Publications by authors named "G Fadel"

Article Synopsis
  • Heart transplantation is crucial for patients with advanced heart failure, but there's a shortage of donor organs, leading to the increased use of extended criteria donors (ECD).
  • Many ECDs at risk for coronary artery disease do not undergo standard coronary angiography, resulting in some hearts being declined or procured without proper screening.
  • The described protocol demonstrates a new method for performing coronary angiography during normothermic ex-situ heart perfusion (NESP), showing it to be reproducible without affecting heart viability and potentially improving ECD procurement rates.
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Background: Pleuroparenchymal fibroelastosis (PPFE) has no currently available specific treatment. Benefits of lung transplantation (LT) for PPFE are poorly documented.

Methods: We conducted a nation-wide multicentric retrospective study in patients who underwent lung or heart-lung transplantation for chronic end-stage lung disease secondary to PPFE between 2012 and 2022 in France.

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Article Synopsis
  • A study was conducted to assess the training of thoracic surgeons-in-training in robotic-assisted thoracic surgery (RATS) across France, gathering responses from 101 participants.
  • Over half of the trainees had access to robotic systems, with a significant number considering robotic training essential, though only a small percentage had performed a complete procedure independently.
  • The findings suggest that training opportunities vary by institution, with higher exposure and performance among fellows at high-volume centers, highlighting the need for increased access and simulation training to improve skills in RATS.
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Background: The French national protocol for controlled donation after circulatory determination of death (cDCD) includes normothermic regional perfusion (NRP) in case of abdominal organ procurement and additional ex-vivo lung perfusion (EVLP) before considering lung transplantation (LT).

Methods: We made a retrospective study of a prospective registry that included all donors considered for cDCD LT from the beginning of the program in May 2016 to November 2021.

Results: One hundred grafts from 14 donor hospitals were accepted by 6 LT centers.

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