Report 2017 - FBTV Fondazione Banca dei Tessuti di Treviso Onlus - fbtv-treviso.org
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“To improve the quality of life of patients who need tissues for transplant, by harvesting, processing and distributing graftable tissues”
FBTV Report Fondazione Banca dei Tessuti di Treviso Onlus 2017 2 > Letter from the Regional Transplantation Coordinator __________________________________________________ 3 > Letter from the President __________________________________________________ 4 > Treviso Tissue Bank Foundation __________________________________________________ 5 > Procurement __________________________________________________ 10 > Distribution __________________________________________________ 14 > Scientific activities __________________________________________________ 15 > Publications __________________________________________________ 16 > Communication I Training __________________________________________________ 18 > EATB Congress __________________________________________________ 20 > Quality management system I Other activities __________________________________________________ 21 > Laboratory Report 2017 1
For the second year running I have the honour of Letter from FBTV Fondazione Banca dei Tessuti Letter from presenting the joint activity Report of the Veneto Eye Bank and Treviso Tissue Bank Foundation. the Regional FBTV di Treviso Onlus the President The Regional Transplantation Coordination Centre is satisfied with the results and synergies achieved Transplantation Fondazione Banca dei Tessuti di Treviso Onlus Towards the end of 2017, work started on building by the two organizations, both of which have long become reference centres for many transplanta- Coordinator a new laboratory for the Treviso Tissue Bank Foun- dation (FBTV). This followed a long, time-consum- tion centres in their own domains. ing, resource-intensive bureaucratic procedure, at a time when only a minority of the related imple- The increase in activities during 2017 in terms of menting decrees of the new Public Procurement tissues harvested and processed and implanta- Act (legislative decree no. DL50 dated 18 April, tions performed, is a source of great pride for all 2016) had been issued. professionals at the Regional Transplantation Sys- tem, once again confirming the level of absolute It is very comforting to know that, as from next excellence at the national level and beyond. This year, FBTV will be equipped not only with state- growth has enabled the goal of 100,000 cornea of-the-art laboratories, but also with new tissue donations in 30 years to be achieved, which is a processing methods, including freezing, in line monumental accomplishment in terms of quality with the direction increasingly being taken in clini- the best treatments and to work in close synergy and quantity, benefitting thousands of patients. cal practice. with the procurement facilities, were formally ac- knowledged by the European Association of Tis- On behalf of the entire Regional Transplantation Sys- In 2017, FBTV confirmed its firm commitment to sue Banks. EATB tasked FBTV with organization tem, I sincerely thank all donors and their families, Local Health Care Units and Hospitals in support multi-tissue procurement, taking the lead at na- of the annual Congress and accepted its proposal without whose solidarity and generosity nothing de- of the doctors and nurses of the Hospital Trans- tional level, particularly in non-heart-beating do- to introduce clinical sessions into the event, to as- scribed in this Report would have been possible. plantation Coordination Centres who work day in nors. The simultaneous procurement of several sess the results of human tissue utilization in cur- day out, with great professionalism and empathy, tissues by a cohesive team of harvesters has many rent surgical practice. Over 340 delegates attend- I extend my warm and respectful greetings to the to respect the will of the donors and their families. advantages over the retrieval of single tissues by ed and were highly satisfied by the introduction voluntary associations who have collaborated re- different specialists. of clinical practice into this key scientific event. lentlessly with the transplantation network. By lay- My gratitude goes out to all transplant surgeons We believe the approach advocated by the tissue ing the essential groundwork, building a culture not only in Veneto but across the