Logo Annals of Transplantation Logo Annals of Transplantation Logo Annals of Transplantation

21 May 2009

Confirmatory tests following reversal to whole brain death criteria atter 15 years long use of brain stem death criteria in Poland

R Bohatyrewicz, A Bohatyrewicz, M Zukowski, E Marzec-Lewenstein, J Biernawska, J Sołek-Pastuszka, A Walecka, M Sawicki

Ann Transplant 2009; 14(1): 21-21 :: ID: 880273

Abstract

First Polish whole brain death criteria were published in 1984. Instrumental tests such as EEG and cerebral angiography were obligatory. In 1990, following British regulations, brain death diagnosis was based on clinical brainstem death criteria. Consequently the knowledge about procedures dedicated to brain death diagnosis dissapeared between specialists of radiology and neurology. In 2007, new Polish code of practice reversed brainstem death criteria to the whole brain death criteria. Instrumental confirmatory tests became optional and in certain cases obligatory. Aortoarteriography, transcranial Doppler and cerebral scintigraphy were recommended among cerebral perfusion tests. Alternatively electrophysiological tests such as electroencephalography or brain stem evoked potentials may be used. Angio CT and perfusion CT were not recommended because of no experience with these methods in Poland and lack of widely accepted criteria in international literature. Currently, electrophysiological tests and trancranial Doppler are hardly available due to deficiency of equipment and experienced specialists. Additionally, cerebral angiography became unavailable too, because this method is recently used only in departments of neuroradiology and invasive radiology in a limited number of biggest hospitals. Angio CT and perfusion CT seem to be the methods of choice in future, because many local hospitals will be soon equipped with new generations of multidetector computed tomographs. Additionally the method is simple, cheaper and less invasive than conventional angiography. Therefore, multicenter trial is currently planned, in order to compare the results of conventional angiography with angio and perfusion CT. Afterwards, a precise instruction will be implemented during the next revision of Polish brain death criteria.

Keywords: Organ Procurement

Add Comment 0 Comments

In Press

12 Feb 2024 : Original article  

No Prognostic Impact of Graft-to-Recipient Weight Ratio on Hepatocellular Carcinoma Recurrence Following Li...

Ann Transplant In Press; DOI: 10.12659/AOT.942767  

21 Feb 2024 : Original article  

Use of LCP-Tacrolimus (LCPT) in Kidney Transplantation: A Delphi Consensus Survey of Expert Clinicians

Ann Transplant In Press; DOI: 10.12659/AOT.943498  

Most Viewed Current Articles

05 Apr 2022 : Original article  

Impact of Statins on Hepatocellular Carcinoma Recurrence After Living-Donor Liver Transplantation

DOI :10.12659/AOT.935604

Ann Transplant 2022; 27:e935604

12 Jan 2022 : Original article  

Risk Factors for Developing BK Virus-Associated Nephropathy: A Single-Center Retrospective Cohort Study of ...

DOI :10.12659/AOT.934738

Ann Transplant 2022; 27:e934738

22 Nov 2022 : Original article  

Long-Term Effects of Everolimus-Facilitated Tacrolimus Reduction in Living-Donor Liver Transplant Recipient...

DOI :10.12659/AOT.937988

Ann Transplant 2022; 27:e937988

15 Mar 2022 : Case report  

Combined Liver, Pancreas-Duodenum, and Kidney Transplantation for Patients with Hepatitis B Cirrhosis, Urem...

DOI :10.12659/AOT.935860

Ann Transplant 2022; 27:e935860

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358