Platelet transfusion refractoriness and anti-HLA immunization

Transfusion. 2021 Jun;61(6):1700-1704. doi: 10.1111/trf.16358. Epub 2021 Mar 11.

Abstract

Platelet transfusion refractoriness (PTR), defined as an unsatisfactory post-transfusion platelet count increment, is a common complication of patients receiving multiple transfusions. Different strategies are described in the management of PTR. In this work, we demonstrate the efficacy of the detection and identification of anti-HLA antibodies in the recipient using a threshold of 3000 mean fluorescence intensity (MFI), and the seek of donors not expressing HLA antigens against which the patient is immunized.

Keywords: MFI threshold; anti-HLA immunization; platelet transfusion refractoriness.

MeSH terms

  • Adult
  • Aged
  • Blood Platelets / immunology
  • Female
  • HLA Antigens / immunology*
  • Humans
  • Immunization
  • Isoantibodies / immunology
  • Male
  • Middle Aged
  • Platelet Count
  • Platelet Transfusion* / adverse effects
  • Platelet Transfusion* / methods
  • Retrospective Studies
  • Young Adult

Substances

  • HLA Antigens
  • Isoantibodies