Evolving Perspectives on Pediatric EBMT Criteria By Selim Corbacioglu November 21, 2020 Bone Marrow Transplantation Share Summary Takeaways Listen Insight Report Clinical Scorecard Quiz Poll 1 Sinusoidal obstruction syndrome (SOS/VOD) is a serious complication post-hematopoietic stem cell transplantation (HSCT) with specific clinical signs. 2 The pediatric EBMT (pEBMT) criteria were developed to address limitations in existing diagnostic criteria for SOS/VOD in children. 3 Refractory thrombocytopenia (TRT) is recognized as a sensitive predictor of SOS/VOD and is now included in the pEBMT criteria. 4 Early intervention with defibrotide (DF) is crucial for improving outcomes in SOS/VOD, as shown by recent trials. 5 The pEBMT criteria demonstrated a higher incidence of SOS/VOD but allowed for earlier diagnosis and treatment compared to previous criteria.