country and be- In 2017, 190 multi-tissue procurements were per- banks of Veneto will be shared more and more of solidarity, and providing correct information yond, who entrust the care of their patients to the formed, and figures published by the National within Europe. about transplantation, they have enabled citizens tissues processed by the two banks. This is the Transplant Centre indicate that 67% of all multi- to freely and knowingly express their desire to do- most tangible evidence of the value and profes- tissue retrievals from non-heart-beating donors The 2017 Report provides an informative over- nate. Last year’s significant results stem from a firm sionalism attributed to the two organizations. were undertaken by FBTV staff. Once again, we all view of the plethora of activities conducted at the commitment on the part of the Veneto Region’s extend our thanks to the Transplantation Network Foundation. The documented results undoubt- Finally, a special thank you goes to all staff at the of Veneto, without whose continued motivation edly stem from the professional skill of those who Eye Bank Foundation and Treviso Tissue Bank and efficient organization, championed by the Re- work in various capacities at the Tissue Bank, con- Foundation, whose work is paramount to optimiz- gional Transplantation Coordination Centre, these stantly devoting their time, energy and enthusi- ing the storage and clinical application of the pre- outstanding results could not have been achieved. asm to innovation and development. cious gift of tissues. Last year, FBTV’s continued efforts to determine I also extend my sincere thanks to the friends Many challenges await us, many patients need our joining me on the Board of Directors and to the rigorous work. We are committed to keeping up Founder of FBTV, AULSS 2 Marca Trevigiana, and the results and synergies in the year to come, to its Director, Dr. Francesco Benazzi, who very close- BOARD OF ADMINISTRATION becoming even more efficient, and to enhancing ly follows our work. Lastly, we are fully aware that collaboration yet further. FBTV is a small, but precious accomplishment of the Veneto Health Service, and we are very grate- ful to the regional governors. Dr. Giuseppe Feltrin Dr. Giuseppe Di Falco Ermanno Tristano Giancarlo Foscolo Board member Board member 2 FBTV Treviso Tissue Bank Foundation Report 2017 3
Treviso Tissue Bank Foundation Procurement Committed to improving the quality of life Multi-tissue donors FBTV Treviso Tissue Bank Foundation is a reference hospitals in the selection and organization of do- Fondazione health facility for Banca di Treviso Onlus dei Tessuti the Regions of Veneto, Friuli Venezia Giulia, Marche and the Autonomous Province of Trento, which procures, processes, nation procedures. FBTV is firmly committed to delivering services 190 “A gift of love that leaves its mark” preserves and distributes cardiac homografts, increasingly tailored to the operating needs of vascular segments, amniotic membranes and os- surgeons, stimulating the development of poten- teotendinous tissues harvested from deceased tial new applications, and increasing the number Our repository is a national reference centre. of procurements from multi-tissue and living donors, certifying their suitability and of patients who can benefit from the transplanta- At the national level, the team at FBTV has 56% donors with 3 or more types of tissue * safety. tion of homologous tissues. performed the following: Over the years the volume of activity has grown Development of the network, in synchrony with exponentially. The Foundation has become an in- the Local Hospital Coordination Centres in terms 67% of procurements from NHB donors * creasingly efficient organization, honing its skills of tissue procurement, quality and safety, has * Source of national data: “New Letters Tessuti del CNT - Attività di Donazione Tessuti Registrata nel SIT” (data updated to 15-02-2018) in the field of cryopreservation, operating in close led to the achievement of goals and related out- contact with surgeons, and providing support to comes, making FBTV one of the leading Tissue Banks in Europe and a pole of excellence. Number of donors by tissue type PROCUREMENT FBTV SKIN VASCULAR HB NHB TOTALE HB NHB TOTALE VENETO 16 39 55 VENETO 21 118 139 FRIULI VENEZIA GIULIA 3 2 5 FRIULI VENEZIA GIULIA 2 2 4 MARCHE 2 2 4 MARCHE 1 4 5 P.A. TRENTO 3 3 P.A. TRENTO 6 1 7 OTHER REGIONS 237 93 330 OTHER REGIONS 65 22 87 17% 64% HEART VALVES MUSCULOSKELETAL HB NHB TOTALE HB NHB TOTALE VENETO 11 102 113 VENETO 26 144 170 FRIULI VENEZIA GIULIA 2 2 4 FRIULI VENEZIA GIULIA 3 3 6 MARCHE 1 1 2 MARCHE 3 4 7 P.A. TRENTO 2 2 P.A. TRENTO 6 1 7 OTHER REGIONS 91 38 129 OTHER REGIONS 108 47 155 49% 54% 4 FBTV Treviso Tissue Bank Foundation Report 2017 5
