Centro de Trasplante

Centro de Trasplante

May 23, 2018, 11:23 AM
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Un equipo multidisciplinario y avanzada tecnología nos convierte en referente a nivel nacional
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    Sobre el Centro

    Trasplante en Clínica Santa María

    El aumento de enfermedades renales, pancreáticas, hepáticas y pulmonares es una preocupación constante en Chile. Por eso, entregar tratamientos de alta complejidad y excelentes resultados es el objetivo del Centro de Trasplante de Clínica Santa María.

    Está conformado por un equipo multidisciplinario de expertos en trasplante renal, pancreático, hepático y pulmonar. El acercamiento con cada paciente es único y personalizado desde la primera visita hasta la recuperación total de la persona.

    Una estructura de trabajo sin precedentes en nuestro país, tecnología de punta y el apoyo de todos los recursos necesarios en medicina de alta complejidad hacen del Centro de Trasplantes de Clínica Santa María un centro de excelencia al servicio de todos nuestros pacientes.


    Cantidad de trasplantes:

    renal Renal
    pancreas Páncreas-riñón
    higado Hígado
    pulmon Pulmonar
    bipulmonar Bipulmonar
    corazon Corazón
    ICONO--Medula-osea TMO
    * Cifras al 19-02-2019.


    • Médico jefe Programa de Trasplante Renal: Dra. Jacqueline Pefaur.
    • Médico jefe Programa de Trasplante de Páncreas y Trasplante de Hígado: Dr. Javier Chapochnick.
    • Médico jefe Programa de Trasplante Pulmonar: Dr. Mauricio Fica.
    • Médico jefe Programa de Trasplante de Médula Ósea: Dr. Cristian Carvallo.

    Donación de órganos

    Todos los mayores de 18 años, una vez fallecidos, son considerados como donantes de sus órganos a menos que en vida hayan manifestado lo contrario.

    No hay un límite de edad para donar un órgano. El único requisito es que el donante esté con muerte cerebral, condición que se cumple en un muy bajo porcentaje (aproximadamente un 3% del total de muertos por traumas). Por esta razón, los trasplantes de donantes vivos se han vuelto una alternativa más accesible y real.

    En Chile, el Instituto de Salud Pública es la entidad que tiene el Listado Único Nacional para todos los potenciales receptores de órganos y, en conjunto con la Comisión Integrada de Trasplantes del Ministerio de Salud, fija los criterios de distribución y prioriza las urgencias médicas bajo estrictos criterios.

    El sistema de distribución de órganos en nuestro país es muy confiable, trasparente  y respeta la equidad en la distribución de órganos.

    Donante fallecido

    El proceso se divide en varias etapas:


    Los centros neurológicos, intensivos o de urgencia (después de haber hecho el máximo esfuerzo médico para revertir la grave enfermedad que aqueja a una persona) dan aviso de un “posible donante”, es decir, aquellos pacientes que tienen un daño grave y que inminentemente sufrirán muerte cerebral (ausencia de llegada de la sangre al cerebro).

    Diagnóstico de muerte cerebral

    Dos médicos independientes y altamente capacitados (neurólogos/neurocirujanos), y que no participan en el equipo de trasplante, ratifican a través de varios test y exámenes complementarios la muerte cerebral del paciente. Es un proceso extremadamente riguroso que requiere de certeza absoluta. Si se confirma, se informa a los familiares del fallecimiento de la persona. 

    Mantención del donante

    Para que los órganos puedan ser donados, nunca deben dejar de funcionar. Por lo mismo, de manera artificial se controlan los latidos del corazón, la temperatura, la presión arterial y el ingreso de aire a los pulmones, condición muy difícil de mantener por tiempos mayores a 24-48 horas. Durante este período se solicita a la familia su voluntad de donar. 

