticoagulation techniques in apheresis: from heparin to citrate and beyond. J Clin Apher 27:117–125
Newman BH, Waxman DA (1996) Blood donation-related neurologic needle injury: evaluation of 2 years’ worth of data from a large blood center. Transfusion 36:213–215
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Neyrinck, M.M., Vrielink, H. (2020). Prevention and Management of Apheresis Complications. In: Abutalib, S., Padmanabhan, A., Pham, H., Worel, N. (eds) Best Practices of Apheresis in Hematopoietic Cell Transplantation. Advances and Controversies in Hematopoietic Transplantation and Cell Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-55131-9_14
Download citation
DOI: https://doi.org/10.1007/978-3-319-55131-9_14
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-55130-2
Online ISBN: 978-3-319-55131-9
eBook Packages: MedicineMedicine (R0)