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HEALTH 2008, March 7   A neuro-cardio-vascular pole is taking root     By 2012, a new pole will have been built on the Milétrie site. It will bring together the surgery and resuscitation wards dealing with cardiological, neurological and vascular pathologies. Here is our presentation. The Poitiers CHU has placed a neuro-cardio-vascular pole at the heart of its new five-year plan (2008-2012). In four years, a new building to be erected in the vicinity of the Jean Bernard tower will create common lodgings for the heart-lung pole and the neuroscience + vascular pole, as well as the surgery and intensive care units pertaining to cardiology, neurology and other specialties having to do with the veins and arteries. The aim of this new pole will be to facilitate the interaction of medical teams. Cerebro-vascular accidents (CVAs, or strokes) and infarction are the second greatest cause of mortality in France. According to several epidemiological studies, the figures are heading upwards. In this context, it appeared indispensable to restructure the way patients are treated. « They will be integrally cared for in the confines of the new building, where all explorations are to be performed. Practitioners will come to the bedridden, and not vice versa», affirms Professor Joseph Allal, the man in charge of the cardiology ward. MRI, scans and different x-rays will all be performed on site. As for the Beauchamp Pavilion, which now houses the cardiology ward, it will be devoted to reeducation and follow-up treatment. Moreover, 30 beds for round-the-clock care will be placed at the disposal of patients who are no longer in intensive care, yet remain too fragile to be ordinarily hospitalized. High-tech operating blocks The improved organization should allow for a heightened number of neurosurgical interventions. On a parallel track, heart surgeons will perform nearly 600 operations a year, which means 100 more than is presently the case. Chances are correspondingly enhanced that such surgical facilities shall remain in Poitou-Charentes. And then? Professor Allal is hoping to be equipped with high-tech operating blocks equipped with robots: « Their gestures are more precise than those of humans. What is more, embedded radiology apparatuses will provide the surgeon with a way of gauging the immediate consequences of his intervention. » This coherent consolidation of services will constitute but the first step towards formation of a group of researchers specialized in the vascular field. That said, at first it will be necessary to recruit enough doctors so that some can benefit from full-time research assignments. As of now, after all, these wards have just one physician for five beds. 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