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Impact of acute kidney injury in deceased donors with high Kidney Donor Profile Index on posttransplant clinical outcomes: a multicenter cohort study

Park WY, Chang YK, Kim YS, Jin K, Yang CW, Han S, Chung BH

Background: This study evaluated the impact of acute kidney injury (AKI) on posttransplant clinical outcomes for deceased donor (DD) kidney transplantation (KT) using the Kidney Donor Profile Index (KDPI) system....
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Assessment of Cerebral Circulatory Arrest via CT Angiography and CT Perfusion in Brain Death Confirmation

Akdogan AI, Pekcevik Y, Sahin H, Pekcevik R

Objective: To compare the utility of computed tomography perfusion (CTP) and three different 4-point scoring systems in computed tomography angiography (CTA) in confirming brain death (BD) in patients with and...
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Analysis of Factors Affecting Emergency Physicians’ Attitudes toward Deceased Organ & Tissue Donation

Lee DE, Kim H, Park KH, Park SY, Park SM, Jung YH, Jeong W, Park KH

Background: This study aimed to investigate differences in knowledge, and attitudes toward deceased organ and tissue donation of emergency physicians. Additionally, we analyzed factors affecting the attitudes toward deceased organ...
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Organ procurement in a deceased donor

Hwang HP, Kim JM, Shin S, Ahn HJ, Lee S, Joo DJ, Han SY, Haam SJ, Hwang JK, Yu HC

With the increasing demand for organ transplantation, organ procurement from a deceased donor is an essential step for deceased donor organ transplantation. A proper surgical technique for the procurement of...
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Determination of Brain Death/Death by Neurologic Criteria in Countries in Asia and the Pacific

Lewis A, Liebman J, Bakkar A, Kreiger-Benson E, Kumpfbeck A, Shemie SD, Sung G, Torrance S, Greer D

Background and Purpose: We sought to 1) identify countries in Asia and the Pacific that have protocols for the determination of brain death/death by neurologic criteria (BD/DNC) and 2) review...
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Reuse of liver allograft from a brain-dead recipient: A case report

Kim MJ, Hwang S, Jung DH, Park GC, Song GW, Cho HD, Lee SG

We report our first case of deceased-donor liver transplantation (LT) using a reuse liver graft after the first LT. The recipient was a 38-year-old female with fulminant hepatic failure from...
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Recent Decrease in Organ Donation from Brain-Dead Potential Organ Donors in Korea and Possible Causes

Park J, Kim CJ

Background In 1999, the Organ Transplantation Act legalized organ donation from brain-dead patients. As a result of the government's continued efforts, the number of brain-dead donors steadily increased from 2002 through...
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Reflex and Spontaneous Movements in Adult Patients during the Process of Determining Brain Death in Korea

Kim DH, Kwon OY, Yang TW, Kim M, Lee J, Cho W, Yeom JS, Kim YS

BACKGROUND: Brain death is a clinical diagnosis that implies irreversible loss of function of the entire brain, including the brainstem and both hemispheres. Based on previous reports, it is not...
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Liver transplantation from a non–heartbeating donor

Na BG, Hwang S, Hong SK, Jung DH, Song GW, Ha TY, Ahn CS, Moon DB, Kim M, Kim SH, Lee SG

Interest in utilizing organs from non–heart-beating donors (NHBDs) has increased be-cause of the organ shortage. However, liver transplantation (LT) from NHBDs has been scarcely performed in Korea because only Maastricht...
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Causes of donation failure and improvement measures analyzed based on data from domestic deceased donors in 2019

Cho WH

In 2019, 1,630 organs were recovered from 450 brain death donors nationwide and were transplanted into 1,612 transplant recipients. However, considering that the number of potential brain-dead linked to the...
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Factors Affecting the Time Taken to Determine Brain Death in Patients with Impending Brain Death

Kim YS, Kim DH, Yang TW, Kim M, Lee J, Cho W, Kwon OY

Background and Purpose: The increased demand for donor organs has made it crucial to keep the organs of patients with impending brain death (PWIBDs) suitable for transplantation during the process...
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Analysis of factors involved in brain-death donor processing for face transplantation in Korea: How much time is available from brain death to transplantation?

Hong JW, Chung SW, Ahn SJ, Lee WJ, Lew DH, Kim YO

BACKGROUND: Face transplantation has naturally evolved from reconstructive procedures. However, few institutions perform face transplantations, because it is time-consuming and it is necessary to justify non-vital organ transplantation. We investigated...
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Spontaneous Repetitive Constriction and Dilatation of a Unilateral Pupil in a Brain Death Patient

Chun MY, Park J, Lee SY, Lee CY, Lee SA, Lee EH, Lee SH, Chang Y, Park KD, Song TJ

In brain death state, bilateral pupil light reflexes are disappeared, and pupils are fixed with dilated. However, spontaneous movements such as ocular microtremor or bilateral cyclical constriction-dilatation of pupils have...
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Medical Management of Brain-Dead Organ Donors

Anwar AT, Lee JM

With improving healthcare services, the demand for organ transplants has been increasing daily worldwide. Deceased organ donors serve as a good alternative option to meet this demand. The first step...
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Organ donation in Korea in 2018 and an introduction of the Korea national organ donation system

Cho WH

A total of 1,503 solid organs were procured from 449 deceased donors in 2018. Although the number of donors was down by 12.8% from the previous year (8.7 per million...
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Reflex and Spontaneous Movements of Patients in the Process of Determining Brain Death

Kim YS, Kim J, Kwon OY, Kim M, Lee J, Cho W, Kim DH, Yang TW, Kim SK

Brain death is a clinical diagnosis that implies irreversible loss of function of the entire brain, including the brainstem and both hemispheres. It is not uncommon for reflex and spontaneous...
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Factors Influencing Family's Organ Donation Decision

Oh J, Kang M, Jang KS, Kang HJ, Cho W, Ha J

BACKGROUND: The main factor limiting the increase in brain dead organ donors is low consent rates for organ donation. METHODS: This study is a retrospective analysis of donor records of Korea...
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Electroencephalography for the diagnosis of brain death

Lee SY, Kim WJ, Kim JM, Kim J, Park S, The Korean Society of Clinical Neurophysiology Education Committee

Electroencephalography (EEG) is frequently used to assist the diagnosis of brain death. However, to date there have been no guidelines in terms of EEG criteria for determining brain death in...
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A Preliminary Study to Revise the Marginal Donor Criteria of KONOS in Deceased Donor Kidney Transplantation

Huh W

BACKGROUND: The Korean Network for Organ Sharing (KONOS), which was established in December 31st, 1999, is a nationwide system of deceased donor detection and distribution. From its inception, KONOS has...
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Reduction of Apnea Test Time in an Extracorporeal Membrane Oxygenation-Dependent Potential Donor

Jee HS, Cha S, Kim GS

The diagnosis of brain death is essential for deceased donor organ transplantation. Currently, extracorporeal membrane oxygenation (ECMO) is used to increase the chance of survival of patients with severe cardiac...
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