Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Oct;24(10):e353-e359.
doi: 10.1177/1098612X221114630. Epub 2022 Sep 1.

Stability of coagulation factors in feline fresh frozen plasma intended for transfusion after 1 year of storage

Affiliations

Stability of coagulation factors in feline fresh frozen plasma intended for transfusion after 1 year of storage

Carles Blasi-Brugué et al. J Feline Med Surg. 2022 Oct.

Abstract

Objectives: The most common use of plasma transfusion is for haemostatic purposes, but coagulation factor activities in stored feline plasma are unknown. The concentration and stability of coagulation factors I (fibrinogen), II, V, VII, VIII, IX, X, XI and XII in feline fresh frozen plasma (fFFP) stored for 1 year were studied.

Methods: Fifty-five units of fFFP were produced from 55 fresh whole-blood donations obtained from indoor healthy blood donor cats. Twenty-one units were stored for <2 weeks (T0) and 34 were stored for 1 year (T1). After the completion of storage, specific coagulation factor activities for factors II, V, VII, VIII, IX, X, XI and XII were tested using modified one-stage activated partial thromboplastin or prothrombin time assays. Fibrinogen was determined using the Clauss method.

Results: Significantly decreased activities were observed for factors II (T0: 101.94% ± 19.06%; T1: 73.23% ± 39.06% [P = 0.001]), VII (T0: 102.78% ± 24.69%; T1: 60.08% ± 38.17% [P <0.001]), VIII (T0: 77.52% ± 30.39%; T1: 50.32% ± 23.8% [P = 0.001]), XI (T0: 88.76% ± 22.73%; T1: 66.28% ± 22.2% [P = 0.001]) and XII (T0: 89.50% ± 21.85%; T1: 55.46% ± 23.18% [P <0.001]) when comparing units at time 0 and after 1 year of storage. No significant difference was observed for factors IX (T0: 84.86% ± 29.35%; T1: 71.37% ± 22.23% [P = 0.064]) and X (T0: 96.24% ± 25.1%; T1: 83.91% ± 49.54% [P = 0.236]). Unexpectedly, a significant increase was observed for factor V (T0: 71.94% ± 24.14%; T1: 97.89% ± 62.33%; P = 0.046). Fibrinogen was 2.76 ± 1.09 g/l at T1. Factors VIII, XII and VII had the lowest mean activities after 1 year.

Conclusions and relevance: Although a decrease in most coagulation factors activities was noted with storage, 1-year-old fFFP was haemostatically active in vitro. The most suitable factors for quality control assessment of fFFP are factors VII and VIII. Approximately 13-20 ml/kg of fFFP is required to administer a minimum of 10 IU/kg coagulation factor activity.

Keywords: Transfusion medicine; blood bank; coagulation; haemostasis; plasma; plasma storage.

PubMed Disclaimer

Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Similar articles

References

    1. Franchini M, Capuzzo E, Turdo R, et al.. Quality of transfusion products in blood banking. Semin Thromb Hemost 2014; 40: 227–231. - PubMed
    1. Wardrop KJ, Brooks M. Plasma products. In: Yagi K, Holowaychuk MK. (eds). Manual of veterinary transfusion medicine and blood banking. Ames, IA: Wiley-Blackwell, 2016, pp 43–54.
    1. Brooks M. Transfusion of plasma products. In: Weiss DJ, Wardrop KJ. (eds). Schalm’s veterinary hematology. 6th ed. Ames, IA: Wiley-Blackwell, 2010, pp 744–750.
    1. Lane WG, Sinnott-Stutzman VB. Retrospective evaluation of fresh frozen plasma use in 121 cats: 2009–2016. J Vet Emerg Crit Care 2020; 30: 558–566. - PubMed
    1. Wardrop KJ, Brooks MB. Stability of hemostatic proteins in canine fresh frozen plasma units. Vet Clin Pathol 2001; 30: 91–95. - PubMed

LinkOut - more resources