2024-07-02 10:18:00
The first movement was performed at Ismett in Palermo using the “Heart in a box” technique with which the heart is moved while still beating in a box.
The heart arrived in Palermo in a box: pulsating and beating. It’s done‘ Again the first link thanks to technology”A heart in a box“It is the first work of this kind that is done in the South. The technology developed in the United States is used in the best transport companies in Europe and North America.
“Heart – you explain Sergio Sciaccasense of the Heart Connection System of Again – arrived at our center and placed in a sterile box, a machine in which the donor’s blood is filled with the body’s body and continues to pulsate. With this technology, the periods of ischemic suffering of the heart organ are reduced, because during the transplant the heart muscle continues to receive blood and oxygen for its productive functions. It is also possible to perform biochemical checks and obtain data that verify the proper functioning of the heart once it has been implanted.”
The sampling was carried out by a group of Again consisting of cardiac surgeons (Sergio Sciacca and Matteo Greco), nurses (Andrea Giunta and Rosi Longo) and operating room nurse (Giancarlo Cappello). The removed organ is connected to the machine and given a long time of up to 6 hours, which continues to beat until it reaches the operating room in Ismett. Here it was transplanted to a Sicilian patient on the waiting list for two years.
Normally the unit heart is stopped with a cardioplegic cold solution and moving does not fly, is hot bagsat a temperature of 4 C, in order to reach the point where it will be placed in the receiver. With this process, the time of maximum heart treatment, called ischemia periodis up to 4 hours; Beyond this time, there is a high risk of incomplete recovery of the contractile function of the transplanted organ, due to the high level of ischemia suffered during transplantation.
technology”A heart in a box” allows, however, to almost completely eliminate the ischemia period thus allowing organs taken from places far away from the Transplantation Center to be transported. The difference in reduction of ischemia times is not, however, the only advantage provided by this type of technology. Thanks to this method, in fact, cardiac surgeons can monitor all the parameters of the body, evaluate the health status of the heart in real time, intervene to change hemodynamic parameters and nutrition with the aim of improving the performance of the body, but also calculate with more time available whether to give up, if the one given is at a higher risk of impotence.
“The recipient – explains Sergio Sciacca – is a complex patient because he has a Left ventricular support (the so-called Artificial one) therefore involves a particularly delicate and complex vascular preparation. The patient is fine, he is still in the hospital Againbut the immediate results are of better cardiac performance and normal post-operative performance.”
“I am grateful to the companies and the great support of Community Connection Center cwho allowed all this – he said Michael Pilatedirector of Ismett Department of Cardiac Surgery and Cardiac Transplantation – thanks to the great team work, which also includes the renewal of the community put together by Crtthe number of heart transplants in 2024 has an exceptional increase, which places our center and Sicily among the first in Italy for the levels of patients. Having cutting-edge technology available will allow us to move forward, to evaluate a greater number of organs and to draw indications for their use, giving greater answers to our population of a patient with end-stage heart failure awaiting a life-saving heart transplant. .
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