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HPC storage question


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We have limited liquid nitrogen storage for our autologous HPC's. Patients who have excess cells collected and are not expected to have a second transplant have those cells moved to -80C. Of course we now have a request for a second transplant on one of those patients. There is only one bag left so we can't thaw to check viability. Those cells have been at -80C for about a year and a half. Has anyone run into this type of situation and how did you handle it?

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  • 10 months later...

You are definitely in a pickle! By the letter of the law, the physician can sign for an exception to just about anything provided he/she uses sound medical judgement and obtains informed consent from the recipient. Your choice to store at -80 almost precludes your ability to change your mind later and definitely puts the patient at risk for engraftment failure at transplant. The only way I see out of this is to have the doc sign on the dotted line and have detailed consent notes with the recipient to minimize liability.

I assume there is no change of recollecting the patient?

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