Blood transfusion is mandatory for treatment of a number of clinical conditions. Blood to be transfused needs to be stored for future use in blood banks. To prevent the risk of graft versus host disease, blood is irradiated with gamma radiation before storage. During storage, blood components undergo a variety of alterations known as storage lesions. These lesions might differ when blood is pre-irradiated as compared to non-irradiated one. Many reports are there to explain the alteration of a number of parameters in stored blood but literature is very scant regarding effect of blood storage on lipid profile. Through this chapter an attempt has been made to throw some light on effect of storage on lipid profile as well as to compare the effect in pre-irradiated and non-irradiated blood samples.

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