Abstract

Umbilical cord blood (CB) is being used increasingly as a source of hematopoietic support for patients with high-risk hematologic diseases lacking a human leukocyte antigen (HLA)-matched bone marrow donor. The first successful CB transplant was performed in 1989 by Dr. Gluckman and colleagues [1]. Since then, more than 20,000 CB transplants (CBTs) have been performed world-wide in pediatric and adult patients. The ethnic diversity, relative ease of collection, and ready availability as cryopreserved units, as well as tolerance of higher degrees of HLA disparity between donor and recipient, are positive attributes of CB when compared to bone marrow or mobilized peripheral blood progenitor cells (PBPCs).

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