Management of thrombotic microangiopathy after hematopoietic cell transplantation: A position statement of ThREG (Turkish Hematology Research and Education Group).

Transfus Apher Sci

Maltepe University Faculty of Medicine, Department of Internal Medicine, Division of Hematology, Istanbul, Turkey; Memorial Bahcelievler Hospital, Adult Hematology and BMT Clinic, Istanbul, Turkey.

Published: December 2021

Hematopoietic stem cell transplantation associated-thrombotic microangiopathy (TA-HCT) is one of the early complications of endothelial origin in the course of HCT. Endothelial damage to the microvascular structure and the platelet-rich microthrombi, which are formed as a result of accompanying complement activation, constitute the main pathological conditions resulting TA-TMA. Early diagnosis and management are of utmost importance to prevent multi-organ failure and death. This review summarizes the current understanding of TA-TMA regarding pathogenesis, definition, differential diagnosis, risk factors, surveillance for early diagnosis and management.

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http://dx.doi.org/10.1016/j.transci.2021.103313DOI Listing

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