A retrospective study of left ventricular assist device-related infections.

Barbara Bentz, Judith E Hupcey, Rosemary C Polomano, John P Boehmer
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Abstract

Left ventricular assist devices (LVADs) represent considerable technological advancements, which are increasing survival and maintaining the highest quality of life for patients with chronic heart failure. A retrospective analysis of outcomes was conducted on 90 patients during LVAD support with either a Thoratec (n = 41) or HeartMate (n = 49) device, with a median of 56 days (range 3-350 days). Device-related infections occurred in 18 of the 90 subjects (20%). A significant increase in device-related infections was noted with the HeartMate LVAD (chi 2 analysis, P < .05). The drive line was the most common site of device-related infections, accounting for 52.1%, with 31.1% occurring in the pocket and 15.1% in the LVAD itself. There was little if any correlation that existed between time spent in the hospital prior to implantation of an LVAD and the development of device-related infections.

左心室辅助装置相关感染的回顾性研究。
左心室辅助装置(lvad)代表了相当大的技术进步,它提高了慢性心力衰竭患者的生存率并保持了最高的生活质量。回顾性分析了90例使用Thoratec (n = 41)或HeartMate (n = 49)装置进行LVAD支持的患者的结果,中位数为56天(范围3-350天)。90名受试者中有18名(20%)发生了与设备相关的感染。使用HeartMate LVAD时,器械相关感染显著增加(chi 2分析,P < 0.05)。驱动线是设备相关感染最常见的部位,占52.1%,其中31.1%发生在口袋中,15.1%发生在LVAD本身。在植入左室辅助装置之前在医院度过的时间与装置相关感染的发生之间几乎没有任何相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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