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J Am Coll Cardiol, 2004; 43:806-810, doi:10.1016/j.jacc.2003.08.059
© 2004 by the American College of Cardiology Foundation
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The impact of mode of donor brain death on cardiac allograft vasculopathy

An intravascular ultrasound study

Mandeep R. Mehra, MD, FACC*,*, Patricia A. Uber, pharmD*, Hector O. Ventura, MD, FACC*, Robert L. Scott, MD, FACC* and Myung H. Park, MD*

* Ochsner Cardiomyopathy and Heart Transplantation Center, Ochsner Medical Institutions, New Orleans, Louisiana, USA



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Figure 1 Severity of intimal thickening by intravascular ultrasound among cardiac allograft recipients with donors who suffered nonexplosive brain death compared to those with explosive brain death. The explosive brain death donor hearts developed significantly greater intimal thickening, which crossed the prognostically relevant threshold of >0.5 mm.

 


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Figure 2 Actuarial survival curve depicting freedom from cardiac events during late follow-up demonstrating the adverse impact of explosive brain death on survival compared to non-explosive brain death.

 




 
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