Long-term leukocyte filtration should be avoided during extracorporeal circulation

Mediators Inflamm. 2013:2013:612848. doi: 10.1155/2013/612848. Epub 2013 Dec 26.

Abstract

Filtration during extracorporeal circulation (ECC) not only removes but also activates leukocytes; therefore, long-term leukocyte filtration may cause adverse effects. In the present study, we tested this hypothesis by priming ECC with 300 mL of canine blood and examining filtration effects in 3 groups (n = 6 each) during 60 min ECC. In the control group (Group C) blood was filtrated with an arterial filter for 60 min; in long-term (Group L) and short-term (Group S) groups, blood was filtrated with a leukocyte filter for 60 and 5 min. We found that about 90% of leukocytes were removed after 5 min of filtration in both Groups L and S. Although leukocyte count continued to reduce, mean fluorescent intensities of CD11/CD18, free hemoglobin, and neutrophil elastase increased in Group L and were higher than those in Groups C and S at 60 min. Leukocyte rupture, cytoplasmic leakage, and circulating naked nuclei were also found in Group L. The data support our hypothesis that long-term filtration can induce inflammation and lead to leukocyte destruction.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • CD11 Antigens / analysis
  • CD18 Antigens / analysis
  • Dogs
  • Extracorporeal Circulation*
  • Filtration
  • Hemoglobins / analysis
  • Inflammation / etiology
  • Leukocyte Reduction Procedures*
  • Leukocytes / physiology

Substances

  • CD11 Antigens
  • CD18 Antigens
  • Hemoglobins