Organization model for allotransplantations of cryopreserved vascular grafts in Czech Republic
Language English Country Netherlands Media print-electronic
Document type Journal Article
PubMed
29502254
DOI
10.1007/s10561-018-9691-4
PII: 10.1007/s10561-018-9691-4
Knihovny.cz E-resources
- Keywords
- Cryopreservation, Organization model, Tissue transplantation, Vascular allograft,
- MeSH
- Blood Vessels physiology transplantation MeSH
- Transplantation, Homologous economics legislation & jurisprudence methods MeSH
- Cryopreservation * economics methods MeSH
- Humans MeSH
- Quality Control MeSH
- Vascular Grafting * economics legislation & jurisprudence methods MeSH
- Tissue Preservation economics methods MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Czech Republic MeSH
The transplantation of fresh or cryopreserved vascular allografts in patients with a prosthetic graft infection or critical limb ischemia is necessary for their limb salvage and, in many cases, represents a lifesaving procedure. While transplantation of fresh allografts has a long history in the Czech Republic, the standard use of cryopreserved vascular allografts was introduced into the clinical practice in 2011 as a result of the implementation of EU Directive 2004/23/EC into national legislation (Human Cell and Tissue Act No. 296/2008 Coll.). The authors present an organizational model based on cooperation between the majority of Czech Transplant Centers with a tissue establishment licensed by the national competent authority. In various points, we are addressing individual aspects of experimental and clinical studies which affect clinical practice. Based on experimental and clinical work, the first validation of cryopreserved arterial and venous grafts for clinical use was performed between 2011 and 2013. The growing number of centers participating in this programme led to a growing number of patients who underwent transplantation of vascular allografts. In 2015 the numbers of transplanted fresh versus cryopreserved allografts in the Czech Republic were almost equal. Cooperation of the participating centers in the Czech Republic with the licensed Tissue Establishment made it possible to achieve a full compliance with the European Union Directives, and harmonized national legal norms and assured a high quality of cryopreserved vascular allografts.
Center of Cardiovascular Surgery and Transplantations Brno Brno Czech Republic
Department of Transplantation and Tissue Bank University Hospital Motol Prague Czech Republic
Department of Vascular Surgery Na Homolce Hospital Prague Czech Republic
Tissue Bank University Hospital Hradec Králové Hradec Králové Czech Republic
References provided by Crossref.org
