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CARDIOVASCULAR JOURNAL OF AFRICA • Volume 27, No 3, May/June 2016

AFRICA

163

9.

Jeremy JY, Bulbulia R, Johnson JL, Gadsdon P, Vijayan V, Shukla N,

et

al

. A bioabsorbable (polyglactin), nonrestrictive, external sheath inhibits

porcine saphenous vein graft thickening.

J Thorac Cardiovasc Surg

2004;

127

: 1766–1772.

10. Stooker W, Niessen HW, Wildevuur WR, van Hinsbergh VW, Fritz J,

Jansen EK,

et al

. Perivenous application of fibrin glue reduces early

injury to the human saphenous vein graft wall in an

ex vivo

model.

Eur J

Cardiothorac Surg

2002;

21

: 212–217.

11. Wan S, Yim APC, Johnson JL, Shukla N, Angelini GD, Smith FCT,

et al

. The endothelin-1A receptor antagonist BSF 302146 is a potent

inhibitor of neointimal and medial thickening in porcine saphenous

vein-carotid artery interposition grafts.

J Thorac Cardiovasc Surg

2004;

127

: 1317–1322.

12. Shukla N, Angelini GD, Ascione R, Talpahewa S, Capoun R, Jeremy JY.

Nitric oxide donating aspirins: novel drugs for the treatment of saphen-

ous vein graft failure.

Ann Thorac Surg

2003;

75

: 1437–1442.

13. Wan S, George SJ, Nicklin SA, Yim APC, Baker AH. Overexpression

of p53 increases lumen size and blocks neointima formation in porcine

interposition vein grafts.

Mol Ther

2004;

9

: 689–698.

14. Jeremy JY, Dashwood MR. Microvascular repair. In: Shepro AM, ed.

Encyclopaedia of the Microvasculature.

Elsevier Science, 2005: 903–911.

15. Nomura H, Naito M, Iguchi A, Thompson WD, Smith EB. Fibrin gel

induces the migration of smooth muscle cells from rabbit aortic explants.

Thromb Haemost

1999;

82

: 1347–1352.

16. Ip JH, Fuster V, Badimon L, Badimon J, Taubman MB, Chesebro JH.

Syndromes of accelerated atherosclerosis: role of vascular injury and

smooth muscle cell proliferation.

J Am Coll Cardiol

1990;

15

: 1667–1687.

17. Okazaki Y, Takarabe K, Murayama J, Suenaga E, Furukawa K, Rikitake

K,

et al

. Coronary endothelial damage during off-pump CABG related

to coronary-clamping and gas insufflation.

Eur J Cardiothorac Surg

2001;

19

: 834–839.

18. Moon MC, Molnar K, Yau L, Zahradka P. Perivascular delivery of

losartan with surgical fibrin glue prevents neointimal hyperplasia after

arterial injury.

J Vasc Surg

2004;

40

: 130–137.

19. Vijayan V, Shukla N, Johnson JL, Gadsdon P, Angelini GD, Smith FC,

et al

. Long-term reduction of medial and intimal thickening in porcine

saphenous vein grafts with a polyglactin biodegradable external sheath.

J

Vasc Surg

2004;

40

: 1011–1019.

20. Del Corso A, Bargellini I, Cicorelli A, Perrone O, Leo M, Lunardi A,

et al

. Efficacy and safety of a novel vascular closure device (Glubran

2 seal) after diagnostic and interventional angiography in patients with

peripheral arterial occlusive disease.

Cardiovasc Intervent Radiol

2013;

36

(2): 371–376.

21. Kull S, Martinelli I, Briganti E, Losi P, Spiller D, Tonlorenzi S,

et al

.

Glubran 2 surgical glue:

in vitro

evaluation of adhesive and mechanical

properties.

J Surg Res

2009;

157

(1): e15–21.

22. Dai L, Gao M, Gu C, Zhang F, Yu Y. Perivenous application of

cyanoacrylate tissue sealants reduces intimal and medial thickening of

the vein graft and inflammatory responses in a rabbit model of carotid

artery bypass grafting.

Eur J Cardiothorac Surg

2015, Apr 2. pii: ezv111.

SHARE: Sustain Health development in Africa through

Responsible Education

Founded nine years ago by Prof Jean Marco (France) and

Dr Francois Bourlon (Monaco), who has been largely

instrumental in driving it, SHARE is a non-profit organisation

that provides essential training to African cath lab staff by

linking them with experienced teams in Europe, the USA and

Asia Pacific. It’s aimed at those African cardiologists who

wish to build a local diagnostic and interventional practice

and need to develop their skills.

‘Africa has 1.1 billion people in 54 countries, only 20 of

which have a cath lab’, said Dr Bourlon. ‘We therefore saw

a need for a training organisation, which is funded by the

private sector and industry partners.’

SHARE’s first initiative was the establishment of a medico-

surgical centre in Nouakchott, Mauritania, North Africa. ‘We

started fromnothing, whichmakes it a significant achievement.

The centre comprises one cath lab, two operating theatres, one

recovery room, one sterilisation unit and one in-patient unit.

With the assistance of the Europa Organisation, we have

trained four cardiologists and four allied health professionals,

who committed to return to Mauritania once their training

was finished and submit written activity reports every

three months. The unit is now autonomous, undertaking

angiography, percutaneous interventions and cardiac surgery.

It has even organised its own congress.’

Now SHARE is facilitating the training of an

interventional cardiologist in mitral valvuloplasty. He is

currently based in Morocco, further to a year of training in

Italy. ‘We’re also developing training material for nurses and

allied professionals in the form of short educational films that

will be made available on YouTube’, said Dr Bourlon.

With its Mauritanian initiative successfully completed,

SHARE has turned its attention to Mali in West Africa with

a view to duplicating the Mauritanian experience. ‘There is

currently no such facility in the capital, Bamako, so we are

looking to design and build a cath lab there. The initial steps

are under way, including one cardiologist currently being

trained in Monaco.’

SHARE’s vision for the future is to consolidate its actions

in Mauritania and Mali, and extend this vision to other

African countries. ‘We’re looking to find new training centres

in both Europe and Africa and facilitate the participation of

trained personnel in educational activities. We wish to create a

community of learners who are united in a shared experience.

We accept that progress is slow, but we keep moving forward

step by step’, concluded Dr Bourlon.

Source:

AfricaPCR 2016.