Chief Medical Officer, Miami Transplant Institute, @JacksonHealth, portal HTN, IR/hep, disparities, vascular liver disease/ opinions mine alone
United States
Joined November 2019
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Brett E Fortune MD retweeted
Follow @JenLaiLiverDoc
Brett E Fortune MD retweeted
Donor BMI rises, liver biopsy use in LDLT is plummeting.
🇺🇸 In 7,942 LDLTs (2000–2024), donor BMI rose 24.6→27.6, while biopsy use fell ~50%→6%. Higher BMI was not linked to worse recipient outcomes.
Time to standardize steatosis assessment?
doi.org/10.1097/LVT.00000000…
#LiverX
Brett E Fortune MD retweeted
📑 Better pathways ➡️ better detection 🔎of advanced #MASLD‼️
⭐️A 2-step FIB4/MAF4/NFS ➡️ VCTE pathway ⬆️ correct hepatology referral rates❕
#OpenAccess #LiverX
journals.lww.com/hepcomm/ful…
Brett E Fortune MD retweeted
Can a deceased donor–derived predictor guide decisions in living donor LT for ACLF? 🧐
In 178 LDLT recipients, SALT-M showed limited discrimination (AUROC 0.56).
Model failure or simply a different patient population? Use with caution ☝️
🔗 doi.org/10.1097/LVT.00000000…
Brett E Fortune MD retweeted
🟣 Beyond the class effect: Rethinking anticoagulation in #LiverdBeyond
🔓#OpenAccess at👉jhep-reports.eu/article/S258…
#Liverdisease #LiverTwitter #LiverX
Brett E Fortune MD retweeted
🟣#Livertransplantation at the extreme: Analysis of outcomes and predictors of futility in patients with acute-on-chronic liver failure grade 3 on maximal life support
🔓#OpenAccess at👉jhep-reports.eu/article/S258…
#Livertransplantation #ACLF #LiverTwitter #LiverHealth #LiverX
Brett E Fortune MD retweeted
Thrombosis and anticoagulation in patients with Cirrhosis.
An overview
sciencedirect.com/science/ar…
Brett E Fortune MD retweeted
Large multicenter study from India and Singapore.
Highlights:
TIPS is excellent for AVB (>90% control); decent for Ascites (50% control);
For HRS-AKI: survival 52% compared to 73% in no HRS.
First study on ACLF type A (APASL)- TFS 33%
FIPS and MELD are valid in Asian cohorts
@DrMarkMuthiah @DrHuangDQ @RoyAHep @karanbjmc93 @giri_gutnliver @docMPK @BavenoCoop @JimmyLaiCT @Sanchit30497977 @BrettEFortuneMD @ebtapper @JustSagnik @drshalimar @MaiwallRakhi @JasmohanBajaj #liverx #portalhypertension nature.com/articles/s41598-0…
TIPS in higher-risk patients?
Multicentric data of 207 patients, 96% remained free of variceal rebleeding, while 51% achieved ascites control. The HRS-AKI and ACLF findings raise important questions
Led by @AnandVKulkarni2
@giri_gutnliver @karanbjmc93 nature.com/articles/s41598-0…
Brett E Fortune MD retweeted
Why does portal vein thrombosis matter in hospitalized patients with cirrhosis?
In the global CLEARED cohort investigating 7,721 patients across 37 countries, PVT affected 1 in 10 and was linked to more AKI, severe HE, and higher 30-day mortality.
doi.org/10.1097/LVT.00000000…
#LiverX
Brett E Fortune MD retweeted
Dreams can come true.
>10 years of research, friendship, and team building with patients and caregivers brought us to these beautiful results.
Together we (@serperm) prevented falls in patients with cirrhosis.
journals.lww.com/hep/abstrac…
Brett E Fortune MD retweeted
1/ It's #MalnutritionAwarenessWeek. Malnutrition is common in cirrhosis, and we've known it for decades. What we haven't done is build it into routine care the way we did carvedilol and pHTN. We need to routinely screen for it and proactively manage it when present.
