Department of Laboratory Medicine, Health and Biomedical Sciences, RMIT University, Victoria, Australia
Research Article
Cryodepleted Plasma Exchange Improves Survival in Thrombotic Thrombocytopenic Purpura: A Systematic Review and Meta-Analysis
Author(s): Andrea O. Sugay, Daniel Kerage and Denise E. Jackson*
Objectives: Thrombotic Thrombocytopenic Purpura (TTP) is a rare disease Associated with a Deficiency in a Disintegrin-like Metalloproteinase with Thrombospondin Motif Type 1 Member 13 (ADAMTS13) leading to Unregulated Ultra-Large von Willebrand Factor (ULVWF), which forms platelet-rich thrombi in the microvasculature. The first-line treatment for TTP is Therapeutic Plasma Exchange (TPE) with Fresh Frozen Plasma (FFP) or Cryodepleted Plasma (CDP). CDP has been hypothesised to perform better because it contains minimal levels of ULVWF. This study aimed to explore whether CDP, rather than FFP, improves outcomes in patients with TTP.
Methods: A systematic review and meta-analysis were performed according to the Preferred Reporting Item for Systematic Review and Meta-Analysis (PRISMA) guidelines. A comprehensive search and screening.. View more»