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heart trasplant

Jussara Aparecida Souza do Nascimento Rodrigues, Renata Eloah de Lucena Ferretti-Rebustini, Vanessa de Brito Poveda
OBJECTIVES: to analyze the occurrence and predisposing factors for surgical site infection in patients submitted to heart transplantation, evaluating the relationship between cases of infections and the variables related to the patient and the surgical procedure. METHOD: retrospective cohort study, with review of the medical records of patients older than 18 years submitted to heart transplantation. The correlation between variables was evaluated by using Fisher's exact test and Mann-Whitney-Wilcoxon test...
2016: Revista Latino-americana de Enfermagem
José Luis Campo-Cañaveral de la Cruz, David Gómez de Antonio, Lucas Hoyos-Mejía, Marina Pérez-Redondo, Rosalía Laporta-Hernández, Andrés Varela de Ugarte
Although the number of lung transplants in Spain is increasing annually, more organs are required to ease waiting lists. Controlled non-heart beating donors (NHBD) (Maastricht III) are a reality at international level, and contribute significantly to increasing donor numbers. In this study, we present our NHBD protocol and the initial experience in Spain using lung grafts from this type of donor. Three bilateral lung transplants were performed between January 2012 and December 2014. Preservation was by ex-vivo lung perfusion in 2 cases and by traditional cold ischemia in the other...
September 2015: Archivos de Bronconeumología
Manuel Abradelo, Constantino Fondevila
The disbalance between the number of candidates to liver transplant and the number of liver grafts leads to waiting list mortality. Two potential ways of increasing the number of liver grafts are split liver transplantation and the transplantation of grafts from non-heart beating donors. Both of them were discussed in a consensus meeting of the Spanish Society of Liver Transplantation in October 2012. This paper outlines the conclusions of that meeting.
March 2014: Cirugía Española
José Ramón Berrazueta Fernández
On the past 40 years it has been a significant advance in the Heart Failure treatment, both medical and electrical devices, percutaneous revascularization, surgery, and circulatory support. With them heart transplantation is no longer an essential treatment. Gradually the other techniques are limiting the role of heart transplantation in the final treatment of Heart Failure.
2012: Anales de la Real Academia Nacional de Medicina
Francisco González-Vílchez, Manuel Gómez-Bueno, Luis Almenar, María G Crespo-Leiro, José M Arizón, Manuel Martínez-Sellés, Juan Delgado, Eulalia Roig, Ernesto Lage, Nicolás Manito
INTRODUCTION AND OBJECTIVES: The present article reports the characteristics and results of heart transplantation in Spain since this therapeutic modality was first used in May 1984. METHODS: We summarize the main features of recipients, donors, and surgical procedures, as well as the results of all heart transplantations performed in Spain until December 31, 2012. RESULTS: A total of 247 heart transplantations were performed in 2012. The whole series consisted of 6775 procedures...
October 24, 2013: Revista Española de Cardiología
Yukio Ando
Familial amyloidotic polyneuropathy (FAP) is a hereditary intractable disease induced by mutated transthyretin (TTR). Since TTR is predominantly synthesized by liver, liver transplantation has been performed to halt the clinical symptoms of FAP in the worldwide. It has been well documented that liver transplantation could halt the progression of FAP manifestations. However, the surgery could not prevent ocular symptoms and in some cases, cardiopathy and neuroparthy progressed even after liver trasplantation...
November 2011: Rinshō Shinkeigaku, Clinical Neurology
Pablo Gámez, Vicente Díaz-Hellín, Carmen Marrón, Jose Carlos Meneses, Alicia de Pablo, Jose Luis Martín de Nicolás et al.
The number of lung transplantations that are performed in Spain continues to grow, with 235 transplant recipients 2010. Non-heart-beating donations have contributed to this upward progression. Our Lung Transplant Unit began its activity in October 2008 and during these last three years 97% of the transplant interventions performed have been successful. In order to increase the number of donations, we have developed a non-heart-beating donor program as part of the existing organs program in our hospital. In doing so, the development of a multi-organic preservation method (lung, liver and kidney), which we call «Bithermia Preservation», was necessary...
September 2012: Archivos de Bronconeumología
Luis Almenar, Javier Segovia, María G Crespo-Leiro, Jesús Palomo, José M Arizón, Manuel Cobo, Juan Delgado
INTRODUCTION AND OBJECTIVES: The purpose of this report is to present the results obtained with heart transplantation since this therapeutic modality first began to be used in Spain in May 1984. METHODS: A descriptive analysis was performed of all heart transplantation performed until December 31, 2010. RESULTS: The total number of transplants is 6291. The average clinical profile of the Spanish heart transplant patient in 2010 was that of a 53-year-old male diagnosed with nonrevascularizable ischemic heart disease accompanied by severely depressed ventricular function and poor functional status...
December 2011: Revista Española de Cardiología
E Roig, L Almenar, F González-Vílchez, G Rábago, J Delgado, M Gómez-Bueno, M G Crespo-Leiro, J M Arizón, L de la Fuente, N Manito
Amyloidosis (Am), a systemic disease, has poor prognosis because of organ damage produced by protein deposition in the extracellular space. Although heart transplantation (HTx) is possible, donor availability concerns and high mortality make this approach controversial. The Spanish Registry for Heart Transplantation includes 25 Am patients (54 +/- 9 years): 13 with AL type, 2 with AA and 10 with TTR mutation. Fifteen patients (60%) died during follow-up (4.9 +/- 1.3 years): 9 AL-Am patients, both AA-Am patients and 4 with TTR-Am...
