Set di slides divulgative per la manifestazione della Regione Campania organizzata dal Monaldi- Azienda dei Colli- in supporto alla donazione di Organi in occasione della settimana della donazione 2018. #partenopedona
Corso formativo della Società italiana trapianti di organo.
Principi base ed evoluzione degli schemi immunosoppressivi nel trapianto di cuore dagli albori ad oggi: dai protocolli di centro alla medicina personalizzata.
A rapid overview of indications to Mechanical Circulatory Support in the Acute and Chronic Setting of Heart Failure concluding with the new horizons in LVAD therapy and Heart Replacement.
Slides from the first meeting of ECTTA held in Budapest. The presentation focused on the role of EUROMACS data in the expansion of knowledge on Mechanical Circulatory Support.
European Consensus on Expansion of Thoracic Donor Pool (ECTTA)Cristiano Amarelli
This document outlines tasks and responsible roles for developing consensus recommendations on maximizing the use of organs recovered from cadaver donors. It proposes that each participant suggest two choices for each task to identify two individuals responsible for each task. Each task description would be made available online for editing by all participants. The draft divides tasks into areas like donor assessment, management, monitoring, organ preservation techniques, allocation protocols, and considerations for pediatric transplantations. Responsible roles would include clinicians, anesthesiologists, surgeons, and procurement agencies.
Set di slides divulgative per la manifestazione della Regione Campania organizzata dal Monaldi- Azienda dei Colli- in supporto alla donazione di Organi in occasione della settimana della donazione 2018. #partenopedona
Corso formativo della Società italiana trapianti di organo.
Principi base ed evoluzione degli schemi immunosoppressivi nel trapianto di cuore dagli albori ad oggi: dai protocolli di centro alla medicina personalizzata.
A rapid overview of indications to Mechanical Circulatory Support in the Acute and Chronic Setting of Heart Failure concluding with the new horizons in LVAD therapy and Heart Replacement.
Slides from the first meeting of ECTTA held in Budapest. The presentation focused on the role of EUROMACS data in the expansion of knowledge on Mechanical Circulatory Support.
European Consensus on Expansion of Thoracic Donor Pool (ECTTA)Cristiano Amarelli
This document outlines tasks and responsible roles for developing consensus recommendations on maximizing the use of organs recovered from cadaver donors. It proposes that each participant suggest two choices for each task to identify two individuals responsible for each task. Each task description would be made available online for editing by all participants. The draft divides tasks into areas like donor assessment, management, monitoring, organ preservation techniques, allocation protocols, and considerations for pediatric transplantations. Responsible roles would include clinicians, anesthesiologists, surgeons, and procurement agencies.
Asaio 2017: Predicting Right Ventricular Failure in CF-LVAD Era.Cristiano Amarelli
The ALMA score from Loforte et al. presented at the ASAIO meeting in Chicago on June 24th. An Useful Decision Supporting Tool available bedside to predict right ventricular failure and even to modify the surgical planning to support/protect right heart and warranting better outcome.
The document discusses short-term mechanical circulatory support devices like extracorporeal membrane oxygenation (ECMO) and the Impella pump. ECMO can be used to provide both cardiac and respiratory support through peripheral or central cannulation. It discusses indications, configurations, complications and management of ECMO. The Impella is an axial flow pump that is placed via catheter into the heart to unload the left ventricle and increase cardiac output, protecting the myocardium with less invasive placement compared to other devices.
Amarelli 313 Transplantation Ii Early Graft Failure After Heart Transplant Le...Cristiano Amarelli
The document discusses a study examining risk factors for early graft failure (EGF) within 24 hours of heart transplantation. The study analyzed 317 transplant recipients and identified factors significantly associated with EGF, including male sex, redo surgery, high donor inotrope use, weight mismatch over 20%, and longer ischemic time. EGF occurred in 32 patients (10.1%) and was associated with high mortality of 52.9%.
A 60-year-old female presented with an interventricular septum rupture following a myocardial infarction. Immediate surgical repair carried too high of a risk. She was stabilized with an extracorporeal membrane oxygenation (ECMO) device, which supported her cardiovascularly and allowed time for planning. After four days on ECMO, her condition worsened and she received a heart transplant. She recovered well and was discharged after one month with no complications at her six-month follow-up. The conclusion was that ECMO can effectively bridge high-risk patients with septal ruptures to surgery or transplantation.
