Platelet Transfusion - Histology

What are Platelets?

Platelets, or thrombocytes, are small, anucleate cell fragments derived from megakaryocytes in the bone marrow. They play a crucial role in hemostasis, helping to prevent bleeding by forming clots in blood vessels.

Why is Platelet Transfusion Needed?

Platelet transfusion is often required in conditions where a patient has a low platelet count (thrombocytopenia) or dysfunctional platelets. This can be due to chemotherapy, bone marrow disorders, or extensive surgery. Transfusions help to reduce the risk of bleeding in such patients.

How are Platelets Collected?

Platelets are typically collected through a process called apheresis, where blood is drawn from a donor, platelets are separated, and the remaining blood components are returned to the donor. Alternatively, platelets can be pooled from multiple whole blood donations.

Histological Characteristics of Platelets

Under the microscope, platelets appear as small, irregularly shaped cell fragments with no nucleus, typically measuring 2-3 µm in diameter. They contain granules that store chemicals essential for clotting and wound repair, such as serotonin, ADP, and calcium ions.

Compatibility and Cross-Matching

Before a platelet transfusion, it is crucial to ensure compatibility between the donor and recipient to prevent adverse reactions. Cross-matching involves testing the recipient's blood against donor platelets to check for any antibodies that might cause a reaction.

Histological Changes Post-Transfusion

After transfusion, histological analysis can reveal the integration of donor platelets with the recipient's circulatory system. This can be observed through staining techniques that highlight platelet markers, showing the distribution and activity of transfused platelets in tissue samples.

Potential Complications

While generally safe, platelet transfusions can have complications. These include allergic reactions, febrile non-hemolytic transfusion reactions (FNHTRs), and in rare cases, transfusion-related acute lung injury (TRALI). Histological examination can sometimes identify these complications through changes in tissue markers and inflammatory cell infiltration.

Advancements in Platelet Transfusion

Recent advancements include the development of pathogen-reduced platelets and synthetic platelets. These innovations aim to enhance the safety and efficacy of transfusions, reducing the risk of transfusion-transmitted infections and improving the shelf life of platelet products.



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