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Walker H, O'Reilly E, Millard Z, Cusack B, Duncan A, Clucas L, Fleming J, Hughes D, Greenway A, Metz D. Small but mighty: Case report and practical guidance for peripheral blood stem cell collection in small infants. J Clin Apher 2024; 39:e22141. [PMID: 39060110 DOI: 10.1002/jca.22141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2024] [Revised: 05/31/2024] [Accepted: 07/11/2024] [Indexed: 07/28/2024]
Abstract
Modern apheresis devices, with increased procedural precision, automation, and monitoring, have been shown to allow for safe delivery of apheresis therapies in young children. Medical advances are increasing demand for apheresis procedures like mononuclear cell collection in infants <10 kg, including stem-cell supported chemotherapy, cell collection for chimeric antigen receptor T cell development, and now ex vivo gene therapies for rare genetic diseases. Nevertheless, safe delivery in small infants involves a range of unique considerations and challenges, beyond just size, and experience will vary between centers. In this case report we describe our experience performing mononuclear cell collection in our smallest patient to date and outline a practice guideline developed following a literature review and discussion with both international experts and device representatives. This case may help to inform other clinicians aiming to provide apheresis care to very small infants in their own centers.
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Affiliation(s)
- Hannah Walker
- Children's Cancer Centre, The Royal Children's Hospital, Melbourne, Victoria, Australia
- Apheresis Service, The Royal Children's Hospital, Melbourne, Victoria, Australia
- Murdoch Children's Research Institute, Melbourne, Victoria, Australia
- Division of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia
| | - Erin O'Reilly
- Department of Clinical Haematology, The Royal Children's Hospital, Melbourne, Victoria, Australia
| | - Zoe Millard
- Apheresis Service, The Royal Children's Hospital, Melbourne, Victoria, Australia
| | - Brendan Cusack
- Apheresis Service, The Royal Children's Hospital, Melbourne, Victoria, Australia
- Department of Nephrology, The Royal Children's Hospital, Melbourne, Victoria, Australia
| | - Anna Duncan
- Apheresis Service, The Royal Children's Hospital, Melbourne, Victoria, Australia
| | - Luisa Clucas
- Apheresis Service, The Royal Children's Hospital, Melbourne, Victoria, Australia
- Department of Clinical Haematology, The Royal Children's Hospital, Melbourne, Victoria, Australia
| | - Jacqueline Fleming
- Children's Cancer Centre, The Royal Children's Hospital, Melbourne, Victoria, Australia
- Apheresis Service, The Royal Children's Hospital, Melbourne, Victoria, Australia
| | - David Hughes
- Children's Cancer Centre, The Royal Children's Hospital, Melbourne, Victoria, Australia
- Apheresis Service, The Royal Children's Hospital, Melbourne, Victoria, Australia
| | - Anthea Greenway
- Apheresis Service, The Royal Children's Hospital, Melbourne, Victoria, Australia
- Department of Clinical Haematology, The Royal Children's Hospital, Melbourne, Victoria, Australia
| | - David Metz
- Apheresis Service, The Royal Children's Hospital, Melbourne, Victoria, Australia
- Murdoch Children's Research Institute, Melbourne, Victoria, Australia
- Department of Nephrology, The Royal Children's Hospital, Melbourne, Victoria, Australia
- Department of Paediatrics, Monash University, Melbourne, Victoria, Australia
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Mitani K, Ogata H, Takachi T, Fukui W, Kawaguchi K, Ogura T, Horikoshi Y, Kawasaki T, Watanabe K. Successful peripheral blood stem cell harvesting for two pediatric cases of atypical teratoid/rhabdoid tumor with low bodyweight. Pediatr Blood Cancer 2024; 71:e30833. [PMID: 38177070 DOI: 10.1002/pbc.30833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Accepted: 12/14/2023] [Indexed: 01/06/2024]
Affiliation(s)
- Kazuki Mitani
- Department of Hematology and Oncology, Shizuoka Children's Hospital, Shizuoka, Japan
| | - Hideto Ogata
- Department of Hematology and Oncology, Shizuoka Children's Hospital, Shizuoka, Japan
| | - Takayuki Takachi
- Department of Hematology and Oncology, Shizuoka Children's Hospital, Shizuoka, Japan
| | - Wataru Fukui
- Department of Hematology and Oncology, Shizuoka Children's Hospital, Shizuoka, Japan
| | - Koji Kawaguchi
- Department of Hematology and Oncology, Shizuoka Children's Hospital, Shizuoka, Japan
| | - Taemi Ogura
- Department of Hematology and Oncology, Shizuoka Children's Hospital, Shizuoka, Japan
| | - Yasuo Horikoshi
- Department of Hematology and Oncology, Shizuoka Children's Hospital, Shizuoka, Japan
| | - Tatsuya Kawasaki
- Department of Pediatric Critical Care, Shizuoka Children's Hospital, Shizuoka, Japan
| | - Kenichiro Watanabe
- Department of Hematology and Oncology, Shizuoka Children's Hospital, Shizuoka, Japan
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