    Solicitud de donación

    Es uno de los momentos más complejos. Respetando el dolor y la sensibilidad del momento, el equipo de trasplante le plantea a la familia la opción de donar los órganos. En caso de aceptar, comienza la selección de un receptor que se basa en criterios estrictamente médicos, siendo el primer requisito la compatibilidad de grupo sanguíneo y luego la compatibilidad sanguínea (HLA) con el donante, la edad del paciente que necesita un trasplante, el tiempo de espera, entre otros factores.

    Estos principios se evalúan cada año por un comité de expertos y por todos los equipos de trasplante del país. Cabe destacar que el sistema de procuramiento de órganos es serio, justo y solidario, y la selección del receptor es absolutamente transparente, garantizando la equidad.

    A pesar de lo difícil que sea este proceso, lo importante es que tras la muerte de un ser querido, está la posibilidad de regalar vida a través de la donación. 


    Donante vivo

    La donación de órganos, específicamente de riñón, por parte de una persona sana, es una de las mejores opciones de obtener un órgano para el afectado, ya que quien lo dona es altamente estudiado y es la última esperanza para quienes ya no pueden seguir esperando. Por lo general, un donante vivo suele ser algún familiar o el cónyuge.

    Además, este tipo de donación permite realizar una intervención quirúrgica programada, lo que da mayor seguridad y mejores resultados, y es una alternativa a la lista de espera nacional de un órgano de un donante fallecido.

    ¿Quiénes pueden ser donantes?

    No todos pueden donar un órgano, ya que se debe cumplir una serie de condiciones. Primeramente, el posible donante debe estar totalmente convencido y seguro de hacerlo, tener entre 18 y 65 años, contar con buena salud, no padecer enfermedades renales, cardíacas, hipertensión, diabetes, entre otras. Si la persona cumple con los requisitos mencionados, deberá pasar por un estudio meticuloso para ver la real factibilidad y compatibilidad con el paciente.


    Cinco trasplantes de órganos en cuatro pacientes

    Revisa el testimonio de algunos pacientes del Centro de Trasplante

    Constanza Denham

    Lorena Turina

    Nuestros pacientes

    constanza testimonio trasplante 

    Constanza Denham

    "Los donantes son héroes en esta historia"

    Cuando sólo tenía tres meses, su familia recibió una desalentadora noticia: tenía fibrosis quística. Tras convivir 29 años con esta enfermedad, y gracias a la generosidad de un donante, la periodista fue trasplantada en Clínica Santa María.

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    lorena testimonio trasplante 

    Lorena Turina

    "El trasplante me devolvió la vida, me siento espectacular"

    Con sólo nueve años, le diagnosticaron diabetes, una enfermedad crónica que la hizo insulinodependiente y la acompañó hasta que tuvo 41. Hoy, gracias al Programa de Trasplante de Páncreas-Riñón, lleva una vida completamente normal.

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    CESAR testimonio trasplante 

    César Sanpeze

    "Mi caso hizo vibrar al equipo médico, fue una victoria para todos"

    A los 61 años nada indicaba que tenía problemas de salud, sin embargo, César tenía un tumor alojado en su hígado hace años sin saberlo. El trasplante de este órgano era la única alternativa para seguir viviendo. 

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    Monserrat trasplante medula osea 

    Monserrat Marcoleta

    "Me dijeron que el Centro de Trasplante era el mejor lugar para tratarme"

    A casi un año del procedimiento, Monserrat, de 54 años, se siente muy bien y está feliz con su recuperación. Atrás dejó los días en los que no tenía energía ni para caminar. La contención que recibió por parte de todo el equipo aún la emociona.

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    JORGE testimonio trasplante

    Jorge Rojas

    "Nos conectamos para llegar juntos a la cirugía"

    Una enfermedad autoinmune dañó de forma severa los riñones de Jorge, llevándolo rápidamente a requerir un trasplante renal. Fue Teresita, su señora, quien le donó uno de sus órganos.

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    Clínica Santa María:
    Av. Bellavista 0415, Providencia.

    +56 2 2913 0000