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Bone Marrow Aspiration & Peripheral Blood Stem Cell Procedure FAQ

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  1. Will I have to fly to the recipients hospital it have my bone marrow aspiration or peripheral blood stem cell donation proceed?

  2. How is bone marrow aspiration performed?

  3. How is peripheral blood stem cell donation performed?

  4. What does bone marrow aspiration surgery feel like?

  5. What does peripheral blood stem cell apheresis feel like?

  6. Will I be awake for bone marrow aspiration or peripheral blood stem cell donation?

  7. What type of anesthesia will be used for my surgery?

  8. Who removes my bone marrow?

  9. How long does bone marrow aspiration or peripheral blood stem cell donation take?

  10. What can be done if I am nervous or scared beforehand?


1. Will I have to fly to the recipients hospital it have my bone marrow aspiration or peripheral blood stem cell donation proceed?
While there is a possibility that you may be asked to fly to your donor's home-town, more often than not your aspiration procedure is done in your home town (if they are capable) and the marrow is then flown to your recipient's hospital.  If you do have to travel, your travel expenses are covered under the recipient's insurance or by out of pocket costs.

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2. How is bone marrow aspiration performed?
After you are anesthetized, usually under General, but sometimes either under I.V. sedation or under a combination of an oral sedative and Regional, such as an epidural.  The anesthesiologist ascertains your vitals are stable before the 'go ahead' is given to the surgical team.  You may already be lying on your stomach, or will be rolled to each side during the course of the aspiration procedure.  YOU Are scrubbed with a Betadine solution, which is an anti-microbial, which will reduce your chances of an infection and bone marrow contamination. 

Normally, two puncture incisions are made in the flesh of each hip area to gain access to the iliac crest.  Using these four incisions, holes are made into each hip bone with a bone marrow needle.  This needle may resemble a tro-car and looks like a large bore, stainless steel needle with a handle on it that can be removed and another needle can fit into to aspirate the marrow.  Some set ups allow a syringe to be screwed into them, others may just resemble large hypodermics.  Any of these set ups allow aspiration of the bone marrow at various points.  It is a tedious process.

The aspiration process actually hurts, when you are asleep you do not realize it but even with oral or light IV sedation, you may feel it if awake.

**I want to add that a friend of mine had his bone marrow removed from his shin bone.  Unfortunately his recipient suddenly died before he got the chance to receive his transplantation, while my friend was still on the operating table.

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3. How is peripheral blood stem cell donation performed?

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4. What does bone marrow aspiration surgery feel like?

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5. What does peripheral blood stem cell apheresis feel like?

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6. Will I be awake for bone marrow aspiration or peripheral blood stem cell donation?

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7. What type of anesthesia will be used for my surgery?

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8. Who removes my bone marrow?

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9. How long does bone marrow aspiration or peripheral blood stem cell donation take?

 

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10. What can be done if I am nervous or scared beforehand?

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