Does minimally invasive approach reduce risk of infection after ventricular assist device implantation?


Journal

The International journal of artificial organs
ISSN: 1724-6040
Titre abrégé: Int J Artif Organs
Pays: United States
ID NLM: 7802649

Informations de publication

Date de publication:
Dec 2021
Historique:
pubmed: 12 5 2021
medline: 12 11 2021
entrez: 11 5 2021
Statut: ppublish

Résumé

We analyzed patients with left ventricular assist device (LVAD) related and specific infection, and aimed to determine whether surgical technique implantation affect the frequency of infection. We retrospectively analyzed the data of 99 patients who received LVAD at our department between June 2013 and June 2019. Patients were divided into two groups according to the surgical technique. Group A ( Mean follow up time was 589 ± 480 (31-2171) days. Infection was detected in 34% (41/99) of LVAD patients. Admission to emergency department and intensive care unit (ICU) in last 6 months were significantly higher in MILT group. There was no difference between the two groups in terms of driveline exit site infection (CS: 28%, MILT: 27%) ( Despite advances in pump technology and surgical technique, infection is still an important cause of mortality and morbidity.

Sections du résumé

BACKGROUND BACKGROUND
We analyzed patients with left ventricular assist device (LVAD) related and specific infection, and aimed to determine whether surgical technique implantation affect the frequency of infection.
METHODS METHODS
We retrospectively analyzed the data of 99 patients who received LVAD at our department between June 2013 and June 2019. Patients were divided into two groups according to the surgical technique. Group A (
RESULTS RESULTS
Mean follow up time was 589 ± 480 (31-2171) days. Infection was detected in 34% (41/99) of LVAD patients. Admission to emergency department and intensive care unit (ICU) in last 6 months were significantly higher in MILT group. There was no difference between the two groups in terms of driveline exit site infection (CS: 28%, MILT: 27%) (
CONCLUSIONS CONCLUSIONS
Despite advances in pump technology and surgical technique, infection is still an important cause of mortality and morbidity.

Identifiants

pubmed: 33971762
doi: 10.1177/03913988211013367
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

972-979

Auteurs

Umit Kervan (U)

Department of Cardiovascular Surgery, University of Health Sciences, Ankara City Hospital, Yuksek Ihtisas Heart Center, Ankara, Turkey.

Yasemin Tezer (Y)

Department of Infectious Diseases, University of Health Sciences, Ankara City Hospital, Yuksek Ihtisas Heart Center, Ankara, Turkey.

Sinan Sabit Kocabeyoglu (SS)

Department of Cardiovascular Surgery, University of Health Sciences, Ankara City Hospital, Yuksek Ihtisas Heart Center, Ankara, Turkey.

Dogan Emre Sert (DE)

Department of Cardiovascular Surgery, University of Health Sciences, Ankara City Hospital, Yuksek Ihtisas Heart Center, Ankara, Turkey.

Mehmet Karahan (M)

Department of Cardiovascular Surgery, University of Health Sciences, Ankara City Hospital, Yuksek Ihtisas Heart Center, Ankara, Turkey.

Mustafa Akdi (M)

Department of Cardiovascular Surgery, University of Health Sciences, Ankara City Hospital, Yuksek Ihtisas Heart Center, Ankara, Turkey.

Abdulkadir Yilmaz (A)

Department of Cardiovascular Surgery, University of Health Sciences, Ankara City Hospital, Yuksek Ihtisas Heart Center, Ankara, Turkey.

Can Kocak (C)

Department of Cardiovascular Surgery, University of Health Sciences, Ankara City Hospital, Yuksek Ihtisas Heart Center, Ankara, Turkey.

Abdurahim Colak (A)

Department of Cardiovascular Surgery, University of Health Sciences, Ankara City Hospital, Yuksek Ihtisas Heart Center, Ankara, Turkey.

Zeki Catav (Z)

Department of Cardiovascular Surgery, University of Health Sciences, Ankara City Hospital, Yuksek Ihtisas Heart Center, Ankara, Turkey.

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