Clinical practice recommendations on lipoprotein apheresis for children with homozygous familial hypercholesterolemia

  • M Doortje Reijman
  • D Meeike Kusters
  • Jaap W Groothoff
  • Klaus Arbeiter
  • Eldad J Dann
  • Lotte M de Boer
  • Sarah D de Ferranti
  • Antonio Gallo
  • Susanne Greber-Platzer
  • Jacob Hartz
  • Lisa C Hudgins
  • Daiana Ibarretxe
  • Meral Kayikcioglu
  • Reinhard Klingel
  • Genovefa D Kolovou
  • Jun Oh
  • R Nils Planken
  • Claudia Stefanutti
  • Christina Taylan
  • Albert Wiegman
  • Claus Peter Schmitt

Abstract

Homozygous familial hypercholesterolaemia is a life-threatening genetic condition, which causes extremely elevated LDL-C levels and atherosclerotic cardiovascular disease very early in life. It is vital to start effective lipid-lowering treatment from diagnosis onwards. Even with dietary and current multimodal pharmaceutical lipid-lowering therapies, LDL-C treatment goals cannot be achieved in many children. Lipoprotein apheresis is an extracorporeal lipid-lowering treatment, which is well established since three decades, lowering serum LDL-C levels by more than 70% per session. Data on the use of lipoprotein apheresis in children with homozygous familial hypercholesterolaemia mainly consists of case-reports and case-series, precluding strong evidence-based guidelines. We present a consensus statement on lipoprotein apheresis in children based on the current available evidence and opinions from experts in lipoprotein apheresis from over the world. It comprises practical statements regarding the indication, methods, treatment targets and follow-up of lipoprotein apheresis in children with homozygous familial hypercholesterolaemia and on the role of lipoprotein(a) and liver transplantation.

Bibliografische Daten

OriginalspracheEnglisch
DOIs
StatusVeröffentlicht - 15.11.2023
PubMed 38014132