Title: Consensus Care Recommendations for alfapump ® in Cirrhotic Patients with Refractory
or Recurrent Ascites
Version: 3 Date: 06 Dec 2021
Reviewer's report:
The authors provide consensus recommendations for patient and procedural management for
Alfa-Pump implantation for refractory ascites. The 23 recommendations are a mix between
an implantation manual and guidelines for the management of portal hypertension / refractory
ascites but they make sense, are explained in a comprehensive way and are easy to follow. A
few minor issues should be addressed:
-preimplantation phase: I am missing a comment about TIPS here. I would suggest to specifically
mention TIPS (or rather contraindications to TIPS) as one of the prerequisites to consider the
pump (it is mentioned in Table 1 but not in the text)
-recommendation 5: “Prophylaxis should ideally be continued from admission to Alfa-pump
explant.” Please check whether this would be correct and whether this is what you meant (to
me, it would make more sense to write “implantation”, but maybe I am wrong.
-Reference 7: please provide full reference
Title: Consensus Care Recommendations for alfapump ® in Cirrhotic Patients with Refractory
or Recurrent Ascites
Version: 3 Date: 06 Dec 2021
Reviewer's report:
The authors provide consensus recommendations for patient and procedural management for
Alfa-Pump implantation for refractory ascites. The 23 recommendations are a mix between
an implantation manual and guidelines for the management of portal hypertension / refractory
ascites but they make sense, are explained in a comprehensive way and are easy to follow. A
few minor issues should be addressed:
-preimplantation phase: I am missing a comment about TIPS here. I would suggest to specifically
mention TIPS (or rather contraindications to TIPS) as one of the prerequisites to consider the
pump (it is mentioned in Table 1 but not in the text)
-recommendation 5: “Prophylaxis should ideally be continued from admission to Alfa-pump
explant.” Please check whether this would be correct and whether this is what you meant (to
me, it would make more sense to write “implantation”, but maybe I am wrong.
-Reference 7: please provide full reference
Please review this paper.
user
Title: Consensus Care Recommendations for alfapump ® in Cirrhotic Patients with Refractory
or Recurrent Ascites
Version: 3 Date: 06 Dec 2021
Reviewer's report:
The authors provide consensus recommendations for patient and procedural management for
Alfa-Pump implantation for refractory ascites. The 23 recommendations are a mix between
an implantation manual and guidelines for the management of portal hypertension / refractory
ascites but they make sense, are explained in a comprehensive way and are easy to follow. A
few minor issues should be addressed:
-preimplantation phase: I am missing a comment about TIPS here. I would suggest to specifically
mention TIPS (or rather contraindications to TIPS) as one of the prerequisites to consider the
pump (it is mentioned in Table 1 but not in the text)
-recommendation 5: “Prophylaxis should ideally be continued from admission to Alfa-pump
explant.” Please check whether this would be correct and whether this is what you meant (to
me, it would make more sense to write “implantation”, but maybe I am wrong.
-Reference 7: please provide full reference
assistant