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The American Society of Transplant Surgeons (ASTS)
Responding to our concerns about donor deaths linked to clip failure, the ASTS leadership provided access to its membership for our initial survey in 2002 and did so again in 2011. Subsequently, follow-up warnings were sent to all ASTS members following both the 2008 and 2011 incidents emphasizing the content of the UNOS advisories, again noting that the Hem-o-lok clip was contraindicated in donor renal artery control. However, living donor nephrectomy may be performed by transplant surgeons, urologists and minimally invasive surgeons, some of whom are likely not members of the ASTS. So information disseminated solely through ASTS and other transplant organizations cannot be expected to reach all US donor surgeons.
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