This document discusses rehabilitation in heart transplant patients. It provides statistics on heart transplants performed from 1988-2006, including the most common causes of heart disease. It also discusses treatment at the time of transplant, trends in recipient characteristics, and survival rates post-transplant. Complications after transplant like hypertension, renal dysfunction, hyperlipidemia, diabetes and coronary altery disease are common. Exercise intolerance is also discussed. Rehabilitation including exercise training can help increase VO2 max and reduce complications like osteoporosis and obesity. Safety precautions during rehabilitation are also recommended.
This document discusses various topics related to heart transplantation including:
1. Older donor hearts exhibit a higher risk of developing coronary allograft vasculopathy (CAV) and worse long-term outcomes.
2. Hearts from older donors also show increased risk of renal dysfunction in recipients.
3. The use of everolimus in heart transplant recipients may provide benefits such as reduced risk of acute rejection and CMV infection while also being less nephrotoxic than calcineurin inhibitors. However, everolimus use can also increase risks like hyperlipidemia and impaired wound healing.
3. Recipient age is an important factor, as older recipients have higher risks of developing
The document summarizes the experience with extracorporeal membrane oxygenation (ECMO) and mechanical circulatory support (MCS) at the Department of Cardiothoracic Surgery and Transplants at Monaldi Hospital in Naples, Italy from 1988-2010. It provides statistics on heart transplants performed, details on 22 cases of ECMO support in 15 patients from 2007-2010, and discusses complications in 9 cases of ventricular assist devices implanted from 1995-2007. Surgical techniques for ECMO cannulation are also described.
Asaio 2017: Predicting Right Ventricular Failure in CF-LVAD Era.Cristiano Amarelli
The ALMA score from Loforte et al. presented at the ASAIO meeting in Chicago on June 24th. An Useful Decision Supporting Tool available bedside to predict right ventricular failure and even to modify the surgical planning to support/protect right heart and warranting better outcome.
The document discusses short-term mechanical circulatory support devices like extracorporeal membrane oxygenation (ECMO) and the Impella pump. ECMO can be used to provide both cardiac and respiratory support through peripheral or central cannulation. It discusses indications, configurations, complications and management of ECMO. The Impella is an axial flow pump that is placed via catheter into the heart to unload the left ventricle and increase cardiac output, protecting the myocardium with less invasive placement compared to other devices.
Amarelli 313 Transplantation Ii Early Graft Failure After Heart Transplant Le...Cristiano Amarelli
The document discusses a study examining risk factors for early graft failure (EGF) within 24 hours of heart transplantation. The study analyzed 317 transplant recipients and identified factors significantly associated with EGF, including male sex, redo surgery, high donor inotrope use, weight mismatch over 20%, and longer ischemic time. EGF occurred in 32 patients (10.1%) and was associated with high mortality of 52.9%.
A 60-year-old female presented with an interventricular septum rupture following a myocardial infarction. Immediate surgical repair carried too high of a risk. She was stabilized with an extracorporeal membrane oxygenation (ECMO) device, which supported her cardiovascularly and allowed time for planning. After four days on ECMO, her condition worsened and she received a heart transplant. She recovered well and was discharged after one month with no complications at her six-month follow-up. The conclusion was that ECMO can effectively bridge high-risk patients with septal ruptures to surgery or transplantation.
This document discusses rehabilitation in heart transplant patients. It provides statistics on heart transplants performed from 1988-2006, including the most common causes of heart disease. It also discusses treatment at the time of transplant, trends in recipient characteristics, and survival rates post-transplant. Complications after transplant like hypertension, renal dysfunction, hyperlipidemia, diabetes and coronary altery disease are common. Exercise intolerance is also discussed. Rehabilitation including exercise training can help increase VO2 max and reduce complications like osteoporosis and obesity. Safety precautions during rehabilitation are also recommended.
This document discusses various topics related to heart transplantation including:
1. Older donor hearts exhibit a higher risk of developing coronary allograft vasculopathy (CAV) and worse long-term outcomes.
2. Hearts from older donors also show increased risk of renal dysfunction in recipients.
3. The use of everolimus in heart transplant recipients may provide benefits such as reduced risk of acute rejection and CMV infection while also being less nephrotoxic than calcineurin inhibitors. However, everolimus use can also increase risks like hyperlipidemia and impaired wound healing.
3. Recipient age is an important factor, as older recipients have higher risks of developing
The document summarizes the experience with extracorporeal membrane oxygenation (ECMO) and mechanical circulatory support (MCS) at the Department of Cardiothoracic Surgery and Transplants at Monaldi Hospital in Naples, Italy from 1988-2010. It provides statistics on heart transplants performed, details on 22 cases of ECMO support in 15 patients from 2007-2010, and discusses complications in 9 cases of ventricular assist devices implanted from 1995-2007. Surgical techniques for ECMO cannulation are also described.