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负压伤口治疗用于左心室辅助装置相关纵隔炎:两例病例报告

Negative pressure wound therapy for left ventricular assist device-related mediastinitis: two case reports.

作者信息

Kawata Mitsuhiro, Nishimura Takashi, Hoshino Yasuhiro, Kinoshita Osamu, Hisagi Motoyuki, Ando Masahiko, Morota Tetsuro, Motomura Noboru, Kyo Shunei, Ono Minoru

机构信息

Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.

出版信息

J Artif Organs. 2011 Jun;14(2):159-62. doi: 10.1007/s10047-011-0555-y. Epub 2011 Feb 24.

DOI:10.1007/s10047-011-0555-y
PMID:21347682
Abstract

We report two cases of successful use of negative pressure wound therapy (NPWT) to control of left ventricular assist device (LVAD)-related mediastinitis. It is difficult to treat mediastinitis in patients who have undergone LVAD implantation, because it is impossible to remove the infected artificial materials from the mediastinal space. This report indicates that NPWT might become the preferred therapeutic option for control of mediastinitis in patients who have undergone LVAD implantation.

摘要

我们报告了两例成功使用负压伤口治疗(NPWT)控制左心室辅助装置(LVAD)相关纵隔炎的病例。对于接受LVAD植入的患者,纵隔炎难以治疗,因为无法从纵隔间隙中取出受感染的人工材料。本报告表明,NPWT可能成为控制接受LVAD植入患者纵隔炎的首选治疗方案。

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本文引用的文献

1
Major complications during negative pressure wound therapy in poststernotomy mediastinitis after cardiac surgery.心脏手术后胸骨切开术后纵隔炎行负压伤口治疗期间的主要并发症。
J Thorac Cardiovasc Surg. 2010 Nov;140(5):1133-6. doi: 10.1016/j.jtcvs.2010.06.063. Epub 2010 Sep 15.
2
Vacuum-assisted closure with Safetac technology for mediastinitis in patients with a ventricular assist device.采用Safetac技术的负压封闭引流治疗心室辅助装置患者的纵隔炎
J Artif Organs. 2010 Jul;13(2):126-8. doi: 10.1007/s10047-010-0500-5. Epub 2010 Apr 8.
3
Negative pressure wound therapy for post-sternotomy mediastinitis reduces mortality rate and sternal re-infection rate compared to conventional treatment.
负压封闭引流疗法对心血管手术后手术部位感染治疗期间康复的疗效
Gen Thorac Cardiovasc Surg. 2016 Aug;64(8):464-9. doi: 10.1007/s11748-016-0664-x. Epub 2016 Jun 4.
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Covering implantable left ventricular assist device (DuraHeart) with free flap.用游离皮瓣覆盖植入式左心室辅助装置(DuraHeart)。
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Current status of extracorporeal ventricular assist devices in Japan.日本体外心室辅助装置的现状
J Artif Organs. 2014 Sep;17(3):211-9. doi: 10.1007/s10047-014-0779-8. Epub 2014 Jun 22.
6
Endovascular treatment of cerebral hemorrhage in a patient with a left ventricular assist device: report of a case.左心室辅助装置患者脑出血的血管内治疗:病例报告
Surg Today. 2014 May;44(5):957-60. doi: 10.1007/s00595-012-0479-z. Epub 2013 May 16.
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Journal of Artificial Organs 2011: the year in review.《人工器官杂志》2011年回顾
J Artif Organs. 2012 Mar;15(1):11-9. doi: 10.1007/s10047-012-0633-9. Epub 2012 Feb 29.
8
Successful treatment of cerebral hemorrhage using computed tomography angiography in a patient with left-ventricular-assist device.使用计算机断层血管造影术成功治疗一名植入左心室辅助装置患者的脑出血。
J Artif Organs. 2012 Mar;15(1):90-3. doi: 10.1007/s10047-011-0608-2. Epub 2011 Oct 28.
与传统治疗相比,负压伤口治疗技术可降低胸骨切开术后纵隔炎的死亡率和胸骨再感染率。
Eur J Cardiothorac Surg. 2010 Jul;38(1):110-3. doi: 10.1016/j.ejcts.2010.01.028. Epub 2010 Feb 19.
4
Late-onset driveline infections: the Achilles' heel of prolonged left ventricular assist device support.迟发性传动系统感染:长期左心室辅助装置支持的致命弱点。
Ann Thorac Surg. 2007 Aug;84(2):515-20. doi: 10.1016/j.athoracsur.2007.03.085.
5
Infections during left ventricular assist device support do not affect posttransplant outcomes.左心室辅助装置支持期间的感染不影响移植后结局。
Circulation. 2000 Nov 7;102(19 Suppl 3):III194-9. doi: 10.1161/01.cir.102.suppl_3.iii-194.
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Vacuum-assisted closure in the treatment of poststernotomy mediastinitis.负压封闭引流术治疗胸骨切开术后纵隔炎
Ann Thorac Surg. 1999 Dec;68(6):2358-60. doi: 10.1016/s0003-4975(99)01159-5.
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Vacuum-assisted closure: a new method for wound control and treatment: clinical experience.负压封闭引流术:一种伤口控制与治疗的新方法:临床经验
Ann Plast Surg. 1997 Jun;38(6):563-76; discussion 577.
8
Vacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation.负压封闭引流:一种伤口控制与治疗的新方法:动物研究与基础理论
Ann Plast Surg. 1997 Jun;38(6):553-62. doi: 10.1097/00000637-199706000-00001.