Alfa Pumps for the Removal of Ascites due to Liver Disease

Request for a referral for an Alfa Pump Device for the Removal of Ascites due to Liver Disease

Related keywords
Liver Disease, Alfa Pumps, Removal of Ascites
Who can apply
Consultant
Referral routes
Prior Approval

The Alfa Pump, a CE-marked device, which is implanted beneath the skin of the abdomen, works by pumping fluid from the abdomen into the bladder, where it is removed from the body naturally through urination. The fully implantable, battery powered, pump system eliminates the build-up of ascites and the onset of associated symptoms. In alcoholic cirrhotic patients once the symptoms of liver disease are reduced or eliminated, the liver has a better chance of recovery, as long as patients abstain from drinking alcohol.

pdf File
Filename: ALFA-PUMPS.PDF
File type: PDF
File size: 1 MB
Description: This is a Prior Approval policy.  Please complete the PA application form for all patients requiring this intervention.  IF the patient clearly meets the criteria, please forward the application to the EFR Team and await confirmation of funding before making a referral.
vnd.openxmlformats-officedocument.wordprocessingml.document File
Filename: ALFA_PUMPS_PA_APPLICATION_V1617.1.02.DOCX
File type: DOCX
File size: 57 KB
Description: Please complete this form for all patients requiring this intervention. IF the patient clearly meets the criteria, please forward the application to the EFR Team and await confirmation of funding before making a referral.