{"title":"Investigating Potential Preoperative Risk Factors for Left Ventricular Assist Device Driveline Infections.","authors":"Alexandra Madden, Melanie Moser, Howard Eisen","doi":"10.1007/s11886-025-02267-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose of review: </strong>To identify potential preoperative risk factors that predispose a patient to developing a left ventricular assist device driveline infection.</p><p><strong>Recent findings: </strong>The fully magnetically-levitated left ventricular assist device has proven to be a safe and effective durable option for patients with advanced heart failure. However, driveline infections are a significant adverse event that impact patient mortality, morbidity, and quality of life. Potential preoperative risk factors such as INTERMACS score, temporary cardiovascular support, body mass index, hemoglobin A1C, prealbumin, infection, and hospital length of stay do not appear to significantly predispose a patient to developing a left ventricular assist device driveline infection. There is a need for more extensive research on postoperative patient and driveline management in order to identify high risk patients and delineate best practice to decrease the risk and burden of driveline infections.</p>","PeriodicalId":10829,"journal":{"name":"Current Cardiology Reports","volume":"27 1","pages":"117"},"PeriodicalIF":3.3000,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Cardiology Reports","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11886-025-02267-y","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose of review: To identify potential preoperative risk factors that predispose a patient to developing a left ventricular assist device driveline infection.
Recent findings: The fully magnetically-levitated left ventricular assist device has proven to be a safe and effective durable option for patients with advanced heart failure. However, driveline infections are a significant adverse event that impact patient mortality, morbidity, and quality of life. Potential preoperative risk factors such as INTERMACS score, temporary cardiovascular support, body mass index, hemoglobin A1C, prealbumin, infection, and hospital length of stay do not appear to significantly predispose a patient to developing a left ventricular assist device driveline infection. There is a need for more extensive research on postoperative patient and driveline management in order to identify high risk patients and delineate best practice to decrease the risk and burden of driveline infections.
期刊介绍：
The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature.
We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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