Bone Marrow Transplant Service
The Stem Cell Transplantation (SCT) Service in St. James’s Hospital was founded in 1984 and has since performed more than 1000 stem cell and bone marrow transplants. The service oversees transplants in about 160 patients each year. The SCT Unitincludes the National Adult Allogeneic Transplant Programme, (allogeneic transplant means using stem cells from a family member or an unrelated matching donor), and an Autologous Stem Cell Transplant Program, (autologous transplant means using your own stem cells). The service is currently the third largest SCT unit in the United Kingdom and Ireland. It is affiliated to the European Blood and Marrow Transplantation (EBMT) Registry, and it reports all outcomes to the registry and takes part in EBMT research projects.
Stem cell transplants are used to treat and cure many types of haematological, or blood-related, malignancies such as leukaemia, lymphoma or multiple myeloma as well as rare solid-organ tumours. In stem cell transplantation, healthy stem cells are transplanted from one individual to another. Alternatively, the individual’s own stem cells are used. Sources of stem cells include bone marrow and peripheral blood, meaning blood circulating throughout the body. You may hear the procedure referred to as a bone marrow transplant (BMT) or peripheral blood stem cell transplant (PBSCT), depending on the source of the cells that are transplanted.
Post-transplant management is complex and, in the first one to two years, is delivered by the transplant team working with your referring doctor. There is a dedicated Long-Term Follow-Up (LTFU) clinic, which manages transplant-related complications and offers lifelong support to people who have had a bone marrow transplant. Some patients in this clinic received a transplant more than 30 years ago.
In order to identify potential donors, the transplant unit works closely with the Tissue Typing Service and the Irish Unrelated Donor Registry (IUBMR), based at the Irish Blood Transfusion Service. It also holds joint SCT planning meetings with paediatricians in the National Paediatric Transplant Unit at Our Lady’s Children’s Hospital, Crumlin.
The SCT Service is led by six transplant trained-haematology consultants who each have specific sub-specialist interests and sit on the relevant working parties of the EBMT. The service is delivered by a group of experts called a Multi-Disciplinary Team (MDT). This is a group of doctors, clinical nurse specialists and other health professionals, including pharmacists and laboratory scientists, who specialize in stem cell transplantation. They discuss and manage the patient’s care. The SCT Service is supported by the Apheresis Unit, where stem cells are collected, and a Stem Cell Laboratory that has facilities for cryopreservation, or cell storage. (A liquid nitrogen facility is used for the long-term storage of patients’ stem cells).
Stem cell transplantation is carried out in a specialist 21-bed HEPA-filtered unit called Denis Burkitt Ward. The ward is named after Denis Burkitt, an Irish doctor and Trinity College Dublin graduate who described a form of lymphoma/leukemia. The unit is managed by a clinical nurse manager, with a staff of SCT-trained nurses. Specialist support is provided by a team that includes dieticians, physiotherapists, a medical social worker and other medical/surgical teams, as required. Post-transplant care is delivered through the Haematology Oncology Day Care (HODC) Unit, supervised by a clinical nurse manager and specialist haematology nurses.
Patients are referred for transplantation from haematology and oncology consultants throughout Ireland. Patients being considered for transplantation are discussed at a Multi-Disciplinary Planning Meeting and reviewed by the consultant and the transplant coordinator in a specialist counselling clinic, before embarking on their transplant journey.
The Bone Marrow Leukaemia Trust (BMLT) is a charity founded in 1983 to support the SCT Service. It provides direct support for patients and their relatives and especially recognises the needs of those coming from outside Dublin. Over the last number of years, the BMLT has provided and managed apartments near St. James’s Hospital for patients and their families in the first crucial weeks of adapting to life after transplantation. It has also donated equipment, training and staff salaries.
The entire team has extensive experience in stem cell transplantation. Our specialists work closely with each other and collaborate regularly to ensure that your care has the best possible outcomes. All of the haematology consultants have had training in all areas of stem cell transplantation but also have areas of special interest as follows:
- Dr. Larry Bacon: Acute Lymphoblastic Leukaemia, Lymphoma.
- Prof. Paul Browne: Acute Leukaemia, Multiple Myeloma.
- Dr. Eibhlin Conneally: Acute Leukaemia, Myeloproliferative Disorders.
- Dr. Catherine Flynn: Acute Leukaemia, Marrow Failure Syndromes.
- Dr. Patrick Hayden: Multiple Myeloma, Cryobiology/Apheresis.
- Prof. Elisabeth Vandenberghe: Lymphomas and Lymphoproliferative Disorders.
- Ms Elizabeth Higgins, Lymphoid Coordinator.
- Ms Mairead Ní Chonghaile, Myeloid Coordinator.
Clinical Nurse Specialists
- Ms Lorraine Brennan, Post-Transplant Follow-Up.
- Ms Emma Rowan, Post-Transplant Follow-Up.
- Ms Aileen Smith, Long-Term Follow-Up Clinic Coordinator.
European Blood and Marrow Transplantation Data Manager