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Presentation transcript:

Driveline Infections in Left Ventricular Assist Devices: Implications for Destination Therapy Vikas Sharma, MD, Salil V. Deo, MS, MCh, John M. Stulak, MD, Lucian A. Durham, MD, PhD, Richard C. Daly, MD, Soon J. Park, MD, Larry M. Baddour, MD, Kashish Mehra, MBBS, Lyle D. Joyce, MD, PhD The Annals of Thoracic Surgery Volume 94, Issue 5, Pages 1381-1386 (November 2012) DOI: 10.1016/j.athoracsur.2012.05.074 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) A superficial driveline infection with disruption of the seal between the skin edges and the velour coating of the driveline. (B) A cross-sectional computed tomography image of the upper abdomen depicts the presence of a multiloculated abscess cavity deep to the rectus sheath near the insertion of the driveline. The Annals of Thoracic Surgery 2012 94, 1381-1386DOI: (10.1016/j.athoracsur.2012.05.074) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Diagram shows the dressing for the driveline exit site. The Annals of Thoracic Surgery 2012 94, 1381-1386DOI: (10.1016/j.athoracsur.2012.05.074) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Bar graph shows the distribution of driveline infection by year. The Annals of Thoracic Surgery 2012 94, 1381-1386DOI: (10.1016/j.athoracsur.2012.05.074) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Bar diagram demonstrates the increment in the incidence of driveline infection with increasing duration of left ventricular assist device support. The Annals of Thoracic Surgery 2012 94, 1381-1386DOI: (10.1016/j.athoracsur.2012.05.074) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions