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Significant variation in heart valve banking practice.
Zahra, Sharon; Galea, George; Jashari, Ramadan; Petit, Pieter; de By, Theo M M H.
Afiliación
  • Zahra S; Scottish National Blood Transfusion Service, The Jack Copland Centre, 52 Research Avenue North, Heriot-Watt Research Park, Edinburgh, EH14 4BE, UK. szahra@nhs.net.
  • Galea G; National Blood Transfusion Service, Pietà, Malta.
  • Jashari R; European Homograft Bank St. Jean Clinique, Brussels, Belgium.
  • Petit P; Foundation of European Tissue Banks, Berlin, Germany.
  • de By TMMH; Erasmus Medisch Centrum, Rotterdam, The Netherlands.
Eur J Clin Microbiol Infect Dis ; 38(8): 1491-1498, 2019 Aug.
Article en En | MEDLINE | ID: mdl-31081536
The European Blood Alliance (EBA) Tissue and Cells annual benchmarking exercise identified that in 2014, the heart valve (HV) discard rate in tissue establishments (TEs) run by EBA members was between 19 and 65%. Given this significant discard rate, a decision was taken to carry out a worldwide data-gathering exercise to assess the processing methodology in different TEs. In collaboration with the Foundation of European Tissue Banks, a questionnaire asking for the details on HV processing was sent to TEs worldwide. Nineteen questionnaires were received back from 15 European TEs and 4 non-European TEs. The data provided confirmed a significant discard rate of HVs with 43-50% of aortic valves and 20-32% of pulmonary valves being discarded in 2015. The causes of HV discard varied, with microbiology contamination, anatomical and medical reasons being the main causes. This data-gathering exercise highlighted significant variations in practice in different TEs including how donor suitability is assessed, critical timings for heart retrieval and processing, heart rinsing, HV decontamination protocols and methods of microbiological testing. To reduce the discard rates, there are several aspects of HV banking that could be validated and standardised. Here, we report the findings of this data-gathering exercise. We consider this a first step that will help lead to standardising HV banking.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bancos de Tejidos / Descontaminación / Válvulas Cardíacas Tipo de estudio: Guideline / Prognostic_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Eur J Clin Microbiol Infect Dis Asunto de la revista: DOENCAS TRANSMISSIVEIS / MICROBIOLOGIA Año: 2019 Tipo del documento: Article Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bancos de Tejidos / Descontaminación / Válvulas Cardíacas Tipo de estudio: Guideline / Prognostic_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Eur J Clin Microbiol Infect Dis Asunto de la revista: DOENCAS TRANSMISSIVEIS / MICROBIOLOGIA Año: 2019 Tipo del documento: Article Pais de publicación: Alemania