Brain death scintigraphy

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F17%3AA22020SG" target="_blank" >RIV/61988987:17110/17:A22020SG - isvavai.cz</a>

Result on the web

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DOI - Digital Object Identifier

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Result language

angličtina

Original language name

Brain death scintigraphy

Original language description

Method: Since 2003 till the end of 2016 (13 years), we examined 220 ventilated patients in a deep coma with areflexia above C1. We performed 229 scintigraphy acquisitions to confirm brain death. Immediately after the intravenous administration of 99mTc-HMPAO there was performed dynamic scintigraphy, followed by static scintigraphy in the front, back and both side projections. Prior to administration of the radiopharmaceutical the radiochemical purity was always checked. All adult patients had during the application of the radiopharmaceutical mean arterial pressure more than 80 mmHg. Most frequent indication for this examination was to include the patient into the transplantation program; exceptionally brain death was diagnosed to stop the intensive care. Results: Majority of the patients were men (151, 69 %), less than a third were women (69, 31%). Patients had a mean age 43 years, the youngest patient was a 10-day newborn, the oldest was 68 years old. This examination was indicated in 25 children. The cause of coma and subsequent cerebral oedema was in 39 % trauma (traffic accidents, falls, suicide - jumping, gunshot wounds of the head), 61% were other causes - AV brain malformation, stroke, complications of epilepsy, complications of anticoagulation therapy, drowning, CO intoxication, brain tumours, abscesses, encephalitis, etc.). Investigations are evaluated qualitatively. Brain death was confirmed, if there was no accumulation of radiopharmaceuticals supra- and infratentorial. Brain death was detected in 207 patients (94 %), 13 patients at first examination had partially preserved brain perfusion. In the transplant program were enrolled 183 patients (83%), multiorgan harvesting was done in 80 patients (44 %), otherwise kidneys and heart were removed.

Czech name

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Czech description

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Type

D - Article in proceedings

CEP classification

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OECD FORD branch

30224 - Radiology, nuclear medicine and medical imaging

Project

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Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Article name in the collection

EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING

ISBN

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ISSN

1619-7070

e-ISSN

1619-7089

Number of pages

1

Pages from-to

618-618

Publisher name

SPRINGER, 233 SPRING ST, NEW YORK, NY 10013 USA

Place of publication

NY 10013 USA

Event location

New York

Event date

Jan 1, 2017

Type of event by nationality

EUR - Evropská akce

UT code for WoS article

000455019402192