Procurement Multi-tissue donors Procurement Multitissues MT Provincia Autonoma di Trento 7 Trento 190 7 6 Friuli Venezia Giulia 3 Pordenone HOSPITALS MT MT MT 3 Udine 2015 2016 2017 Veneto 170 NHB HB TOT. NHB HB TOT. NHB HB TOT. 6 Arzignano 1 Bassano del Grappa ADRIA 1 0 1 0 0 0 0 0 0 5 0 1 0 7 Belluno AGORDO 0 0 1 0 0 0 Marche ANCONA 1 2 3 4 3 7 1 2 3 1 Camposampiero 3 Ancona ARZIGNANO 3 0 3 0 0 0 5 1 6 2 Castelfranco Veneto BASSANO DEL GRAPPA 4 0 4 3 0 3 1 0 1 1 Civitanova Marche 4 Cittadella BELLUNO 4 1 5 5 0 5 5 0 5 1 Jesi CAMPOSAMPIERO 0 0 0 2 0 2 1 0 1 12 Conegliano 1 Pesaro CASTELFRANCO VENETO 4 0 4 7 0 7 2 0 2 3 Feltre 1 Urbino CHIOGGIA 1 0 1 0 0 0 0 0 0 3 Legnago CITTADELLA 1 0 1 5 0 5 4 0 4 3 Mestre CIVITANOVA MARCHE 0 0 0 0 0 0 0 1 1 CONEGLIANO VENETO 13 1 14 5 0 5 12 0 12 1 Monastier di Treviso DOLO 1 1 2 1 0 1 0 0 0 9 Montebelluna FANO 0 1 1 0 0 0 0 0 0 13 Padova FELTRE 3 0 3 2 0 2 3 0 3 5 Piove di Sacco FERMO 0 1 1 0 0 0 0 0 0 JESI 0 0 0 0 0 0 1 0 1 9 Rovigo LEGNAGO 4 0 4 3 0 3 3 0 3 6 San Bonifacio 21 Treviso MESTRE 2 0 2 2 0 2 1 2 3 2 San Dona’ di Piave 11 Verona - Borgo Roma MIRANO 0 1 1 0 0 0 0 0 0 6 Santorso MONASTIER DI TREVISO 0 0 0 0 0 0 1 0 1 10 Verona - Borgo Trento 13 17 9 MONTEBELLUNA 13 0 17 0 9 0 19 Schiavonia 13 Vicenza ODERZO 1 0 1 0 0 0 0 0 0 3 Trecenta 2 Vittorio Veneto PADOVA 15 6 21 12 4 16 8 5 13 PALMANOVA 2 0 2 0 0 0 0 0 0 PESARO 2 1 3 2 1 3 1 0 1 PIOVE DI SACCO 5 0 5 4 0 4 5 0 5 PORDENONE 3 4 7 4 1 5 2 1 3 Organizing staff dedicated to procurement, in close collaboration with the Hospital Transplantation ROVERETO 0 0 0 0 1 1 0 0 0 Coordination Centres, has produced results unmatched elsewhere in Italy. ROVIGO 6 0 6 6 0 6 7 2 9 SAN BONIFACIO 0 0 0 1 0 1 6 0 6 SAN DONA’ DI PIAVE 0 0 0 1 0 1 2 0 2 “Our organization can now harvest not SAN VITO AL TAGLIAMENTO SANTORSO 0 6 0 0 0 6 1 5 0 0 1 5 0 6 0 0 0 6 only cardiovascular and osteotendinous SCHIAVONIA 14 0 14 17 0 17 19 0 19 tissues, but also skin and corneas, with a TRECENTA 0 0 0 2 0 2 3 0 3 TRENTO 2 1 3 0 4 4 1 6 7 view to optimizing timing and resources. TREVISO 16 7 23 26 6 32 14 7 21 This would not be possible without the TRIESTE 0 1 1 0 0 0 0 0 0 professionalism achieved by the entire UDINE 1 2 3 0 3 3 1 2 3 URBINO 1 0 1 2 0 2 1 0 1 procurement team” VERONA - Borgo Roma 8 0 8 7 1 8 11 0 11 Alessandro Tugnoli VERONA - Borgo Trento 6 3 9 6 8 14 3 7 10 VICENZA 9 4 13 9 3 12 11 2 13 Head of the Procurement Team VITTORIO VENETO 7 0 7 4 0 4 2 2 TOTAL 159 37 196 166 35 201 152 38 190 6 FBTV Treviso Tissue Bank Foundation Report 2017 7
Living donors Living donors Living donors 2015 2016 2017 HOSPITALS Femur Saphenous Cranial Femur Saphenous Cranial Femur Saphenous Cranial 1145 Placentas heads veins opercula Tot. Placentas heads veins opercula Tot. Placentas heads veins opercula Tot. ADRIA 0 9 3 0 12 0 9 6 0 15 0 17 0 0 17 AGORDO 0 0 4 0 4 0 0 4 0 4 0 4 1 0 5 1382 ARCO 19 0 16 0 35 11 0 0 0 11 0 0 0 0 0 1350 1334 ASIAGO 0 2 9 0 11 0 7 4 0 11 0 12 0 0 12 1216 1232 BASSANO DEL GRAPPA 0 49 29 0 78 0 61 42 0 103 0 36 35 0 71 1169 1145 BELLUNO 4 6 0 1 11 28 20 0 1 49 36 15 0 3 54 “The living gift of life” 1040 BUSSOLENGO CAMERINO 0 0 16 9 17 0 0 0 33 9 0 0 11 5 12 0 0 0 23 5 0 0 4 8 9 0 0 0 13 8 CAMPOSAMPIERO 0 12 0 0 12 0 9 0 0 9 0 11 0 0 11 CASTELFRANCO VENETO 0 0 39 0 39 0 0 47 0 47 0 0 50 0 50 CAVALESE 11 2 11 0 24 3 8 11 0 22 3 4 3 0 10 CITTADELLA 0 85 40 0 125 0 110 44 0 154 0 118 40 0 158 CONEGLIANO VENETO 6 4 47 0 57 34 5 21 0 60 51 9 47 0 107 DOLO 11 7 0 0 18 8 0 0 0 8 13 11 0 0 24 FELTRE 0 21 4 0 25 0 9 2 0 11 0 24 0 0 24 GENOVA GASLINI 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 MACERATA 0 7 0 0 7 0 6 0 0 6 0 10 0 0 10 MESTRE 0 0 0 22 22 0 0 0 23 23 0 0 0 19 19 MIRANO 29 0 14 0 43 20 0 6 0 26 13 0 15 0 28 MONASTIER - CASA DI CURA 0 0 0 0 0 0 0 3 0 3 0 0 3 0 3 MONTEBELLUNA 0 12 0 0 12 0 13 0 0 13 0 11 0 0 11 2010 2011 2012 2013 2014 2015 2016 2017 NAPOLI - SANTOBONO 0 0 0 6 6 0 0 0 7 7 0 0 0 4 4 TISSUES COLLECTED PADOVA AZIENDA OSPEDALIERA 9 0 0 20 29 34 0 0 29 63 34 0 0 31 65 BY PERCENTAGE PAVIA SAN MATTEO 10 0 0 0 10 8 0 0 0 8 0 0 0 0 0 PIOVE DI SACCO 0 