Implementation of Computed Tomography Angiography (CTA) and Computed Tomography Perfusion (CTP) in Polish Guidelines for Determination of Cerebral Circulatory Arrest (CCA) during Brain Death/Death by Neurological Criteria (BD/DNC) Diagnosis Procedure.
Romuald BohatyrewiczJoanna PastuszkaWojciech WalasKatarzyna Chamier-CieminskaWojciech PoncyljuszWojciech DąbrowskiJoanna WojczalPiotr LuchowskiMaciej GuzinskiElżbieta JurkiewiczMonika Bekiesińska-FigatowskaRadoslaw OwczukJerzy WaleckiOlgierd RowinskiMaciej ZukowskiKrzysztof KuszaMariusz PiechotaAndrzej PiotrowskiMarek MigdalMarzena ZielinskaMarcin SawickiPublished in: Journal of clinical medicine (2021)
CTA and CTP-derived CTA might be in future the tests of choice for CCA diagnosis, proper and/or Doppler pretest might significantly increase sensitivity of CTA in CCA diagnosis procedures. Whole brain CTP might be decisive in some cases of inconclusive CTA. Implementation of CTA/CTP in the Polish BD/DNC diagnosis guidelines does not show any major obstacles. We believe that in next edition of "The World Brain Death Project" CTA and CTP will be recommended as ancillary tests of choice for CCA confirmation during BD/DNC diagnosis procedures.
Keyphrases
- computed tomography
- healthcare
- primary care
- resting state
- quality improvement
- cerebral ischemia
- magnetic resonance imaging
- magnetic resonance
- subarachnoid hemorrhage
- high resolution
- positron emission tomography
- blood brain barrier
- cell cycle
- decision making
- current status
- blood flow
- molecularly imprinted
- simultaneous determination