The effect of two platelet-rich plasma aspiration techniques on plasma cellular concentrations using a double syringe gravitational centrifugation system.

IF 1.3 2区 农林科学 Q2 VETERINARY SCIENCES Veterinary Surgery Pub Date : 2024-07-01 Epub Date: 2023-07-21 DOI:10.1111/vsu.14003
Rachel L Jones, Steven W Frederick, Alan R Cross
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Abstract

Objective: To identify which aspiration technique increased plasma platelet concentration and which technique minimized plasma leukocyte and erythrocyte concentrations using a gravitational double-syringe platelet rich plasma (PRP) system.

Study design: Controlled laboratory study.

Animals: Thirty adult dogs.

Methods: Whole blood was collected into two autologous conditioned plasma (ACP) syringes and an ethylenediaminetetraacetic acid (EDTA tube) (control samples). The ACP syringes were centrifuged for 5 min at 1500 rpm. The proximal 2 mL of plasma from one ACP syringe was deposited in an EDTA tube (preflash samples). Plasma from the second ACP syringe was withdrawn until the buffy coat was pierced, producing a "flash" of red blood cells, agitated and deposited into an EDTA tube (flash samples). Complete blood counts were performed.

Results: Mean plasma platelet concentrations of the control, preflash, and flash samples were 2.4 × 105/dL, 3.3 × 105/dL and 4.1 × 105/dL, respectively. The mean platelet concentration of the flash samples was 7.9 × 104/dL higher than the preflash samples (p = .005). The mean platelet concentration was lower in the control samples than the preflash (p = .002) and flash (p < .0001) samples. The median plasma leukocyte concentration of the preflash samples (0/dL) was lower than in the flash samples (2.4 × 103/dL) (p = .001). The median plasma hematocrit value of the preflash samples (0%) was lower than in the flash samples (1.0%) (p = .002).

Conclusion: The flash method is not necessary to produce a PRP sample.

Clinical significance: Both methods produced PRP. However, clinicians should avoid aspirating the buffy coat when processing PRP for therapies where leukocytes and erythrocytes are contraindicated.

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使用双注射器重力离心系统的两种富血小板血浆抽吸技术对血浆细胞浓度的影响。
目的使用重力式双注射器富血小板血浆(PRP)系统,确定哪种抽吸技术可提高血浆血小板浓度,哪种技术可将血浆白细胞和红细胞浓度降至最低:研究设计:实验室对照研究:动物:30 只成年狗:将全血收集到两个自体调节血浆(ACP)注射器和一个乙二胺四乙酸(EDTA)管(对照样本)中。ACP 注射器在 1500 rpm 转速下离心 5 分钟。从一个 ACP 注射器中取出的近端 2 毫升血浆放入 EDTA 管中(预闪样品)。从第二个 ACP 注射器抽取血浆,直至刺破缓冲层,产生红细胞 "闪光",搅拌后存入 EDTA 管(闪光样本)。进行全血细胞计数:结果:对照组、闪蒸前和闪蒸样本的平均血浆血小板浓度分别为 2.4 × 105/dL、3.3 × 105/dL 和 4.1 × 105/dL。闪光样本的平均血小板浓度比闪光前样本高 7.9 × 104/dL(p = .005)。对照组样本的平均血小板浓度低于闪蒸前样本(p = .002)和闪蒸样本(p 3/dL)(p = .001)。闪蒸前样本的血浆血细胞比容中位值(0%)低于闪蒸样本(1.0%)(p = .002):临床意义:两种方法都能产生 PRP:两种方法都能产生 PRP。然而,临床医生在处理 PRP 用于白细胞和红细胞禁忌疗法时,应避免抽吸缓冲液。
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来源期刊
Veterinary Surgery
Veterinary Surgery 农林科学-兽医学
CiteScore
3.40
自引率
22.20%
发文量
162
审稿时长
8-16 weeks
期刊介绍: Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations. It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.
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