{"id":60219,"date":"2024-07-09T12:00:00","date_gmt":"2024-07-09T12:00:00","guid":{"rendered":"https:\/\/www.africa-press.net\/senegal\/politique\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire"},"modified":"2024-07-10T03:52:26","modified_gmt":"2024-07-10T03:52:26","slug":"greffe-mieux-preserver-les-greffons-une-adaptation-necessaire","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire","title":{"rendered":"Greffe : mieux pr\u00e9server les greffons, une adaptation n\u00e9cessaire"},"content":{"rendered":"<p><span style=\"color: #ff6600\"><strong>Africa-Press &#8211; Senegal. <\/strong><\/span>Pas plus de quatre heures de de\u0301lai pour transplanter un c\u0153ur, six a\u0300 huit heures pour un foie ou un poumon, vingt-quatre a\u0300 trente-six heures pour un rein. Cette classique image de course contre-la-montre, entre poches de glace et he\u0301licopte\u0300re, est en train de devenir obsole\u0300te.<\/p>\n<p><b>Les transplanteurs ont du\u0302 s\u2019adapter<\/b><\/p>\n<p>Car depuis de\u0301ja\u0300 plusieurs anne\u0301es, confronte\u0301s a\u0300 la pe\u0301nurie d\u2019organes et au changement de profil des donneurs, plus a\u0302ge\u0301s, atteints de maladies chroniques rendant les greffons moins optimaux, les transplanteurs ont du\u0302 s\u2019adapter. Ils ont de\u0301veloppe\u0301 des moyens de pre\u0301servation (mais aussi d\u2019ame\u0301lioration) des diffe\u0301rents organes greffables. L\u2019objectif est simple: greffer plus de patients tout en permettant aussi aux e\u0301quipes de programmer a\u0300 terme les interventions pour ne plus ope\u0301rer de nuit.<\/p>\n<p>Re\u0301alise\u0301 en janvier, le projet Pe\u0301gase est une premie\u0300re franc\u0327aise. Apre\u0300s un vol commercial de douze heures au-dessus de l\u2019Atlantique, des Antilles vers l\u2019Hexagone, un c\u0153ur a e\u0301te\u0301 transporte\u0301 et conserve\u0301 gra\u0302ce a\u0300 un dispositif particulier (Heart Assist Transport), une perfusion hypothermique ex vivo, avant d\u2019e\u0302tre greffe\u0301 a\u0300 Paris. \u201cL\u2019objectif est de mettre en place un programme durable de transplantation cardiaque aux Antilles franc\u0327aises \u201c, e\u0301crivent dans le Lancet leurs auteurs, les Pr Guillaume Lebreton et Pascal Leprince, de l\u2019ho\u0302pital de La Pitie\u0301-Salpe\u0302trie\u0300re, a\u0300 Paris.<\/p>\n<p><b>Un allongement des de\u0301lais de transplantation<\/b><\/p>\n<p>Il y a deux ans, une e\u0301quipe suisse de l\u2019ho\u0302pital universitaire de Zurich e\u0301tait parvenue a\u0300 greffer au bout de trois jours un foie initialement conside\u0301re\u0301 comme non transplantable, une premie\u0300re mondiale. L\u2019organe, conserve\u0301 dans un dispositif particulier (Liver4life, Wyss Institute) imitant les fonctions du corps humain (perfusion normothermique a\u0300 37 \u00b0C), avec en outre un ajout d\u2019antibiotiques et d\u2019hormones, avait e\u0301te\u0301 greffe\u0301 avec succe\u0300s soixante-douze heures plus tard.<\/p>\n<p>Selon des travaux publie\u0301s en 2020 dans Nature Biotechnology, cette e\u0301quipe helve\u0300te avait me\u0302me de\u0301montre\u0301 qu\u2019un de\u0301lai de sept jours e\u0301tait envisageable. A\u0300 l\u2019hiver dernier, elle avait aussi conclu qu\u2019il e\u0301tait de\u0301sormais possible en douze jours, gra\u0302ce a\u0300 un protocole de perfusion, de de\u0301graisser des foies humains trop gras conside\u0301re\u0301s comme non greffables, et de re\u0301duire de 70 % le taux de graisses accumule\u0301es.<\/p>\n<p>Que les perfusions d\u2019organes soient froides ou chaudes, enrichies ou pas en diffe\u0301rents agents visant a\u0300 toujours optimiser la survie des futurs greffons, les spe\u0301cialistes imaginent de\u0301ja\u0300 des \u201corgans hubs\u201d, des plateformes ou\u0300 les organes seraient a\u0300 disposition des e\u0301quipes 24 h\/24. Mais rien ne se fera, s\u2019inquie\u0300tent-ils de\u0301ja\u0300, sans la pre\u0301sence a\u0300 leurs co\u0302te\u0301s des \u201cperfusionnistes\u201d. Des infirmiers spe\u0301cialise\u0301s essentiels \u2013 il en existe 300 en France \u2013 assurant de\u0301ja\u0300 la surveillance des interventions complexes (circulation extracorporelle) et, demain, de tels dispositifs. Or, leur statut est toujours en instance de reconnaissance.