9 32 0 41 0 2 40 0 42 0 12 48 0 60 PORDENONE 0 2 0 0 2 0 4 0 0 4 0 0 0 0 0 PORTO VIRO 0 15 22 0 37 0 15 17 0 32 0 17 16 0 33 PORTOGRUARO 0 1 0 0 1 0 25 0 0 25 0 30 0 0 30 ROVIGO 8 0 0 3 11 1 0 0 7 8 0 0 0 12 12 SAN BONIFACIO 0 2 26 0 28 0 11 31 0 42 0 4 4 0 8 SAN DANIELE DEL FRIULI 0 29 0 0 29 0 41 0 0 41 0 37 0 0 37 SAN DONA’ DI PIAVE 0 0 10 0 10 0 3 15 0 18 0 4 9 0 13 43% 28% 17% 12% SCHIAVONIA 0 13 0 0 13 0 16 0 0 16 0 24 0 0 24 Femur Saphenous Placentas Cranial TIONE 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 TOLMEZZO 0 42 1 0 43 0 42 0 0 42 0 43 0 0 43 heads veins opercula TRENTO 1 0 0 14 15 0 0 0 14 14 0 0 0 13 13 TREVISO 79 0 41 15 135 78 0 39 20 137 48 0 44 23 115 TRIESTE - CATTINARA 0 0 0 4 4 0 0 0 8 8 0 0 0 4 4 UDINE 0 13 0 4 17 0 16 0 2 18 0 25 0 6 31 VICENZA 0 0 0 12 12 0 0 0 18 18 0 0 0 14 14 VITTORIO VENETO 0 5 10 0 15 8 4 11 0 23 0 1 2 0 3 Living donation is the result of close synergy and Below are the percentage of all national TOTAL 191 372 375 102 1040 233 452 355 129 1169 198 491 326 130 1145 collaboration between all players involved in the data entered by FBTV in the Transplant process. The key players in the procurement phase Information System (SIT) are the wards where the tissues are harvested, the Local Hospital Coordination Centres (COT), and 71% 100% Treviso Tissue Bank Foundation. Placentas Saphenous veins 8 FBTV Treviso Tissue Bank Foundation Report 2017 9
Distribution Veneto Cardiac Vascular Amniotic Osteo- Nerves Lyophilised Imported Cranial Tot. Tissues Tissues Membrane tendinous Tissues Lyophilised Opercula Distributed FBTV Tissues Center tissues ABANO TERME - Casa di Cura Abano Terme 67 67 ADRIA - Ospedale di Adria 5 5 5954 AGORDO - Ospedale di Agordo 15 15 ALTAVILLA VICENTINA - Sanimedica 1 1 ASIAGO - Ospedale di Asiago 6 5 11 BASSANO DEL GRAPPA - Ospedale di Bassano Del Grappa 12 21 33 BELLUNO - Ospedale di Belluno“San Martino” 12 1 13 BUSSOLENGO - Ospedale Orlandi - Bussolengo 23 48 71 Cardiac CAMPOSAMPIERO - Ospedale di Camposampiero 1 26 26 11 64 Tissues 2% CASTELFRANCO VENETO - Ospedale di Castelfranco Veneto 159 159 CHIOGGIA - Ospedale di Chioggia 32 32 Vascular Tissues 5% CITTADELLA - Ospedale di Cittadella 32 32 “FBTV: Donations Amniotic CONEGLIANO - Ospedale di Conegliano CORTINA D’AMPEZZO - Osp.Codivilla - Putti 68 15 68 15 9% building hope Tissues DOLO - Ospedale Civile di Dolo 14 14 FELTRE - Ospedale di Feltre 37 37 of improvement” Osteotendinous Tissues 60% LEGNAGO - Ospedale Mater Salutis Legnago 2 2 MESTRE-VENEZIA - Ospedale di Mestre “Dell’ Angelo” 15 100 7 3 9 134 FBTV 21% MESTRE-VENEZIA - Casa di Cura Policlinico San Marco 60 60 Lyophilised Tissues MESTRE-VENEZIA - Ospedale Villa Salus-Congregazione Suore Mantellate 4 4 MIRANO - Ospedale di Mirano 7 7 Imported 2% Lyophilised Tissues MONASTIER DI TREVISO - Casa di Cura Giovanni XXIII 5 1 216 222 MONSELICE - Ospedali Riuniti Padova Sud Madre Teresa di Calcutta 36 36 Cranial 1% MONTEBELLUNA - Ospedale di Montebelluna 28 28 opercula MONTECCHIO MAGGIORE - Ospedale di Montecchio Maggiore 14 14 NEGRAR - Ospedale Sacro Cuore Don Calabria Negrar 1 311 9 1 322 NOVENTA VICENTINA - Ospedale di Noventa Vicentina 4 4 OCCHIOBELLO - Casa di Cura S.M. Maddalena 3 3 ODERZO - Ospedale di Oderzo 34 12 46 EXTRA PADOVA - Az. Osp. di Padova 7 4 62 118 70 20 19 300 VENETO 62% VENETO 38% PADOVA - Casa di Cura Diaz 14 14 2009 5017 PADOVA - Ospedale di Padova “San Antonio” 8 8 PADOVA - Centro Medico di Foniatria 2 2 2010 5131 Cardiac 34 91 PESCHIERA DEL GARDA - Casa di Cura Polispecialistica Dr. Pederzoli 4 6 10 Tissues PIOVE DI SACCO - Ospedale di Piove di Sacco 1 1 PORTO VIRO - Casa di Cura Madonna della Salute 1 0 1 2011 5455 PORTOGRUARO - Ospedale di Portogruaro 4 15 19 Vascular 268 57 Tissues ROVIGO - Ospedale di Rovigo S. M. della Misericordia 5 21 7 33 2012 5730 SAN BONIFACIO - Ospedale di San Bonifacio 2 3 5 SAN DONA’ DI PIAVE - Ospedale di San Dona’ di Piave 7 7 Amniotic 473 60 SAN DONA’ DI PIAVE - Casa di Cura Sileno e Anna Rizzola 2 2 2013 5525 Tissues SANTORSO - Ospedale Santorso 1 23 24 STUDI DENTISTICI VENETO 0 0 0 387 0 189 0 0 576 Osteotendinous 2014 5802 Tissues 2327 1147 TREVISO - Ospedale Ca’ Foncello di Treviso 1 86 40 130 43 11 311 VALDAGNO - Ospedale di Valdagno 3 3 FBTV VENEZIA - Fondazione Banca Degli Occhi 369 369 2015 5828 Lyophilised 479 797 VENEZIA - Ospedale di Venezia 15 15 Tissues VERONA - Ospedale Civile Maggiore di Verona Borgo Trento 10 124 43 7 1 185 2016 5771 Imported VERONA - Ospedale di Verona Borgo Roma G.B. Rossi 9 61 1 71 Lyophilised 58 88 VERONA - Casa di Cura San Francesco 33 33 Tissues VICENZA - Ospedale di Vicenza “San Bortolo” 20 1 64 1 27 19 7 139 2017 5954 VICENZA - Casa di Cura Villa Berica 13 13 Cranial opercula 55 20 VICENZA - Casa di Cura Eretenia 10 10 VITTORIO VENETO - Ospedale di Vittorio Veneto 24 24 TOTAL 34 268 473 2318 9 479 58 55 3694 10 FBTV Treviso Tissue Bank Foundation Report 2017 11
