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Stem Cell Transplantation |
From the Hematology Service and Bone Marrow Transplantation Unit (AGa, Agu, AS, MC, MM, MAD, AN, MDB, JM, JBar, JBe); Immunology Service, University Hospital Son Dureta, Palma de Mallorca (JI, NM); Hematology Service, Policlínica Miramar, Palma de Mallorca (AG, AS, JBe); Hematology Service, Hospital Monte Toro, Menorca (PG); Hematology Service, Hospital Can Mises, Ibiza, Balearic Islands, Spain (JBal)
Correspondence: Joan Besalduch, Service of Hematology, University Hospital Son Dureta, Avenue Andrea Doria 55, Palma de Mallorca, 07014, Balearic Islands, Spain. E-mail: jbesalduch{at}hsd.es
We report the long-term evaluation over 12 years of a simplified technique for stem-cell cryopreservation at –80°C without rate-controlled freezing and with 5% (n=251) or 10% (n=47) DMSO as the sole cryoprotectant. Platelet recovery was greater in the 5% DMSO group while long-term hematologic recovery did not differ. Factors influencing a faster hematologic recovery were infusion of more than 2.7x106/kg of CD34+ cells, 10% DMSO cryopreservation and G-CSF. We confirm that the procedure is feasible with a reduction in infusion-related toxicity from 60% using 5% DMSO. Differences in hematologic reconstitution were not clinically significant if a minimum of 1.5x106/kg CD34+-cells were infused.
Key words: autologous stem-cell transplantation, mechanical freezer, cryopreservation, DMSO.
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