Creutzfeldt-Jakob disease from allogeneic dura: a review of risks and safety.
Surgeons and the lay public have recently expressed concern over the safety of allogeneic dura as it relates to the transmission of Creutzfeldt-Jakob Disease. Indeed, two cases have resulted from use of tissue procured from a commercial agency that did not adhere to criteria accepted by the American Association of Tissue Banks or the Southeast Organ Procurement Foundation. This review discusses the risks and safety of allogeneic dura. The findings should reassure the surgeon of the safety of allogeneic dura when it is properly processed and catalogued by a bona fide, reputable tissue bank. To date, there have been no documented cases reported to the Center for Disease Control in which Creutzfeldt-Jakob Disease was transmitted from allogeneic dura obtained from a registered tissue bank.
Marx
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Division of Oral and Maxillofacial Surgery, University of Miami School of Medicine, FL 33136.
Carlson
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D000328:Adult; D016380:Brain Tissue Transplantation / Q000009:adverse effects*; D007562:Creutzfeldt-Jakob Syndrome / Q000209:etiology* / Q000635:transmission; D004388:Dura Mater / Q000637:transplantation*; D005260:Female; D006801:Humans; D012307:Risk Factors; D012449:Safety; D009927:Tissue and Organ Procurement