Friuli Venezia Giulia Provincia Autonoma di Trento Cardiac Vascular Amniotic Osteo- Nerves Lyophilised Imported Cranial Tot. Cardiac Vascular Amniotic Osteo- Nerves Lyophilised Imported Cranial Tot. Tissues Tissues Membrane tendinous Tissues Lyophilised Opercula FBTV Tissues Center Tissues Tissues Membrane tendinous Tissues Lyophilised Opercula FBTV Tissues Center AVIANO - Centro Oncologico 1 1 CAVALESE - Ospedale di Cavalese 4 4 CIVIDALE DEL FRIULI - Az. Ospedaliera Universita’ di Udine 1 1 ROVERETO - Ospedale di Rovereto 36 1 37 GORIZIA - Ospedale Civile San Giovanni di Dio 6 4 10 TRENTO - Ospedale “Santa Chiara” 1 22 2 8 33 LATISANA - Ospedale di Latisana 39 39 TRENTO - Casa di Cura Villa Bianca Spa 7 7 MONFALCONE - Ospedale di Monfalcone 23 6 29 STUDI DENTISTICI PROVINCIA AUTONOMA DI TRENTO 18 190 208 PALMANOVA - Ospedale di Palmanova 12 12 TOTAL 0 1 0 87 0 193 0 8 289 PORDENONE - Az. Osp. “S. Maria Degli Angeli” 43 1 44 PORDENONE - Policlinico S. Giorgio 41 41 SAN DANIELE DEL FRIULI - Ospedale di S. Daniele del Friuli 25 3 28 SAN VITO AL TAGLIAMENTO - Ospedale di San Vito Al Tagliamento SPILIMBERGO - Ospedale di Spilimbergo 5 12 5 12 Other Regions STUDI DENTISTICI FRIULI 59 2 61 TOLMEZZO - Ospedale di Tolmezzo 5 31 36 Cardiac Vascular Amniotic Osteo- Nerves Lyophilised Imported Cranial Tot. TRIESTE - IRCCS Burlo Garofolo 76 76 Tissues Tissues Membrane tendinous Tissues Lyophilised Opercula FBTV Tissues TRIESTE - Ospedale di Trieste “Cattinara” 12 4 16 TRIESTE - Policlinico Triestino Spa Casa di Cura 4 4 Center TRIESTE - Ospedale Maggiore di Trieste 1 1 ABRUZZO 20 14 34 UDINE - Az. Osp. S.Maria Misericordia Udine 70 19 2 91 ALTO ADIGE 11 4 28 43 UDINE - Casa di Cura Citta’ di Udine 13 13 CALABRIA 15 15 TOTAL 0 5 0 473 1 35 0 6 520 CAMPANIA 22 1 4 27 EMILIA ROMAGNA 23 33 9 1 66 LAZIO 60 3 7 41 54 165 LIGURIA 3 54 133 2 192 LOMBARDIA 8 194 195 7 1 405 MOLISE 5 5 PIEMONTE 1 4 7 1 1 14 PUGLIA 4 5 10 19 Marche SARDEGNA SICILIA 6 30 3 26 35 77 9 168 TOSCANA 12 2 54 19 87 Cardiac Vascular Amniotic Osteo- Nerves Lyophilised Imported Cranial Tot. UMBRIA 16 16 Tissues Tissues Membrane tendinous Tissues Lyophilised Opercula FBTV Tissues TOTAL 82 51 41 471 0 526 88 6 1265 Center ASCOLI PICENO - Casa di Cura Villa San Marco 1 1 CIVITANOVA MARCHE - Casa di Cura Villa Dei Pini 13 13 FABRIANO - Ospedale di Fabriano FANO - Ospedale Civile di Fano 2 8 2 8 Abroad FERMO - Casa di Cura Villa Verde 6 6 JESI - Ospedale Carlo Urbani 1 1 Cardiac Vascular Amniotic Osteo- Nerves Lyophilised Imported Cranial Tot. OSIMO - Ospedale di Osimo 1 1 Tissues Tissues Membrane tendinous Tissues Lyophilised Opercula PESARO - Ospedale San Salvatore 3 11 14 FBTV Tissues SENIGALLIA - Ospedale di Senigallia 2 2 Center TORRETTE DI ANCONA - OspedalI Riuniti 3 19 48 32 102 REPUBBLICA DI SAN MARINO 24 24 URBINO - Ospedale “S. Maria Della Misericordia” 6 6 INGHILTERRA 6 6 TOTAL 3 0 19 91 0 43 0 0 156 TOTAL 6 0 0 24 0 0 0 0 30 12 FBTV Treviso Tissue Bank Foundation Report 2017 13
Scientific activity Treatment of Maxillofacial Pathologies In 2017 FBTV actively participated in many clinical studies, including partnerships in international research groups. Central to the Foundation’s development strategy is the exchange of best practices with surge- CLINICAL STUDY ons, the research community and institutions, with a view to working towards translation into therapeutic Department of Maxillofacial Surgery practice. Scientific activity is focused on projects, clinical and observational studies. Dr. Luca Guarda Nardini Dr. Mirko Ragazzo Treatment with amniotic membrane of Collaborating partner of the National The aim of the study is to assess the efficacy of chronic skin ulcers of the lower extremities applying amniotic membranes to the treatment of Transplantation Centre in the Euro-GTP II in patients with diabetes mellitus temporomandibular arthritis and osteonecrosis project, “Good Practices for demonstra- associated with bisphosphonates. OBSERVATIONAL STUDY ting safety and quality through