What is the Difference Between Fresh Frozen Plasma and Cryoprecipitate?

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Fresh Frozen Plasma (FFP) and Cryoprecipitate are both blood components made from plasma, which is the yellow liquid that carries red cells, white cells, and platelets within the blood vessels around the body. They contain vital proteins known as clotting factors, which help control bleeding and ensure that blood clots effectively when needed.

Here are the main differences between Fresh Frozen Plasma and Cryoprecipitate:

  1. Preparation: FFP is made from plasma separated from donor blood and frozen at -35°C to preserve it. Cryoprecipitate, on the other hand, is made from FFP that is frozen and repeatedly thawed in a laboratory to produce a source of concentrated clotting factors, including Factor VIII, von Willebrand factor, and fibrinogen.
  2. Composition: Cryoprecipitate is enriched with fibrinogen and high concentrations of Factor VIII, von Willebrand factor, and Factor XIII. FFP contains a range of coagulation factors, but with lower concentrations of the clotting factors found in cryoprecipitate.
  3. Indications: Cryoprecipitate is generally indicated for hypofibrinogenemia, von Willebrand disease, and situations calling for a "fibrin glue". FFP is typically used when a patient has multiple factor deficiencies and is bleeding or for thrombotic thrombocytopenic purpura (TTP).

Both FFP and cryoprecipitate are stored as frozen packs until needed, then thawed in the laboratory before being sent to the ward. They are administered to patients through a narrow tube directly into their bloodstream. While both components can cause reactions and infections, these are rare.

Comparative Table: Fresh Frozen Plasma vs Cryoprecipitate

Fresh frozen plasma and cryoprecipitate are two blood components made from blood plasma, which is a yellow liquid that carries red blood cells, white blood cells, and platelets. It contains vital proteins known as clotting factors that help control bleeding. Here is a table comparing the differences between fresh frozen plasma and cryoprecipitate:

Feature Fresh Frozen Plasma (FFP) Cryoprecipitate
Preparation Removing plasma from whole blood and freezing it at 18°C Thawing FFP at 1–6°C and then centrifuging
Fibrinogen Concentration Less concentrated source of fibrinogen Highly concentrated source of fibrinogen
Other Clotting Factors Contains all plasma coagulation factors and anticoagulants Rich in fibrinogen, Factor VIII, and von Willebrand factor
Storage Stored at -25°C or below for up to 36 months Stored at -25°C or below for up to 36 months
ABO Compatibility Should be transfused to patients of the same ABO group whenever possible Must only be given to group O recipients
Clinical Indications Used for various blood diseases and problems Used for clinically significant bleeding and a fibrinogen level <1.5g/L (<2g/L in obstetric bleeding)

Both fresh frozen plasma and cryoprecipitate can be used to treat blood diseases and problems, but they have different concentrations of clotting factors and are used for different clinical indications.