Brett E Fortune MD retweeted
Seeking an energetic and motivated transplant hepatologist (board eligible or certified gastroenterology and transplant hepatology) who wants to join an exciting opportunity to be part of the new vision for advanced liver care and liver transplant at Miami Transplant Institute. Any rank and experience accepted. Please apply using the link below. umiami.wd1.myworkdayjobs.com…
Brett E Fortune MD retweeted
🚨 job alert!! 🚨
@JacksonHealth @univmiami @AASLDtweets @AASLDFoundation @AST_info @LiverFellow @_ILTS_
Seeking an energetic and motivated transplant hepatologist (board eligible or certified gastroenterology and transplant hepatology) who wants to join an exciting opportunity to be part of the new vision for advanced liver care and liver transplant at Miami Transplant Institute. Any rank and experience accepted. Please apply using the link below. umiami.wd1.myworkdayjobs.com…
Brett E Fortune MD retweeted
6.9% of LT candidates were delisted after clinical improvement. But when is “better” good enough to leave the waitlist?
Khan & Aby: recovery varies by etiology and timing, and MELD improvement may not equal durable recompensation.
Better markers needed.
doi.org/10.1097/LVT.00000000…
Brett E Fortune MD retweeted
#Thrombophilia ≠ automatic exclusion from living liver donation.
Isolated heterozygous Factor V Leiden or Prothrombin G20210A may be acceptable with standard thromboprophylaxis. Prior VTE or high-risk genotypes remain red flags.
journals.lww.com/lt/fulltext…
#LiverX #LiverTwitter
Brett E Fortune MD retweeted
While you're on-the-go, explore the current evidence and controversies of portal vein thrombosis in portal hypertension with this Sept. 8 webinar. Register to learn more on transplant candidacy, severity of liver disease, extent of thrombosis, and bleeding risk.
Register now: bit.ly/4yh0yoJ
#liverdisease #thrombosis #hypertension
Brett E Fortune MD retweeted
Can social media expand altruistic #LivingLiverDonation?
In 1,695 unique #LDLT self-referrals, social media was independently associated with altruistic referral (aOR 1.41). It accounted for 25% of altruistic referrals and 33% of actual altruistic donors.
doi.org/10.1097/LVT.00000000…
Brett E Fortune MD retweeted
San Diego is almost here. The #ILTS & #SATA Joint Meeting covers hemodynamics, cardiac evaluation, postoperative challenges, debates, workshops, and more — a full day on perioperative care in liver transplantation.
🔗 ilts.memberclicks.net/periop…
#LiverTransplantation
Brett E Fortune MD retweeted
The EASL Schools 2027 applications are open! Four unique learning opportunities await you, including this School on Portal Hypertension (23-24 September 2027, Vienna, Austria).
The aim of this School is to foster a new generation of physicians and physician-scientists working in the field of ACLD/PSVD who are highly skilled in portal hypertension.
Organisers Lorenz Balcar, Annalisa Berzigotti, Virginia Hernández-Gea, Mattias Mandorfer and Thomas Reiberger are looking forward to meeting and exchanging with you!
Read more and submit your application by 28 September: easl.eu/event/portal-hyperte…
Brett E Fortune MD retweeted
👋 #LiverTwitter!
We're hosting an @EASLedu School on portal hypertension!
📰 @BavenoCoop VIII
👉ACLD & PSVD/vascular
👉Mastering NITs
👉Tips for TIPS
👉Case-based discussions
👉Live cases on HVPG - transjugular liver biopsy - EUS-PPG - EUS-guided liver biopsy
✨Apply now 👇
The EASL Schools 2027 applications are open! Four unique learning opportunities await you, including this School on Portal Hypertension (23-24 September 2027, Vienna, Austria).
The aim of this School is to foster a new generation of physicians and physician-scientists working in the field of ACLD/PSVD who are highly skilled in portal hypertension.
Organisers Lorenz Balcar, Annalisa Berzigotti, Virginia Hernández-Gea, Mattias Mandorfer and Thomas Reiberger are looking forward to meeting and exchanging with you!
Read more and submit your application by 28 September: easl.eu/event/portal-hyperte…