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Marta Velia Antonini: Myth-Busting on Perioperative Autologous Red Blood Cell Salvage
M Velia Antonini/X
Oct 24, 2025, 10:16

Marta Velia Antonini: Myth-Busting on Perioperative Autologous Red Blood Cell Salvage

Marta Velia Antonini, Hematologist, Perfusionist ECMO and NRP Specialist and Chair of the Normothermic Regional Perfusion EuroELSO Working Group,  shared on X:

“Myth-busting on perioperative autologous red blood cell salvage. Overview of the cell salvage process

  1. myth: cell-salvaged blood is of poor quality/inferior to allogeneic RBCs: if properly collected/processed, quality of cell salvaged RBCs exceeds allogeneic blood; here some considerations on morphology, oxygen unloading, lifespan, hemolysis, immunological effects
  2. myth: cell-salvaged blood increases bleeding: residual heparin typically have limited impact… but large-volume acute blood loss still requires factors replacement!
  3. myth: cell-salvaged blood is not safe in many surgeries: oncologic, obstetric, contaminated surgeries are NOT absolute contraindications… balance/mitigated risks!
  4. myth: cell-salvaged blood is not cost-effective: generally it is, particularly if employed selectively for high-risk cases

Title: Exploring Myths of Perioperative Autologous Red Blood Cell Salvage

Authors: Kaufman Margit, Jahr Jonathan, Klompas Allan, Perelman Seth, Raphael Jacob, Tan Gee Mei, Frank Steven, Waters Jonathan, Warner Matthew

Marta Velia Antonini: Myth-Busting on Perioperative Autologous Red Blood Cell Salvage

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Health Hematology Hemostasis Hemostasis Today Marta Velia Antonini Medicine Normothermic Regional Perfusion EuroELSO Working Group red blood cell salvage
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