Complex HeartMate II Infection Treated with Pump Exchange to HeartWare HVAD

被引：20

作者：

Abicht, Travis

Gordon, Robert

Meehan, Karen

Stosor, Valentina

McCarthy, Patrick

McGee, Edwin, Jr.

机构：

[1] NW Mem Hosp, Dept Surg, Div Cardiac Surg, Bluhm Cardiovasc Inst, Chicago, IL 60611 USA

[2] Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA

来源：

ASAIO JOURNAL | 2013年 / 59卷 / 02期

关键词：

ventricular assist device; driveline infection; device exchange; VENTRICULAR ASSIST DEVICE; CONTINUOUS-FLOW;

D O I：

10.1097/MAT.0b013e318283820d

中图分类号：

R318 [生物医学工程];

学科分类号：

0831 ;

摘要：

Left ventricular assist device (LVAD) infections continue to present a serious challenge in both the destination therapy and the bridge to transplant patient populations. As devices are supporting patients longer due to increased durability, infections can evolve and worsen over time. Complex infections, resistant to standard pharmacologic management, require a more aggressive approach to treatment. A series of patients supported by HeartMate II (HMII) LVADs, treated for multidrug resistant complex driveline infections, failed antibiotic therapy and then underwent device exchange. In each case, the HMII device was exchanged for a HeartWare HVAD as we felt its small size and flexible driveline were advantageous properties when dealing with patients with a complex driveline or pump infection. ASAIO Journal 2013;59:188-192.

引用

收藏

页码：188 / 192

页数：5

相关论文

共 15 条

[1] Use of an Intrapericardial, Continuous-Flow, Centrifugal Pump in Patients Awaiting Heart Transplantation [J].

Aaronson, Keith D. ;

Slaughter, Mark S. ;

Miller, Leslie W. ;

McGee, Edwin C. ;

Cotts, William G. ;

Acker, Michael A. ;

Jessup, Mariell L. ;

Gregoric, Igor D. ;

Loyalka, Pranav ;

Frazier, O. H. ;

Jeevanandam, Valluvan ;

Anderson, Allen S. ;

Kormos, Robert L. ;

Teuteberg, Jeffrey J. ;

Levy, Wayne C. ;

Naftel, David C. ;

Bittman, Richard M. ;

Pagani, Francis D. ;

Hathaway, David R. ;

Boyce, Steven W. .

CIRCULATION, 2012, 125 (25) :3191-+

[2]

Antaki JF, 2012, MECH CIRCULATORY SUP

[3] Long-term outcomes of patients bridged to recovery versus patients bridged to transplantation [J].

Birks, Emma J. ;

George, Robert S. ;

Firouzi, Ashi ;

Wright, Gavin ;

Bahrami, Toufan ;

Yacoub, Magdi H. ;

Khaghani, Asghar .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2012, 144 (01) :190-196

[4] Working formulation for the standardization of definitions of infections in patients using ventricular assist devices [J].

Hannan, Margaret M. ;

Husain, Shahid ;

Mattner, Frauke ;

Danziger-Isakov, Lara ;

Drew, Richard J. ;

Corey, G. Ralph ;

Schueler, Stephan ;

Holman, William L. ;

Lawler, Leo P. ;

Gordon, Steve M. ;

Mahon, Niall G. ;

Herre, John M. ;

Gould, Kate ;

Montoya, Jose G. ;

Padera, Robert F. ;

Kormos, Robert L. ;

Conte, John V. ;

Mooney, Martha L. .

JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2011, 30 (04) :375-384

[5] Post-cardiac transplant survival after support with a continuous-flow left ventricular assist device: Impact of duration of left ventricular assist device support and other variables [J].

John, Ranjit ;

Pagani, Francis D. ;

Naka, Yoshifumi ;

Boyle, Andrew ;

Conte, John V. ;

Russell, Stuart D. ;

Klodell, Charles T. ;

Milano, Carmelo A. ;

Rogers, Joseph ;

Farrar, David J. ;

Frazier, O. Howard .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2010, 140 (01) :174-181

[6] Inflammation and coagulation [J].

Levi, Marcel ;

van der Poll, Tom .

CRITICAL CARE MEDICINE, 2010, 38 (02) :S26-S34

[7] Infections associated with ventricular assist devices: epidemiology and effect on prognosis after transplantation [J].

Monkowski, D. H. ;

Axelrod, P. ;

Fekete, T. ;

Hollander, T. ;

Furukawa, S. ;

Samuel, R. .

TRANSPLANT INFECTIOUS DISEASE, 2007, 9 (02) :114-120

[8] Cost-effectiveness of the implantable HeartMate II left ventricular assist device for patients awaiting heart transplantation [J].

Moreno, Santiago G. ;

Novielli, Nicola ;

Cooper, Nicola J. .

JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2012, 31 (05) :450-458

[9] Left ventricular assist devices as permanent heart failure therapy - The price of progress [J].

Oz, MC ;

Gelijns, AC ;

Miller, L ;

Wang, CL ;

Nickens, P ;

Arons, R ;

Aaronson, K ;

Richenbacher, W ;

van Meter, C ;

Nelson, K ;

Weinberg, A ;

Watson, J ;

Rose, EA ;

Moskowitz, AJ .

ANNALS OF SURGERY, 2003, 238 (04) :577-583

[10] Left Ventricular Assist Device Driveline Infections [J].

Pereda, Daniel ;

Conte, John V. .

CARDIOLOGY CLINICS, 2011, 29 (04) :515-+