Global Journal of Hematology and Blood Transfusion  (Volume 4 Issue 1)
Management of Allogeneic Stem Cell Transplant Recipients with Hepatic Veno-Occlusive Disease Global Journal of Hematology and Blood Transfusion
Pages 1-9

Alessandro Busca

DOI: http://dx.doi.org/10.15379/2408-9877.2017.04.01.01
Published: 30 January 2017
Abstract

Hepatic veno-occlusive disease (VOD) or sinusoidal obstruction syndrome (SOS) is one the major limiting factor for the successful outcome of patients undergoing allogeneic hematopoietic stem cell transplantation (HSCT), with a reported mortality rate of up to 50%. VOD/SOS is thought to result from an endothelial damage and occurs with a highly variable incidence ranging from 8% to 14%. Management of patients with VOD/SOS is based on both prevention and treatment, which rely on non-pharmacological approaches, for instance the control of additional risk factors, and pharmacologic treatments.

Herein we provide a review of the current understanding for the management of patients with VOD/SOS after allogeneic HSCT.
Keywords
 Hepatic VOD/SOS, Endothelial damage, Transplant-related complications, Defibrotide.
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