<\/p>\n<p><strong>Pour plus d&rsquo;informations et d&rsquo;analyses sur la Senegal, suivez Africa-Press<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Africa-Press &#8211; Senegal. Pas plus de quatre heures de de\u0301lai pour transplanter un c\u0153ur, six a\u0300 huit heures pour un foie ou un poumon, vingt-quatre a\u0300 trente-six heures pour un rein. Cette classique image de course contre-la-montre, entre poches de glace et he\u0301licopte\u0300re, est en train de devenir obsole\u0300te. Les transplanteurs ont du\u0302 s\u2019adapter Car [&hellip;]<\/p>\n","protected":false},"author":82,"featured_media":60218,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22,10],"tags":[44],"class_list":["post-60219","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-divers","category-toutes-les-actualites","tag-senegal-2"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.1 (Yoast SEO v27.0) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Greffe : mieux pr\u00e9server les greffons, une adaptation n\u00e9cessaire - Senegal<\/title>\n<meta name=\"description\" content=\"Pas plus de quatre heures de de\u0301lai pour transplanter un c\u0153ur, six a\u0300 huit heures pour un foie ou un poumon, vingt-quatr ...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Greffe : mieux pr\u00e9server les greffons, une adaptation n\u00e9cessaire\" \/>\n<meta property=\"og:description\" content=\"Pas plus de quatre heures de de\u0301lai pour transplanter un c\u0153ur, six a\u0300 huit heures pour un foie ou un poumon, vingt-quatr ...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire\" \/>\n<meta property=\"og:site_name\" content=\"Senegal\" \/>\n<meta property=\"article:published_time\" content=\"2024-07-09T12:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-07-10T03:52:26+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/static.africa-press.net\/senegal\/sites\/13\/2024\/07\/sm_1720567283.718251.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"899\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"cfeditorfr\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"cfeditorfr\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire\"},\"author\":{\"name\":\"cfeditorfr\",\"@id\":\"https:\/\/www.africa-press.net\/senegal\/#\/schema\/person\/2b1cf3cd81a31e3cd26889ca66d677f1\"},\"headline\":\"Greffe : mieux pr\u00e9server les greffons, une adaptation n\u00e9cessaire\",\"datePublished\":\"2024-07-09T12:00:00+00:00\",\"dateModified\":\"2024-07-10T03:52:26+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire\"},\"wordCount\":542,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire#primaryimage\"},\"thumbnailUrl\":\"https:\/\/static.africa-press.net\/senegal\/sites\/13\/2024\/07\/sm_1720567283.718251.jpg\",\"keywords\":[\"Senegal\"],\"articleSection\":[\"Divers\",\"Toutes les actualit\u00e9s\"],\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire\",\"url\":\"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire\",\"name\":\"Greffe : mieux pr\u00e9server les greffons, une adaptation n\u00e9cessaire - Senegal\",\"isPartOf\":{\"@id\":\"https:\/\/www.africa-press.net\/senegal\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire#primaryimage\"},\"thumbnailUrl\":\"https:\/\/static.africa-press.net\/senegal\/sites\/13\/2024\/07\/sm_1720567283.718251.jpg\",\"datePublished\":\"2024-07-09T12:00:00+00:00\",\"dateModified\":\"2024-07-10T03:52:26+00:00\",\"author\":{\"@id\":\"https:\/\/www.africa-press.net\/senegal\/#\/schema\/person\/2b1cf3cd81a31e3cd26889ca66d677f1\"},\"description\":\"Pas plus de quatre heures de de\u0301lai pour transplanter un c\u0153ur, six a\u0300 huit heures pour un foie ou un poumon, vingt-quatr ...\",\"breadcrumb\":{\"@id\":\"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire#primaryimage\",\"url\":\"https:\/\/static.africa-press.net\/senegal\/sites\/13\/2024\/07\/sm_1720567283.718251.jpg\",\"contentUrl\":\"https:\/\/static.africa-press.net\/senegal\/sites\/13\/2024\/07\/sm_1720567283.718251.jpg\",\"width\":1200,\"height\":899,\"caption\":\"Greffe : mieux pr\u00e9server les greffons, une adaptation n\u00e9cessaire\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\/\/www.africa-press.net\/senegal\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Greffe : mieux pr\u00e9server les greffons, une adaptation n\u00e9cessaire\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.africa-press.net\/senegal\/#website\",\"url\":\"https:\/\/www.africa-press.net\/senegal\/\",\"name\":\"Africa Press | Senegal | Homepage\",\"description\":\"Just another Africa News Agency Sites site\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.africa-press.net\/senegal\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.africa-press.net\/senegal\/#\/schema\/person\/2b1cf3cd81a31e3cd26889ca66d677f1\",\"name\":\"cfeditorfr\",\"url\":\"https:\/\/www.africa-press.net\/senegal\/author\/cfeditorfr\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Greffe : mieux pr\u00e9server les greffons, une adaptation n\u00e9cessaire - Senegal","description":"Pas plus de quatre heures de de\u0301lai pour transplanter un c\u0153ur, six a\u0300 huit heures pour un foie ou un poumon, vingt-quatr ...","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire","og_locale":"fr_FR","og_type":"article","og_title":"Greffe : mieux pr\u00e9server les greffons, une adaptation