Second-opinion stress tele-echocardiography for the Adonhers (Aged donor heart rescue by stress echo) project
| Autor: | Italo Calamai, Serafina Valente, Emilio Pasanisi, Daniele Franchi, Stefania Sansoni, Eugenio Picano, Davide Cini, Giuseppe Barletta, Giorgio Arpesella, Caterina Ricci, Walter Serra, Tonino Bombardini, Sonia Gherardi |
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| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_treatment Vasodilator Agents 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Referral and Consultation Aged Heart transplantation business.industry Research Echo (computing) Second opinion General Medicine Dipyridamole Middle Aged medicine.disease Candidate donor Telemedicine Tissue Donors Marginal donor Donor heart Stress Echo Radiology Nuclear Medicine and imaging lcsh:RC666-701 Heart Transplantation Medical emergency Heart donor business Cardiology and Cardiovascular Medicine Echocardiography Stress |
| Zdroj: | Cardiovascular Ultrasound, Vol 8, Iss 1, p 20 (2010) Cardiovascular Ultrasound |
| ISSN: | 1476-7120 |
| Popis: | Background To resolve the current shortage of donor hearts, we established the Adonhers protocol. An upward shift of the donor age cut-off limit (from the present 55 to 65 years) is acceptable if a stress echo screening on the candidate donor heart is normal. This study aimed to verify feasibility of a "second opinion" of digitally transferred images of stress echo results to minimize technical variability in selection of aged donor hearts for heart transplant. Methods The informatics infrastructure was created for a core lab reading with a second opinion from the Pisa stress echo lab. To test the system, simulation standard stress echo cineloops were sent digitally from 5 peripheral labs to the central core lab. Starting January 2009, real marginal donor stress echos were sent via internet to the central core echo lab, Pisa, for a second opinion before heart transplant. Results In the simulation protocol, 30 dipyridamole stress echocardiograms were sent from the five peripheral echo labs to the central core lab in Pisa. Both the echo images and reports were correctly uploaded in the web system and sent to the core echo lab; the second opinion evaluation was obtained in all cases (100% feasibility). In the transplant protocol, eight donor cases were sent to the Pisa core lab for the second opinion protocol, and six of them were transplanted in marginal recipients. Conclusions Second-Opinion Stress Tele-Echocardiography can effectively be performed in a network aimed to safely expand the heart donor pool for heart transplant. |
| Databáze: | OpenAIRE |
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