Department of Surgery, The University of Utah, Primary Children's Medical Center, Salt Lake City, UT, USA.
Artif Organs. 2009 Nov;33(11):922-5. doi: 10.1111/j.1525-1594.2009.00950.x. Epub 2009 Oct 28.
Wound complications after ventricular assist device (VAD) placement remain a formidable challenge to surgeons. The Berlin Heart EXCOR VAD is a versatile pulsatile system that has been successful in pediatric patients of all ages and sizes. Prevention of device-related complications such as infection, particularly in pediatric patients, remains an essential issue in minimizing patient morbidity and mortality. The introduction of vacuum-assisted wound closure (VAC) therapy and its application in VAD-related wound complications provide an efficient and effective method for wound healing. We report our experience in the management of deep wound complications in two pediatric patients after placement of the Berlin Heart EXCOR VAD. The wound VAC system proved to achieve complete wound healing without any infectious complications.
心脏辅助装置（VAD）放置后出现的伤口并发症仍然是外科医生面临的巨大挑战。柏林心脏 EXCOR VAD 是一种多功能的搏动系统，已成功应用于所有年龄段和体型的儿科患者。预防与器械相关的并发症，如感染，特别是在儿科患者中，仍然是将患者发病率和死亡率降至最低的重要问题。真空辅助伤口闭合（VAC）治疗的引入及其在 VAD 相关伤口并发症中的应用为伤口愈合提供了一种有效且高效的方法。我们报告了在两名儿童患者接受柏林心脏 EXCOR VAD 放置后，对深部伤口并发症的管理经验。伤口 VAC 系统被证明可以实现完全的伤口愈合，没有任何感染并发症。
