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Ann Thorac Surg 1999;68:1875-1877
© 1999 The Society of Thoracic Surgeons

How to Do It

A novel method to reduce device-related infections in patients supported with the HeartMate device

Latif Arusoglu, MDa, Reiner Koerfer, MD, PhDa, Gero Tenderich, MDa, William A. Alexander, MDb, Aly El-Banayosy, MDa

a Department of Thoracic and Cardiovascular Surgery, Heart Center North Rhine-Westphalia, Ruhr University of Bochum, Bad Oeynhausen, Germany
b Thermo Cardiosystems, Inc, Woburn, Massachusetts, USA

Address reprint requests to Dr El-Banayosy, Herzzentrum NRW, Klinik für Thorax und Kardiovaskularchirurgie, Georgstr 11, D-32545 Bad Oeynhausen, Germany

Improved implantable left ventricular assist device technology has made survival to heart transplantation a near certainty. Nevertheless, infection remains a major risk to recipients of current percutaneous systems. We developed a modified implantation technique applied to the last 9 of 30 patients who received the HeartMate vented electric left ventricular assist system (LVAS). Covering the upper surface of the pump with a patch of knitted graft material was followed by a decline in the incidence of pocket infections from 33.3% to 11.1%. This modification compares favorably to that of a lengthened percutaneous driveline tunnel in reducing device-related infection.




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