Greater Omentum Wrapping to Treat Systemic Ventricular Assist Device Infections
| Autor: | Michael Billion, Thomas Schmidt, Jan D. Schmitto, Henning Warnecke, Sebastian Schulte-Eistrup, Nils Reiss |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Pulmonary and Respiratory Medicine
Heart transplantation medicine.medical_specialty business.industry medicine.medical_treatment 030204 cardiovascular system & hematology Greater omentum medicine.disease Surgery Abdominal wall 03 medical and health sciences 0302 clinical medicine Port (medical) medicine.anatomical_structure 030228 respiratory system Cardiothoracic surgery Heart failure Ventricular assist device medicine Foreign body Cardiology and Cardiovascular Medicine business |
| Zdroj: | Operative Techniques in Thoracic and Cardiovascular Surgery. 22:186-197 |
| ISSN: | 1522-2942 |
| DOI: | 10.1053/j.optechstcvs.2018.04.001 |
| Popis: | Because of the decreasing availability of donor hearts and the simultaneous increase in patients with terminal heart failure, the implantation of a left ventricular assist device has become the only reasonable alternative to heart transplantation. The systems themselves have undergone considerable development and corresponding miniaturization. The so-called driveline, the cable that exits the body via the abdominal wall and connects the pump to the control unit and power supply, continues to represent a weak point in the system. As a foreign body, the driveline provides an ideal entry port for germs. All along the driveline, infections can develop with subsequent sepsis, affecting the entire pump. Deep infections spreading via the driveline are one of the greatest problems surrounding left ventricular assist device therapy. Exchanging the pump is frequently the only option, leading to significant morbidity. Transposition of the greater omentum in cardiothoracic surgery has proven beneficial in the management of complex, infected wounds and their cleaning. This paper describes the surgical procedure of omentoplasty to clean up driveline infections. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect