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Krizanic, KK; Pruller, F; Rosskopf, K; Payrat, JM; Andresen, S; Schlenke, P.
Preparation and Storage of Cryoprecipitate Derived from Amotosalen and UVA-Treated Apheresis Plasma and Assessment of In Vitro Quality Parameters
PATHOGENS. 2022; 11(7): 805 Doi: 10.3390/pathogens11070805 [OPEN ACCESS]
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Leading authors Med Uni Graz
Kovacic Krizanic Katarina
Prüller Florian
Rosskopf Konrad
Schlenke Peter
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Abstract:
Cryoprecipitate is a plasma-derived blood product, enriched for fibrinogen, factor VIII, factor XIII, and von Willebrand factor. Due to infectious risk, the use of cryoprecipitate in Central Europe diminished over the last decades. However, after the introduction of various pathogen-reduction technologies for plasma, cryoprecipitate production in blood centers is a feasible alternative to pharmaceutical fibrinogen concentrate with a high safety profile. In our study, we evaluated the feasibility of the production of twenty-four cryoprecipitate units from pools of two units of apheresis plasma pathogen reduced using amotosalen and ultraviolet light A (UVA) (INTERCEPT (R) Blood System). The aim was to assess the compliance of the pathogen-reduced cryoprecipitate with the European Directorate for the Quality of Medicines (EDQM) guidelines and the stability of coagulation factors after frozen (<=-25 degrees C) storage and five-day liquid storage at ambient temperature post-thawing. All pathogen-reduced cryoprecipitate units fulfilled the European requirements for fibrinogen, factor VIII and von Willebrand factor content post-preparation. After five days of liquid storage, content of these factors exceeded the minimum values in the European requirements and the content of other factors was sufficient. Our method of production of cryoprecipitate using pathogen-reduced apheresis plasma in a jumbo bag is feasible and efficient.

Find related publications in this database (Keywords)
cryoprecipitate
pathogen reduction
amotosalen
in vitro
fibrinogen
factor VIII
factor XIII
von Willebrand factor
thrombelastography
thrombin generation
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