快速上升的传动系统隧道感染的管理
Management of Rapidly Ascending Driveline Tunnel Infection.
作者信息
Rubinfeld Gregory, Levine Jamie P, Reyentovich Alex, DeAnda Abe, Balsam Leora B
机构信息
Department of Cardiothoracic Surgery, New York University-Langone Medical Center, New York, New York.
Department of Plastics and Reconstructive Surgery, New York University-Langone Medical Center, New York, New York.
出版信息
J Card Surg. 2015 Nov;30(11):853-5. doi: 10.1111/jocs.12655. Epub 2015 Oct 7.
We present a case of rapidly ascending left ventricular assist device driveline and tunnel infection in a patient with a long length of driveline buried beyond the distal velour coating. Device salvage with radical debridement, exit site relocation, and local tissue advancement is described. The findings in this case suggest that the interface between nonvelour covered driveline and subcutaneous tissue can become the nidus of a virulent ascending infection because of poor tissue ingrowth.
我们报告一例左心室辅助装置驱动线及隧道迅速上行感染的病例，该患者的驱动线埋入较长，超出了远端绒毛涂层。本文描述了通过彻底清创、出口部位重新定位及局部组织推进来挽救装置的方法。该病例的研究结果表明，由于组织向内生长不良，未覆盖绒毛的驱动线与皮下组织之间的界面可能成为恶性上行感染的病灶。
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