n\u00e9cessaire","og_description":"Pas plus de quatre heures de de\u0301lai pour transplanter un c\u0153ur, six a\u0300 huit heures pour un foie ou un poumon, vingt-quatr ...","og_url":"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire","og_site_name":"Senegal","article_published_time":"2024-07-09T12:00:00+00:00","article_modified_time":"2024-07-10T03:52:26+00:00","og_image":[{"width":1200,"height":899,"url":"https:\/\/static.africa-press.net\/senegal\/sites\/13\/2024\/07\/sm_1720567283.718251.jpg","type":"image\/jpeg"}],"author":"cfeditorfr","twitter_card":"summary_large_image","twitter_misc":{"\u00c9crit par":"cfeditorfr","Dur\u00e9e de lecture estim\u00e9e":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire#article","isPartOf":{"@id":"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire"},"author":{"name":"cfeditorfr","@id":"https:\/\/www.africa-press.net\/senegal\/#\/schema\/person\/2b1cf3cd81a31e3cd26889ca66d677f1"},"headline":"Greffe : mieux pr\u00e9server les greffons, une adaptation n\u00e9cessaire","datePublished":"2024-07-09T12:00:00+00:00","dateModified":"2024-07-10T03:52:26+00:00","mainEntityOfPage":{"@id":"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire"},"wordCount":542,"commentCount":0,"image":{"@id":"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire#primaryimage"},"thumbnailUrl":"https:\/\/static.africa-press.net\/senegal\/sites\/13\/2024\/07\/sm_1720567283.718251.jpg","keywords":["Senegal"],"articleSection":["Divers","Toutes les actualit\u00e9s"],"inLanguage":"fr-FR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire","url":"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire","name":"Greffe : mieux pr\u00e9server les greffons, une adaptation n\u00e9cessaire - Senegal","isPartOf":{"@id":"https:\/\/www.africa-press.net\/senegal\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire#primaryimage"},"image":{"@id":"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire#primaryimage"},"thumbnailUrl":"https:\/\/static.africa-press.net\/senegal\/sites\/13\/2024\/07\/sm_1720567283.718251.jpg","datePublished":"2024-07-09T12:00:00+00:00","dateModified":"2024-07-10T03:52:26+00:00","author":{"@id":"https:\/\/www.africa-press.net\/senegal\/#\/schema\/person\/2b1cf3cd81a31e3cd26889ca66d677f1"},"description":"Pas plus de quatre heures de de\u0301lai pour transplanter un c\u0153ur, six a\u0300 huit heures pour un foie ou un poumon, vingt-quatr ...","breadcrumb":{"@id":"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire#primaryimage","url":"https:\/\/static.africa-press.net\/senegal\/sites\/13\/2024\/07\/sm_1720567283.718251.jpg","contentUrl":"https:\/\/static.africa-press.net\/senegal\/sites\/13\/2024\/07\/sm_1720567283.718251.jpg","width":1200,"height":899,"caption":"Greffe : mieux pr\u00e9server les greffons, une adaptation n\u00e9cessaire"},{"@type":"BreadcrumbList","@id":"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/greffe-mieux-preserver-les-greffons-une-adaptation-necessaire#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/www.africa-press.net\/senegal\/"},{"@type":"ListItem","position":2,"name":"Greffe : mieux pr\u00e9server les greffons, une adaptation n\u00e9cessaire"}]},{"@type":"WebSite","@id":"https:\/\/www.africa-press.net\/senegal\/#website","url":"https:\/\/www.africa-press.net\/senegal\/","name":"Africa Press | Senegal | Homepage","description":"Just another Africa News Agency Sites site","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.africa-press.net\/senegal\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Person","@id":"https:\/\/www.africa-press.net\/senegal\/#\/schema\/person\/2b1cf3cd81a31e3cd26889ca66d677f1","name":"cfeditorfr","url":"https:\/\/www.africa-press.net\/senegal\/author\/cfeditorfr"}]}},"_links":{"self":[{"href":"https:\/\/www.africa-press.net\/senegal\/wp-json\/wp\/v2\/posts\/60219","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.africa-press.net\/senegal\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.africa-press.net\/senegal\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.africa-press.net\/senegal\/wp-json\/wp\/v2\/users\/82"}],"replies":[{"embeddable":true,"href":"https:\/\/www.africa-press.net\/senegal\/wp-json\/wp\/v2\/comments?post=60219"}],"version-history":[{"count":0,"href":"https:\/\/www.africa-press.net\/senegal\/wp-json\/wp\/v2\/posts\/60219\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.africa-press.net\/senegal\/wp-json\/wp\/v2\/media\/60218"}],"wp:attachment":[{"href":"https:\/\/www.africa-press.net\/senegal\/wp-json\/wp\/v2\/media?parent=60219"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.africa-press.net\/senegal\/wp-json\/wp\/v2\/categories?post=60219"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.africa-press.net\/senegal\/wp-json\/wp\/v2\/tags?post=60219"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}