June 2009: American Journal of Transplantation
R Alvarez-Vijande, P Luque Gálvez, A Alcaraz Asensio
INTRODUCTION AND GOALS: Renal procurement after a period of heart st op demands a previous knowledge of ischemia-reperfusion injuries means. To study cell injury mechanisms an experimental study has been designed in pigs, with different rangres of warm ischemia (0-30-45 and 90 min). The main goal was to research on the basis of ischemic injury. MATERIAL AND METHODS: Biochemical parameters (creatinine, urine output), energetic loading (ATP, ADP, AMP and global energetic loading) and pathological studies as long as survival analysis by 5th day were completed...
January 2008: Actas Urologicas Españolas
A Ríos, C Conesa, P Ramírez, P J Galindo, J M Rodríguez, M M Rodríguez, L Martínez, P Parrilla et al.
OBJECTIVE: Our aim was to analyze acceptance of cadaveric and living organ donation for transplantation among resident doctors, given that they are the new professionals of medicine who will have to encourage and develop transplant programs. MATERIALS AND METHODS: A random survey was performed on resident doctors in a third-level hospital with an organ transplant program which is accredited for undergraduate and postgraduate education (n = 171). Attitudes toward cadaveric and living donation were evaluated using a questionnaire including various psychosocial variables that might affect such attitudes...
April 2006: Transplantation Proceedings
Luis Almenar
This paper describes the general situation regarding heart transplantation in Spain and the results obtained using the technique, incorporating data for the year 2004. In 2004, 294 heart transplants were carried out, which brings the total number of procedures performed since 1984 to 4680. Clinically, the typical heart transplant recipient in Spain is male, aged around 50 years, has blood group A, has non-revascularizable coronary artery disease, and is in NYHA functional class IV/IV. The percentage of emergency heart transplantations was 35%, which is higher than in the previous year (29%), and higher than the mean for the preceding 5 years (22%)...
November 2005: Revista Española de Cardiología
J Krejcí, P Hude, L Spinarová, J Toman, J Cerný, P Nemec, M Frélich, A Sirotková
Transplantation of the heart has become an accepted method for the treatment of terminal cardiac failure. Despite obvious advances in the care of patients after trasplantation a number of problems exist. The authors summarize their experience with the long-term follow-up of 100 adult patients with transplantations made in the Brno Centre of Cardiovascular and Transplantation Surgery. One-year survival in the group of patients is 80%, three-year survival 69%. The authors discuss indications and contraindications of cardiac transplantations, necessary preoperative and postoperative examinations, they follow-up the most serious complications during the posttransplantation period...
November 2000: Vnitr̆ní Lékar̆ství
C D Vizza, C Letizia, S Sciomer, R Naeije, G Della Rocca, A Di Roma, S Musarò, S Quattrucci, C Gaudio, A Battagliese, R Badagliacca, E D'Erasmo, F Fedele
AIM: To study adrenomedullin (AM) plasma levels in patients with severe lung disease and to analyze the relationship between AM and heart changes, hemodynamics and blood gases. METHODS: Case control study of 56 patients (36 men, 20 women) with severe lung disease and 9 control subjects (7 men, 2 women). Patients with end-stage pulmonary disease, including chronic obstructive pulmonary disease (COPD, n=11), cystic fibrosis (CF, 26), idiopatic pulmonary fibrosis (ILD, n=9), and idiopatic pulmonary arterial hypertension (PAH, n=10), who were evaluated for lung trasplantation between January 1997 and September 2000, and nine patients who underwent lung surgery for a solitary benign nodule...
January 15, 2005: Regulatory Peptides
Luis Almenar Bonet et al.
This report describes the general characteristics and outcomes of heart transplantation in Spain after data from 2002 were added to the registry. In 2002, 310 heart transplantations were performed. Since 1984, a total of 4,096 procedures have been performed. The average clinical profile of patients receiving a heart transplant in Spain is that of a man about 50 years old, blood group A, with nonrevascularizable coronary artery disease and functional status IV/IV (NYHA). The percentage of emergency heart transplantations was 26%, which is higher than the previous year (19%) and the mean for the preceding five years (22%)...
December 2003: Revista Española de Cardiología
Luis Almenar Bonet et al.
This report describes the general characteristics and results of heart transplantation in Spain after including the data from 2001. In that year 341 heart transplantations were performed. Since 1984, a total of 3,786 procedures have been performed. The average clinical profile of the patient receiving a heart transplant in Spain is a male about 50 years-old, blood group A, with a non-revascularizable coronary artery disease and IV/IV functional condition (NYHA). The percentage of emergency heart transplantations performed in 2001 was 19%, slightly lower than 20% to 25% in earlier years...
December 2002: Revista Española de Cardiología
J M Arizón del Prado
There is nowadays a revolution of immunosuppressive regimens for trasplantation. The investigation of new drugs on experimental and clinical protocols is very important because is intended to find a better immunosuppressive drug. This activity is based on a better knowledge of immunology and physiopathology of rejection. Alternative non pharmacological methods are used for the control of severe and repetitive rejection and the study of quimerism and xenotransplantation.
1995: Revista Española de Cardiología
A Juffe Stein
The high hospital mortality due to primary graft failure, together with the ever more frequent use of "Suboptimum" donors because of the scarcity of organs has, in the recent years, caused renewed interest in perfectioning techniques of cardiac preservation. The numerous studies supporting the benefits of a period of controlled warm reperfusion after global ischemia, and the growth of the continuous warm blood cardioplegia, led us to the evolution of our own technique for myocardial protection during transplantation...
1995: Revista Española de Cardiología
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