Decreasing Driveline Infections in Patients Supported on Ventricular Assist Devices: A Care Pathway Approach

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Ambulatory care of patients with left ventricular assist devices.

BACKGROUND Left ventricular assist devices (LVAD) have revolutionized the treatment of patients with acute and chronic heart failure as they provide a high quality of life. We report on our experience with patients receiving ambulatory care after LVAD implantation. METHODS AND RESULTS Since July 1995, 46 patients with a mean age of 45+/-11 years underwent implantation of an electrically drive...

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Driveline Infection in Ventricular Assist Devices and Its Implication in the Present Era of Destination Therapy

Advances in mechanical circulatory support devices provided the technology to develop long-term, implantable left ventricular assist devices as bridge to transplant, destination therapy, and in a lesser group of patients, as bridge to recovery. Despite the benefits from this innovative therapy, with their increased use, many complications have been encountered, one of the most common being infe...

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Complications in patients with ventricular assist devices.

Heart failure affects more than 5 million people in the United States. The treatments of this disease include medical therapy, heart transplantation, and the implantation of ventricular assist devices. These devices are used in patients who are no longer responsive to conservative medical treatment, who are not candidates for a heart transplantation (destination therapy), who are awaiting a hea...

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Candidemia in patients with ventricular assist devices.

During the period 1998-2004, candidemia developed in 7 of 117 ventricular assist device recipients at our hospital, and the associated mortality rate was 71%. Five cases of candidemia were due to Candida parapsilosis, and 2 were due to Candida albicans. Three of the 7 patients with ventricular assist device-associated Candida bloodstream infections were cured, and the device was retained in 2 o...

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Management of ventricular arrhythmias in patients with ventricular assist devices.

PURPOSE OF REVIEW To summarize the available evidence concerning the occurrence and treatment of ventricular arrhythmias in patients supported with long-term ventricular assist devices (VADs). RECENT FINDINGS Approximately one-third of left ventricular assist device-supported patients experience significant ventricular arrhythmias, with higher rates in certain patient subsets. Ventricular arr...

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ژورنال

عنوان ژورنال: The Journal of Heart and Lung Transplantation

سال: 2021

ISSN: 1053-2498

DOI: 10.1016/j.healun.2021.01.1258