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S Holme, K Vaidja and S Murphy
Recovery in vivo after 51Cr labeling, platelet morphology, and platelet
aggregation were studied with platelet concentrates (PC) stored for
transfusion under carefully controlled conditions. PC were prepared to a
final volume of 50 ml from whole blood anticoagulated with citrate-
phosphate-dextrose (CPD). The platelet count was kept between 0.8 and 1.6 X
10(12) platelets/liter. The PC were stored in bags constructed of
polyvinylchloride (PVC) or polyethylene (PE) at 22 degrees C for 72 hr. The
bags were placed on a horizontal shaker or a ferris wheel for agitation
during storage. No significant changes in pH or platelet count were
observed during storage. PC stored on the wheel showed moderate loss of
viability and a marked deterioration of platelet morphology and aggregation
compared to the shaker. PC stored on the shaker in bags made of PE showed
better aggregation with ADP and thrombin but had the same viability and
morphology as PC in bags constructed of PVC. Maintenance of normal platelet
morphology as determined by phase-contrast microscopy, extent of shape
change response, and the size distribution according to the Coulter Counter
correlated with recovery in vivo.
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