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心脏移植后如何移除Jarvik 2000型人工心脏的耳后驱动线。

How to remove the retroauricular driveline in the Jarvik 2000 after heart transplantation.

作者信息

Gallo Michele, Bortolussi Giacomo, Bejko Jonida, Tarzia Vincenzo, Gerosa Gino, Bottio Tomaso

机构信息

Division of Cardiac Surgery, Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua - Italy.

出版信息

Int J Artif Organs. 2016 Jan;39(1):45-7. doi: 10.5301/ijao.5000461. Epub 2016 Feb 8.

Abstract

The Jarvik 2000 is a left ventricular assist device (LVAD) used as either a bridge-to-transplant or destination therapy with the possibility of retroauricular percutaneous power delivery (pedestal). Percutaneous driveline infection in LVAD is a life-threatening complication that affects both the quality and length of life in patients. With its rigid fixation to the bone, the pedestal and the vascularity of scalp skin promote healing and reduce the risk of driveline infection. We describe a technique to remove the skull-mounted percutaneous pedestal of the Jarvik 2000 after heart transplantation.

摘要

Jarvik 2000是一种左心室辅助装置(LVAD),可作为移植桥接或终末期治疗使用,并有可能通过耳后经皮方式进行能量传输(基座)。LVAD的经皮驱动线感染是一种危及生命的并发症,会影响患者的生活质量和寿命。由于其与骨骼的牢固固定,基座以及头皮皮肤的血管分布有助于伤口愈合并降低驱动线感染的风险。我们描述了一种在心脏移植后移除Jarvik 2000颅骨安装式经皮基座的技术。

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