Barbara Bentz, Judith E Hupcey, Rosemary C Polomano, John P Boehmer
{"title":"A retrospective study of left ventricular assist device-related infections.","authors":"Barbara Bentz, Judith E Hupcey, Rosemary C Polomano, John P Boehmer","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"15 1","pages":"9-16"},"PeriodicalIF":0.0000,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
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.