Abstract
Aim: Based on the classical principles, to determine the optimal conditions for centrifugation, PRP harvesing (platelet-rich plasma). To conduct a quantitative assessment of the substrate obtained under different conditions of centrifugation. Materials and methods. Based on the basic principles of obtaining platelet-rich plasma (PRP) by centrifuging in containers with an anticoagulant followed by phase separation to obtain the final substrate, the efficiency of the technique under the conditions of single and double centrifugation as well as under different conditions of acceleration and centrifugation was evaluated. Blood for follow-up was collected from 20 healthy volunteers (11 men, 9 women) average 25.3±4.1 in syringes of LuerLock design with ACD-A anticoagulant solution, and centrifuged. Centrifugation was carried out under controlled conditions using a centrifuge with rotating bowls of the rotor. Centrifugation was performed at an acceleration of 100-400g in time intervals up to 20 minutes. Activation of the substrate was performed with calcium chloride solution. Quantitative evaluation of platelets of whole blood and the final substrate of PRP was carried out with a semi-automatic analyzer. Results. The obtained results demonstrate the maximum level of harvesting efficiency when performing double centrifugation in the 150g×15 min+250g×10 min mode. Subject to this centrifugation protocol, it is possible to obtain a substrate that complies with the standardized requirements for PRP. The maximum level of an increase in the number of platelets in the substrate in comparison with whole blood is determined at the level of ×4.36 with concentration (volume reduction) x5 in comparison with the volume of whole blood. Conclusions. This study demonstrated the advantage of double centrifuging modes over single modes. According to the results of the study, it was possible to determine the conditions for an optimal double-centrifugation mode (acceleration and duration), which allows us to achieve the most efficient concentration of the substrate.
Highlights
Platelet-rich plasma platelet-based products have been widely introduced into clinical practice due to the pronounced stimulating effect of the substrate [1, 2]
The obtained results demonstrate the maximum level of harvesting efficiency when performing double centrifugation in the 150g × 15 min+250g × 10 min mode
Subject to this centrifugation protocol, it is possible to obtain a substrate that complies with the standardized requirements for platelet-rich plasma (PRP)
Summary
Platelet-rich plasma platelet-based products (platelets-rich plasma, PRP) have been widely introduced into clinical practice due to the pronounced stimulating effect of the substrate [1, 2]. A significant number of ready-made solutions proposed by manufacturers for obtaining plasma enriched with platelets, according to the results of application, according to the instructions, does not correspond to the expected declared results, which is stated in the works of some authors [17, 18]. At this stage it is impossible to single out a single optimal method of harvesting as the gold standard for the implementation of the PRP procedure [19]
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