Date(s) - 12/14/2017
12:00 pm - 1:00 pm
Wake Forest Baptist Medical Center
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Ana S. Iltis, PhD, Director, Center for Bioethics, Health & Society, Wake Forest University
“Ethics and Vascularized Composite Allotransplantation: Hands, Faces, and Beyond”
Exploring Ethics Talk:
Thursday, December 14, 2017
Conference Room 10C, 10th Floor of the Comprehensive Cancer Center, WFBMC
Registration Link: https://northwestahec.wfubmc.
Summary: Approximately 200 vascularized composite allotransplants (VCA) have been reported in the medical literature, many of them involving unilateral or bilateral upper extremity or face transplants. This presentation summarizes the history of vascularized composite allotransplantation and the current mechanisms for overseeing VCA donation and allocation. The focus then shifts to a range of ethical issues VCAs raise, including soliciting organs from deceased and living donors, informed consent, measuring need, defining success, comparing risks and potential benefits, assessing VCA candidates for transplant eligibility, and dealing with failure. Ethical issues at the policy level include allocating VCAs among candidates and assessing the cost effectiveness of VCA. VCAs from living donors raise special concerns which will be examined.