Defibrotide for prophylaxis of sinusoidal obstruction syndrome/veno-occlusive disease (SOS/VOD) in pediatric high-risk patients: consensus guidelines from the European Society for Blood and Marrow Transplantation (EBMT) - Summary - MDSpire
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Guidelines from the European Society for Blood and Marrow Transplantation (EBMT) on the Use of Defibrotide to Prevent Sinusoidal Obstruction Syndrome/Veno-Occlusive Disease in High-Risk Pediatric Patients

  • By

  • Selim Corbacioglu

  • Rajinder Bajwa

  • Ali Bülent Antmen

  • Adriana Balduzzi

  • Jaap Jan Boelens

  • Francesca Bonifazi

  • Simone Cesaro

  • Fabio Ciceri

  • Antonio Colecchia

  • Fiona Dignan

  • Katharina Kleinschmidt

  • Kris M. Mahadeo

  • Antonio Pagliuca

  • Petr Sedlacek

  • Peter J. Shaw

  • Jerry Stein

  • Zofia Szmit

  • Francesco Tambaro

  • Elif Ince

  • Marta Verna

  • Akif Yesilipek

  • Marco Zecca

  • Paul G. Richardson

  • Mohamad Mohty

  • Krzysztof Kalwak

  • January 13, 2026

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Objective:

Emphasize the importance of addressing pediatric-specific challenges in SOS/VOD.

Key Findings:
  • Include more context on the implications of anicteric SOS/VOD.
Interpretation:

Strengthen the connection to the implications of the findings.

Limitations:
  • Specify which studies are retrospective to clarify potential biases.
Conclusion:

Reiterate the significance of early intervention and the role of defibrotide.

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