Reduce Driveline Trauma Through Stabilization and Exit Site Management: 30 Days Feasibility Results from the Multicenter RESIST Study
| Autor: | David J. Farrar, Marcia Stahovich, Raymond Chinn, Kartik S. Sundareswaran, William Hallinan, Sarah Fox, Laura J. Blue, Salpy V. Pamboukian, Leway Chen, Peggy Blood, Francis D. Pagani |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous Prosthesis-Related Infections medicine.medical_treatment Biomedical Engineering Biophysics Bioengineering 030204 cardiovascular system & hematology Dressing change Biomaterials 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Prospective Studies Prospective cohort study Lead (electronics) Exit site business.industry General Medicine Middle Aged Surgery Clinical trial Self Care Ventricular assist device Female Implant Heart-Assist Devices business |
| Zdroj: | ASAIO journal (American Society for Artificial Internal Organs : 1992). 62(3) |
| ISSN: | 1538-943X |
| Popis: | The percutaneous lead management kit (PLMK) was developed for the HeartMate 2 (HM2) left ventricular assist device (LVAD) to reduce trauma at the exit site and to maintain a clean environment. REduce Driveline Trauma through StabIlization and Exit Site ManagemenT (RESIST) was a multicenter, prospective, nonrandomized study designed to evaluate the feasibility of the PLMK for managing the HM2 driveline exit site. Fifty patients were enrolled at five sites at a median of 495 days post-HM2 implant; 92% (46 of 50) of patients used the PLMK for a minimum of 30 days. At 30 days, more patients found the PLMK to be extremely comfortable (80% vs. 37%, p < 0.001) and extremely effective at stabilizing the driveline (82% vs. 40%, p < 0.001) compared with each center's standard of care. Frequency of dressing changes was 6-7 days or higher for 85% of the patients with PLMK. Three patients developed driveline infection while on PLMK (6%, 0.15 events per patient year), and 35 patients continued to use the PLMK after 6 months. The PLMK is easy to use, increases patient comfort, and increases driveline stability with a dressing change frequency of 6-7 days. |
| Databáze: | OpenAIRE |
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