Dominik Bettinger

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  • 25 March 2021 at 14h20 in reply to: TIPS in haematological disease prior to bone marrow transplantation #2726
    Dominik Bettinger
    Participant

    Dear Stephen,
    I copy the citation and the PIMD in the message:

    Globig AM, Heeg M, Larsen CS, Ferreira RD, Kindle G, Goldacker S, Strohmeier V, Silva SL, Cunningham-Rundles C, Quinti I, Thimme R, Bettinger D, Schultheiß M, Warnatz K. International multi-center experience of transjugular intrahepatic portosystemic shunt implantation in patients with common variable immunodeficiency. J Allergy Clin Immunol Pract. 2021 Mar 12:S2213-2198(21)00301-9. doi: 10.1016/j.jaip.2021.02.056. Epub ahead of print. PMID: 33722695.

    I hope you can receive this short communication, unless I can also send you the unedited print.
    Best wishes,
    Dominik

    24 March 2021 at 22h30 in reply to: Portal vein aneurysm #2724
    Dominik Bettinger
    Participant

    Dear David,
    recently, a smiliar patient was refered to our department. The patient was diagnosed with portal vein thrombosis and portal vein aneurysma of 6.5 cm. He presented with variceal bleeding and endoscopic band ligation (EBL) was performed. After another variceal bleeding, we discussed TIPS implantation. During the intervention, we were able to insert a wire into the portal vein, however, we were not able to pass the aneurysma into the splenic vein or the vena mesenterica inferior and we were not able to insert a TIPS stent. Further, after varices had sufficiently been treated with EBL, we started oral anticoagulation. During follow-up CT scans, the thrombosis decreased and the aneurysma shrinked to a diameter of 1,9 cm. During last upper GI endoscopy, the patient showed varices grade I.
    If you are interesed, we could share characteristic CT scans.
    Best wishes,

    Dominik Bettinger
    University Medical Center Freiburg, Germany

    24 March 2021 at 22h17 in reply to: TIPS in haematological disease prior to bone marrow transplantation #2723
    Dominik Bettinger
    Participant

    Dear David,
    indeed, it is an interesting topic performing TIPS implantation in patients with common variable immunodeficiency. Recently, we published a small case series of TIPS implantation in these patients (J Allergy Clin Immunol Pract. 2021 Mar 12;S2213-2198(21)00301-9). In line with the results mentioned by Juan Carlos Garcia-Pagán, the outcome was not very good, especially as some patients developed infectious complications. Hope this may help.
    Best wishes,
    Dominik Bettinger
    University Medical Center Freiburg, Germany

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