recipient In collaboration with: follow-up,” of the 3rd Health Programme. Università degli Studi di Catania / Azienda “The results obtained since I started Ospedaliera Universitaria Policlinico Vittorio Emanuele The aim of the project is to implement good practices Prof. Antonino Grasso using amniotic membranes in the treat- applied to tissues and cells to guarantee the safety ment of temporomandibular joint arthritis and efficacy of treatments using homologous tissues. The aim of the study is to analyse and quantify the are so satisfactory that I hope to be able efficacy of amniotic membranes in the treatment of chronic diabetic skin ulcers. to optimally solve this problem” Lipofilling with cryopreserved adipose Dr. Luca Guarda Nardini tissue after breast reconstruction with “We are very satisfied to observe that prosthetic implants numerous patients treated with amniotic CLINICAL STUDY “In the maxillofacial field, particularly in membranes healed earlier with a major Validation of the current protocol osteonecrosis associated with biophos- reduction in discomfort associated with phonates, amniotic membranes provide lesion-related pain” In collaboration with: added healing value” Clinical Plastic Surgery Department, Padova Prof. Antonino Grasso Prof. Franco Bassetto Dr. Mirko Ragazzo U.O.C. Chirurgia Plastica, Treviso Dr. Giorgio Berna U.O.C. Clinica Chirurgia Plastica e Centro Ustioni, Analysis of the long-term outcome of am- Verona Dr. Maurizio Governa niotic membranes in dural replacement in U.O.C. Clinica Chirurgia Plastica, Udine decompressive craniectomies. Prof. Pier Camillo Parodi OBSERVATIONAL STUDY Start of study 2016 – End of study 2018 The aim of the project is to introduce an important innovative approach to the field of post-mastec- Scientific publications tomy breast reconstruction with the use of autolo- In collaboration with: gous cryopreserved tissues. Treviso General Hospital Analysis of potential factors affecting allografts Evaluation of allograft contamination and decon- Dr. Giuseppe Canova “The injection of cryopreserved adipose contamination at retrieval tamination at the Treviso Tissue Bank Foundation The aim of the study is to confirm the efficacy of tissue reduces and facilitates lipofilling Paolin A, Romualdi C, Romagnoli L, Trojan D. - A retrospective study of 11,129 tissues amniotic membranes in Neurosurgery as a homolo- procedures, with an important positive Cell Tissue Bank 2017 Oct 17 Paolin A, Trojan D, Petit P, Coato P, Rigoli R. PLoS One. 2017 Mar 7 gous replacement of the dura mater after decom- impact on patient mental and social Decellularized Cryopreserved Allografts as pressive craniectomy. well-being” Off-the-Shelf Allogeneic Alternative for Heart Management of temporomandibular joint dege- Dr. Giorgio Berna Valve Replacement: In Vitro Assessment Before nerative disorders with human amniotic membra- “In cranial openings the dura mater Clinical Translation ne: Hypothesis of action often presents serious defects; the use Iop L, Paolin A, Aguiari P, Trojan D, Cogliati E, Gerosa G. Guarda-Nardini L, Trojan D, Paolin A, Manfredini D. J Cardiovasc Transl Res 2017 Apr Med Hypotheses 2017 Jul of amniotic membrane provides bet- ter safeguards against CSF fistulae and helps reduce the risk of infection” Dr. Giuseppe Canova 14 FBTV Treviso Tissue Bank Foundation Report 2017 15
Communication / Training In 2017 FBTV: n liaised with national and local media, with appearances in the press, radio and television. n produced information tools, brochures and reports. n managed the website as a source of news and updates. “Communication is a key tool for dis- n collaborated in communications activities with local seminating correct information on the organizations. importance of tissue donation, its the- n produced a new institutional video in collaboration with AH rapeutic potential, the treatment op- Production. tions it provides, and the results that can be achieved, thereby enhancing the value of donations and optimizing clinical success” Participation at training events on tissue donation and applications: y Living donation - Casa di Cura Giovanni XXIII, Monastier y Tissue donation and grafting - ULSS 3 Serenissima y From donation to organ and tissue transplantation: clinical practice, regulations, ethics and communications - ULSS 6 Euganea Daniela Vici y Organ and tissue donation - ULSS 2 Marca Trevigiana in collaboration with the Medical Head of Association Communications