Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disease characterized by mucocutaneous and visceral telangiectasia. Hepatic involvement with vascular malformations may lead to portal hypertension, biliary ischemia, and high-output cardiac failure. Liver transplantation is indica
Reply: Bevacizumab reverses need for liver transplantation in hereditary hemorrhagic telangiectasia
โ Scribed by Leon A. Adams; Andrew Mitchell; Gerry MacQuillan; Jonathon Tibballs; Rohan vanden Driesen; Luc Delriviere
- Publisher
- John Wiley and Sons
- Year
- 2008
- Tongue
- English
- Weight
- 61 KB
- Volume
- 14
- Category
- Article
- ISSN
- 1527-6465
- DOI
- 10.1002/lt.21647
No coin nor oath required. For personal study only.
โฆ Synopsis
unclear, and further experience in a clinical trial setting is required to clarify this. Lastly, it is exciting to ponder that vascular endothelial growth factor antagonists may have a role in reducing symptoms in the substantial number of HHT patients who are symptomatic but do not require liver transplantation. We agree with Buscarini et al. 1 that only with time will the full clinical role of bevacizumab in symptomatic HHT be made clear.
๐ SIMILAR VOLUMES
Liver involvement in hereditary hemorrhagic telangiectasia may lead to high-output cardiac failure. Few data have been reported on orthotopic liver transplantation (OLT) for these patients. In this paper, we describe two patients treated by OLT as a salvage procedure for cardiac failure, and we revi
We read with interest the article by Mitchell et al. 1 dealing with bevacizumab treatment of a patient with hereditary hemorrhagic telangiectasia (HHT), cardiac failure, and portal hypertension due to severe liver vascular malformations (VMs). The treatment reversed the need for liver transplantatio
We thank Tamura et al. 1 for their thought-provoking letter indicating that there are indeed still a lot of questions to be answered about the recurrence of primary sclerosing cholangitis (PSC). They suggested that a comparison of risk factors and rates of recurrence in living and deceased donor gra