Cardiac resynchronisation therapy
From guidelines to daily clinical practice: Cardiac resynchronisation therapy is increasingly important in heart failure treatment. The therapy is complex, the demands to medical technology high. Holger Zorn reports
Transplantations
Keeping donor organs ‘alive’ in transit
Although donor organ management is improving, the number of heart transplants is decreasing. According to Eurotransplant, 115 heart transplants were performed in the first quarter of 2011 compared to 149 of such interventions in the same period last year.
Coronary heart disease
Bypass surgery figures declined again in 2010. Reason: Most coronary heart disease (CHD) patients are being treated by removal of the obstruction followed by stent implantation -- a situation criticised by Professor Jochen Cremer, first Vice President of the DGTHG (German Society for Thoracic and Cardiovascular Surgery).
Celebrating a 25-year-old ‘heart’
Initially meant to bridge the gap before a heart transplant is performed, today ventricular assist devices (VADs) are increasingly considered ‘a lasting therapy option’, according to Professor Heinrich Schima, Head of the Centre for Medical Physics and Biomedical Technology at the Medical University of Vienna.
Heart replica ready for human tests
A little over three decades after the world's first human heart transplant (HT), Carmat’s life-size artificial heart, a mix of animal tissue, titanium and missile technology that perfectly replicate a human heart, might save the lives of thousands.
The International Liver Congress 2011
Over 8,000 international clinicians and scientists travelled to Berlin in March to attend the International Liver Congress 2011, hosted by The European Association for the Study of the Liver (EASL), to hear the latest research, perspectives and treatments in hepatology.
Heart in hand
Surgeon Alain Carpentier is ready to remove a patient’s heart and replace it with a mechanical device he spent 15 years developing. By 2013 the procedure will be performed on 50 European patients as part of a clinical trial to win CE approval for the world’s first fully implantable artificial heart.
Global Use and Availability of Treatment Involving Transplantation of Blood Stem Cells
An examination of the world-wide use of hematopoietic stem cell transplantation (HSCT), which involves transplantation of blood stem cells derived from the bone marrow or blood, finds that there are significant differences in transplant rates between countries and continental regions by indication and donor type, and that HSCT is most frequently used in countries with higher gross national…
Liver stiffness measurements identify patients with rapid or slow fibrosis
A recent study determined that repeated liver stiffness measurements (LSM) in the first year following liver transplant (LT) could discriminate between slow and rapid "fibrosers". LSM were extremely accurate, particularly at the 6-month post LT point, in detecting severity of fibrosis. Determining those at risk for a recurrence of hepatitis C virus (HCV) allows for early-stage administration of…
Revolutionary approach to heart failure
British girl Hannah Clark who was given an extra heart as a toddler has become the world's first heart transplant patient to make a full recovery after having her donor organ removed and function restored to her original heart. The case highlights that in some cases of cardiomyopathy, it is possible for the patient's own heart to make a full recovery if it is given adequate support to do so.
The state of play in EU States
Waiting lists for organ transplants are lengthening in most European countries, forcing the need to increase donations higher up the medical and political agenda, Mark Nicholls reports. Spain continues to lead the way in organ donation with the so-called Spanish Model approach, while other countries, e.g. the UK, are debating whether to adopt 'presumed consent' and an 'opt-out' rather than…
The impact on soma and psyche
There is a profound difference between the complexity of cosmetic surgery or organ transplant procedures, for example, and other operations. Whilst procedures such as hair transplants or eyelid surgery present an alteration to the owner's body composition and changes to the patient's outlook, those changes were desired and planned for, in the hope that something marvellous will result and so…
A surprise surge in 'stranger' organ donations
A rapid rise in 'altruistic donations', i.e. strangers having a kidney removed for an unknown patient, has been reported by the UK's Human Tissue Authority (HTA). Although there have been just 15 stranger donations (three still await surgery),
When donors are not forthcoming
Expectations ran high when the German Transplant Law (TPG) was introduced in 1997. The government felt it had done its part to ensure more legal certainty for the donation, removal and transplantation of organs: the population could feel encouraged to sign up for organ donation and was supposed to follow suit. However, this did not occur.
World Congress of Nephrology
22-26 May Milan, Italy
Surgical checklist saves lives
As part of a global Safe Surgery Saves Lives programme, a simple, short checklist of guidelines for safe surgical procedures developed by the World Alliance for Patient Safety of World Health Organization (WHO) has produced dramatic results in the first eight hospitals that tested it.
Trends in image-guided therapy
In the sixth in his series for European Hospital, Professor Stefan Schönberg (left) of the Institute of Clinical Radiology and Nuclear Medicine (IKRN), University Hospital Mannheim, Medical Faculty of Mannheim, University of Heidelberg, invited colleagues from Mannheim and Vienna for a round-table discussion on:
Slow frozen liver successfully transplanted
A slow frozen pig's liver has been thawed without damage and successfully transplanted into another pig, according to Israeli scientists (initial results published in Rejuvenation Research, followed by the journal New Scientist).
Lifebridge B2T
Worldwide interest in portable systems for cardiopulmonary support has grown significantly. While some systems are at the brink of market introduction, German company Lifebridge Medizintechnik AG reports that it is 'at the top of this medical technology market', for its smallest, lightest (18kg) system, Lifebridge B2T ('Bridge to Therapy') has been in clinical use since the beginning of 2008.…
Philips and Neuronexus to research next generation deep brain stimulation device
NeuroNexus Technologies and Philips Research announced that they have signed a joint research agreement to develop next-generation deep brain stimulation devices with the ambition to improve the treatment of neurological diseases and psychiatric disorders.
Top award for brain-controlled neuroprostheses
We will use the grasping reflex - one of the first reflexes a baby utilises - without thinking for the rest of our lives. However, for those who suffer spinal cord injury of the cervical region, the upper extremities are affected along with the ability to grasp.
Insulin-Produktion dank transplantierter Zellen
Die erste am Universitätsklinikum Carl Gustav Carus vorgenommene Transplantation von Inselzellen aus einer Bauchspeicheldrüse verlief erfolgreich: Zwei Wochen nach dem Eingriff bildet die seit 51 Jahren an Diabetes Typ 1 erkrankte Patientin wieder körpereigenes Insulin. Die Transplantation ist Ergebnis einer über zwei Jahre dauernden, aufwendigen Aufbauarbeit an Uniklinikum und Medizinischer…
Umbilical cord blood bank opens
The Anthony Nolan Trust Cord Blood Bank and combined research institute, opened in September at Nottingham Trent University, will store stem cells from the blood of newborn babies' umbilical cords as part of a multi-million pound project that aims to bank 50,000 cord bloods.
Autologous cartilage transplantation
Advances in the treatment of cartilage injuries to the knee are very noteworthy. The decisive breakthrough must have been the development of the self-resorbing, bilayer collagen membrane (Chondro-Gide) by Geistlich in Switzerland.
A new tool for European patients
Last week, the Commissioner for Health, Androulla Vassiliou launched the 'Europe for Patients' campaign in Brussels. The campaign highlights the different health policy initiatives the Commission intends to adopt in the coming months. All these initiatives are bound by a common goal: better healthcare for all in Europe.