y Tissue donation and grafting - In collaboration with the Hospital Coordination System of Ancona y Preclinical laboratory: organ procurement and transplantation Nursing Degree Course, Padova University y Clinical and organizational skills in procurement and transplants Transplantation Organization of Tuscany (OTT) y Project to increase tissue donations and transplants in the Region of Puglia – CRT Puglia y Regional training course for medical executives – Regional branch of the Italian Association for Healthcare staff training plays an important role in aware- the Donation of Organs, Tissues and Cells (A.I.D.O.) ness building related to tissue donation. We collaborate y Seminar on Bioethics: Donation and Transplantation - Azienda Ospedaliera di Padova. on an annual basis in the organization of training courses 24 for the Local Hospital Coordination Centres and the Public Training events Participation at courses for staff involved in procurement, in cooperation with the Public Health School Foundation. Health School Foundation, with the aim of supporting and y The multi-tissue donor promoting the culture of donation and fostering greater y The role of the morgue worker in the donation of tissues for transplantation involvement in procurement activities. The organization of and participation in training events is also designed 1300 Organization of courses in collaboration with Regional to illustrate new surgical techniques and present the re- Students involved Centre of the Marche LA LUCE DEL DONO sults obtained with the use of homologous tissue. On this y Tissue donation and grafting at the Hospitals of San Benedetto premise, in 2017, the Training and Communications Sector del Tronto, Urbino, Jesi, Macerata organized and participated in 24 training initiatives involv- ing over 1300 learners. Participation in population awareness-building days y Donation Day – Provincial A.I.D.O. of Venice y Donation Day – ULSS 4 Veneto Orientale y Organ and tissue transplantation - Valdobbiadene branch of the Italian Association for the Donation of Organs, Tissues and Cells (A.I.D.O.) Poesia e Musica Promosso dal y Celebrating AIDO. 40th anniversary of the provincial branch of Vicenza Coordinamento Ospedaliero Trapianti di Organi e Tessuti Treviso per la Cultura della Donazione Presenta Participation in the new awareness-building campaign on organ 30 Novembre 2017 Marta Marangon and tissue donation, “A choice in common” ore 20.30 Con la partecipazione di: Teatro Eden Luciano Bottos at the municipalities of: Treviso, Roncade, Zero Branco. Via Daniele Monterumici Chitarra 31100 Treviso TV Gilberto Giusto Sax Natascia Nobile Participation in organization of the event, “The light of donation” INGRESSO LIBERO Voce promoted by the Hospital Transplant Coordination System of ULSS 2 Marca Trevigiana. FBTV Fondazione Banca dei Tessuti di Treviso Onlus MONTEBELLUNA-TV FBTV Fondazione Banca dei Tessuti di Treviso Onlus 16 FBTV Treviso Tissue Bank Foundation Report 2017 17
European Tissue Bank Congress The role of TTFB at the European level was consolidated in 2017 by the assignment of the 26th Congress of EATB Kaminski Artur (Warsaw – PL) SCIENTIFIC COMMITTEE (European Association of Tissue Banks), the leading asso- Kruit Piet (Beverwijk – NL) ciation in the coordination of tissue banks within the Union’s “We were amazed by the proposal to Beele Hilde (Ghent – B) Nanni Costa Alessandro (Rome – I) 27 member states. organize the Congress but also highly Börgel Martin (Hannover – D) Paolin Adolfo (Treviso – I) Dallari Dante (Bologna – I) Ponzin Diego (Venice – I) gratified, in spite of the enormous Davies Jill (Oxford – UK) Pruss Axel (Berlin – D) Over 70 keynote speakers came together, addressing key aspects of tissue banking with their scientific contributions; organizational workload involved. Gerosa Gino (Padova – I) Sanchez Ibañez Jacinto (La Coruña – ES) We passed the assignment with flying Golubic Branka (Zagreb – HR) Trias Adroher Esteve (Barcelona – ES) but the highlight was FBTV’s novel organization of the Hennerbichler Simone (Linz – A) Zorzi Claudio (Negrar – I) event, which focused on clinical aspects, presenting scien- colours and believe we can be proud Jashari Ramadan (Brussels – B) tific evidence and new clinical applications. of the work carried out, gaining the appreciation and respect of EATB.” Hence the Congress not only provided an excellent updat- ing opportunity for tissue bank workers, but also served as a forum for clinicians keen to improve surgical outcomes. 344 Participants Dr. Adolfo Paolin 27 Health Director Participating countries 74 FBTV Abstracts 107 13 4 ITALY BELGIUM FINLAND / SOUTH AFRICA 25 12 2 NETHERLANDS SPAIN / USA IRELAND / SWITZERLAND 18 9 1 GERMANY CROATIA AUSTRALIA / HUNGARY 16 8 LATVIA / MALTA AUSTRIA / U.K. CZECH REPUBLIC MOLDAVIA / POLAND 15 6 SINGAPORE / TURKEY SWEDEN DENMARK UKRAINE 14 5 FRANCE BULGARIA 26TH CONGRESSO EATB 54 EUROPEAN ASSOCIATION Oral presentations OF TISSUE BANKS 18-20 October, 2017 Treviso | Italy 20 Posters 18 FBTV Treviso Tissue Bank Foundation Report 2017 19
