Abstract
Automated Red Cell Exchange (RCE) using apheresis machines has been known since the 1980s. We implemented the IHD RCE strategy using SPECTRA OPTIA in mid-2021 during the Corona Viral Disease-19 (COVID-19) pandemic with the intention to decrease the number of PRBC units used, rather than increasing the time interval between sessions. This single-centre retrospective study demonstrated the sustainability of IHD over 2.5 years. While some patients required an increase in the number of PRBC units used at initiation, we demonstrated a durable 18.5% reduction in number of PRBC units used without any significant change in FCR at 2.5 years.
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