在左心室辅助装置的支持下，驱动系转位伴网膜成形术。

Q4 Medicine

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-07-28 DOI:10.1510/mmcts.2025.070

Anna Stegmann, Gaik Nersesian, Yuriy Hrytsyna, Johanna Mulzer, Volkmar Falk, Wenzel Schoening, Evgenij Potapov, Pia Lanmüeller

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引用次数: 0

摘要

重大感染仍然是使用耐用左心室辅助装置的患者再入院和生活质量降低的主要原因。传动系统出口部位最常受影响，当强化换药和抗生素治疗等保守治疗失败时，严重传动系统感染的手术治疗是必要的。我们提出了一种标准化的方法，包括传动系移位和随后的网膜成形术。该手术旨在消除慢性感染，通过去除丝绒覆盖物减少微生物库，并利用大网膜的抗炎特性。

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Driveline transposition with omentoplasty in a patient supported with a left ventricular assist device.

Major infections remain a leading cause of readmission and reduced quality of life in patients with a durable left ventricular assist device. The driveline exit site is most commonly affected, and surgical management of severe driveline infections becomes necessary when conservative therapy of intensified dressing changes and antibiotic therapy fails. We present a standardized approach involving the transposition of the driveline with subsequent omentoplasty. The procedure aims to eradicate chronic infection, reduce microbial reservoirs by removing velour coverings and leverage the omentum's anti-inflammatory properties.

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来源期刊

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is produced by The European Association for Cardio-Thoracic Surgery (EACTS). MMCTS is the world’s premier video-based educational resource for cardiovascular and thoracic surgeons; freely accessible - and essential - for all. MMCTS was launched more than ten years ago under the leadership of founding editor Professor Marko Turina. It was Professor Turina’s vision that the European Association for Cardio-Thoracic Surgery (EACTS), already the world-leader in CT surgery education, should take advantage of the Internet’s rapidly improving video publication capabilities and create a new step-by-step manual of surgical procedures. Professor Turina and EACTS agreed that the manual, MMCTS, should be freely accessible to all users, regardless of association membership status, nationality, or affiliation. MMCTS was self-published by EACTS for some years before being transferred to Oxford University Press, which hosted it until the end of 2016. In November 2016, the Manual returned home to EACTS and it has now relaunched in a completely new format. Since its birth in 2005, MMCTS has published some 400 detailed, video-based demonstrations of cardio-thoracic surgical procedures. Tutorials published prior to 2012 have been archived and we are working with the authors of these tutorials to update their work pending republication on the new site. Our mission is to make MMCTS the best online reference for cardio-thoracic surgeons – residents and experienced surgeons alike. Our aim is to include tutorials presenting procedures at both a fundamental and an advanced level. Truly innovative procedures are also included and are identified as such.