Quality management system Laboratory The Quality Office promotes and coordinates activities de- signed to guarantee and continuously improve tissue pro- curement, processing and distribution services. Fifteen years have elapsed since FBTV gained its first UNI “Risk management and reduction EN ISO 9001 certification. Since then the Foundation has takes on a key role in guaranteeing, developed an improvement pathway designed to increa- enhancing and improving the quality singly guarantee the safety of its services. and safety of the tissues and service ISO standards have also evolved. The main focus of the delivered” most recent revision shifted to the reduction of risks asso- Building work started during the year on the new tissue ciated with the variability and complexity of the setting in processing laboratory. which the Bank operates. Attention moved from monitoring the quality manage- Technological innovation will take centre stage in the new ment system to the planning of product or service moni- laboratory, with more sophisticated, functional premises toring activities. Diletta Trojan and state-of-the-art rooms and equipment, in accordance The Quality Certification was renewed in May, in complian- Head, Quality System with new international GMP parameters. ce with UNI EN ISO 9001:2015, as endorsed by Certiqua- “We are proud of our new labora- lity. In December, FBTV also passed the annual accredita- The laboratory will include areas designed to house the tory! The state-of-the-art premises tion inspection by the National Transplantation Centre. new equipment needed to improve activities and to re- will help promote the growth and spond to technological advances in transplant surgery: technological development of our rooms for freezing, for processing new tissues, and a cr- yogenics room. The premises will comply with increasingly activities, enabling us to deliver Other activities restrictive European safety directives and with the require- safer, increasingly innovative tis- ments of the National Transplantation Centre. sues and to look to the future with confidence.” Continuing staff training Staff training courses Participation at seminars and conferences Elisa Cogliati Laboratory National and international partnerships Director In the framework of information exchange, we hosted an Egyptian delegation led by Prof. Hossam M. Fahmy of the Medical Hospital, Ain Shams University, Cairo (Egypt). Also at the international level, the partnership continued with Barcelona University, hosting fellows under the IN- TERNATIONAL MASTER IN DONATION AND TRAN- SPLANTATION OF ORGANS, TISSUES AND CELLS, desi- gned to promote professional training in the field of tissue banking. Collaboration continued with the Tissue Bank of Verona for the procurement of skin, and with Tissuelab S.p.A. for the freezing of musculo-skeletal tissues and amniotic membranes. 20 FBTV Treviso Tissue Bank Foundation Report 2017 21
FBTV Fondazione Banca dei Tessuti di Treviso Onlus FBTV Fondazione Banca dei Tessuti di Treviso Onlus CRT FBTV Fondazione Banca dei Tessuti di Treviso Onlus 22 FBTV Treviso Tissue Bank Foundation Report 2017 23
“To provide services and deliver tissues consistently in line with surgeon requirements and expectations“ “To improve quality of life by increasing the number of people able to take advantage of homologous tissue implantation techniques“ 24 FBTV Treviso Tissue Bank Foundation
The Report has been drawn up by the Communications Office of FBTV. We thank all the staff of FBTV for their precious contribution to the production of the Report. Printed in April 2018
Fondazione Banca dei Tessuti di Treviso Onlus Piazzale Ospedale 1 31100 Treviso ITALY T. 0039 0422 322280 F. 0039 0422 322849 info@fbtv-treviso.org www.fbtv-treviso.org
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