{"id":23077,"date":"2020-12-03T11:43:12","date_gmt":"2020-12-03T10:43:12","guid":{"rendered":"https:\/\/devhml.givememore.net\/?p=19875"},"modified":"2022-05-02T15:34:01","modified_gmt":"2022-05-02T13:34:01","slug":"transplantations-pulmonaires-une-activite-maintenue-et-securisee-grace-a-une-reorganisation-anticipee-en-amont-de-la-2e-vague-depidemie","status":"publish","type":"post","link":"https:\/\/devhml.givememore.net\/transplantations-pulmonaires-une-activite-maintenue-et-securisee-grace-a-une-reorganisation-anticipee-en-amont-de-la-2e-vague-depidemie\/","title":{"rendered":"Transplantations pulmonaires : une activit\u00e9 maintenue et s\u00e9curis\u00e9e, gr\u00e2ce \u00e0 une r\u00e9organisation anticip\u00e9e en amont de la 2e vague d\u2019\u00e9pid\u00e9mie"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Paris, le 2 d\u00e9cembre 2020 -Tandis que la crise sanitaire en lien avec le Covid-19 a fait chuter l\u2019activit\u00e9 de transplantation pulmonaire de 30% en moyenne en France, l\u2019h\u00f4pital Marie-Lannelongue (HML), Groupe Hospitalier Paris Saint-Joseph, a pu maintenir son niveau d\u2019excellence et ses interventions de transplantation cet automne. Ceci, gr\u00e2ce \u00e0 la r\u00e9partition de prises en charge avec l\u2019h\u00f4pital Paris Saint-Joseph (HPSJ) au cours de cette seconde vague d\u2019\u00e9pid\u00e9mie.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">L\u2019H\u00f4pital Marie-Lannelongue figure parmi les 3 premiers centres fran\u00e7ais en mati\u00e8re de transplantation pulmonaire : quelque 50 greffes auront \u00e9t\u00e9 r\u00e9alis\u00e9es en 2020, un chiffre similaire \u00e0 2018 et 2019.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Au GHPSJ, une r\u00e9organisation bi-sites au service de la s\u00e9curit\u00e9 des malades<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">L\u2019activit\u00e9 de transplantation pulmonaire s\u2019adresse \u00e0 des patients souffrant de pathologies respiratoires terminales, pour lesquelles toute agression suppl\u00e9mentaire telle qu\u2019une infection virale, peut engager leur pronostic vital dans la p\u00e9riode pr\u00e9c\u00e9dent ou suivant l\u2019intervention. Ce risque a donc g\u00e9n\u00e9r\u00e9 une r\u00e9flexion concernant les conditions du maintien de cette activit\u00e9 pendant la crise. Parall\u00e8lement, la crise sanitaire par la sollicitation extr\u00eame des moyens hospitaliers, en particulier en r\u00e9animation a profond\u00e9ment affect\u00e9 les capacit\u00e9s des centres de transplantation pulmonaire dans leurs capacit\u00e9s \u00e0 poursuivre leur activit\u00e9 lors de la premi\u00e8re vague.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">De mani\u00e8re in\u00e9dite, d\u00e8s la fin de l\u2019\u00e9t\u00e9, le Groupe Hospitalier Paris Saint-Joseph a dessin\u00e9 les contours d\u2019une prise en charge compartiment\u00e9e de l\u2019activit\u00e9 de COVID-19 sur le site Saint-Joseph et de l\u2019activit\u00e9 de transplantation sur celui de Marie-Lannelongue, assurant une parfaite \u00e9tanch\u00e9it\u00e9 de la th\u00e9matique infectieuse et une sanctuarisation de l\u2019activit\u00e9 de greffe.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Au GHPSJ, \u00ab <em>la collaboration bi-sites entre l\u2019h\u00f4pital Marie-Lannelongue et l\u2019h\u00f4pital Paris Saint-Joseph a permis de pr\u00e9server l\u2019activit\u00e9, s\u00e9curiser plus drastiquement la prise en charge des personnes transplant\u00e9es. Ils ont \u00e9t\u00e9 tenus \u00e0 distance des malades Covid-19, accueillis en r\u00e9animation \u00e0 l\u2019h\u00f4pital Paris saint-Joseph<\/em> \u00bb, commente le Pr Olaf Mercier, adjoint du Pr Elie Fadel, qui dirige le service de chirurgie thoracique, vasculaire et transplantation de l\u2019h\u00f4pital Marie-Lannelongue. \u00ab <em>Ainsi, nous avons pu r\u00e9pondre \u00e0 toutes les demandes de greffe en attente, et am\u00e9liorer la vie des 47 malades greff\u00e9s \u00e0 HML depuis le d\u00e9but de l\u2019ann\u00e9e. D\u2019autres le seront encore au cours du mois de d\u00e9cembre<\/em> \u00bb.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u00ab Aucun patient n\u2019a contract\u00e9 le Covid-19 lors des interventions de transplantation \u00bb<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Dr J\u00e9r\u00f4me Le Pavec, m\u00e9decin pneumologue \u00e0 l\u2019h\u00f4pital Marie-Lannelongue, se f\u00e9licite : \u00ab <em>Nous avons r\u00e9pondu aux besoins et \u00e0 l\u2019urgence avec pragmatisme. Aucun patient transplant\u00e9 n\u2019a contract\u00e9 le Covid-19 durant cette p\u00e9riode. Aucun patient n\u2019est d\u00e9c\u00e9d\u00e9 sur liste en attente de transplantation<\/em> \u00bb.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Le service de transplantation pulmonaire de l\u2019h\u00f4pital Marie-Lannelongue au Plessis Robinson (92) est notamment reconnu pour sa prise en charge des patients souffrant d\u2019hypertension art\u00e9rielle pulmonaire (HTAP), maladie rare touchant \u00e0 la fois les poumons et le c\u0153ur, qui concerne des patients souvent jeunes dont l\u2019\u00e9tat peut s\u2019aggraver brutalement et n\u00e9cessiter une greffe en urgence. Ceux-ci b\u00e9n\u00e9ficient de comp\u00e9tences de pointe et d\u2019une technicit\u00e9 particuli\u00e8re de transplantation et de r\u00e9animation, leur permettant ainsi de n\u2019\u2019\u00eatre le plus souvent possible transplant\u00e9s que des poumons, et que le c\u0153ur puisse \u00eatre allou\u00e9 \u00e0 un autre receveur. Pour certaines pathologies cardiaques complexes, la transplantation c\u0153ur-poumon, l\u2019autre domaine d\u2019expertise du service, reste in\u00e9vitable : une cinquantaine ont lieu dans le monde chaque ann\u00e9e, dont une dizaine en France, et la moiti\u00e9 \u00e0 HML.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"text-decoration: underline\"><strong><a href=\"https:\/\/devfhpsj.givememore.net\/wp-content\/uploads\/2020\/12\/cp-ghpsj_maintien-activite-transplantations_bilan-2e-vague-covid_02-12-20.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Lire le communiqu\u00e9<\/a><\/strong><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Au GHPSJ, une r\u00e9organisation bi-sites au service de la s\u00e9curit\u00e9 des malades<\/p>\n","protected":false},"author":25,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"disabled","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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