因胃肠道瘘导致的HeartMate-II左心室辅助装置感染
HeartMate-II left ventricular assist device infections resulting from gastrointestinal-tract fistulas.
作者信息
Akay Mehmet H, Gregoric Igor, Cohn William E, Frazier O H
机构信息
Center for Cardiac Support, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas, USA.
出版信息
J Card Surg. 2012 Sep;27(5):643-5. doi: 10.1111/j.1540-8191.2012.01517.x.
BACKGROUND
In patients with a left ventricular assist device (LVAD), pump-related infection can cause adverse effects that may result in death.
METHODS
We describe three patients who had infections related to a fistula between the gastrointestinal (GI) tract and the LVAD pocket and who subsequently underwent successful heart transplantation without developing sepsis. In no case did the LVAD-related infection adversely affect the outcome of transplantation.
CONCLUSIONS
For detecting the fistulas, full upper-GI endoscopy and colonoscopy were superior to other types of diagnostic imaging studies.
背景
在使用左心室辅助装置（LVAD）的患者中，泵相关感染可导致不良后果，甚至可能导致死亡。
方法
我们描述了三名患者，他们发生了胃肠道（GI）与LVAD腔之间瘘管相关的感染，随后成功接受了心脏移植，且未发生败血症。LVAD相关感染均未对移植结果产生不利影响。
结论
对于检测瘘管，全上消化道内镜检查和结肠镜检查优于其他类型的诊断性影像学研究。
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