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Management of Rapidly Ascending Driveline Tunnel Infection
Author(s) -
Rubinfeld Gregory,
Levine Jamie P.,
Reyentovich Alex,
DeAnda Abe,
Balsam Leora B.
Publication year - 2015
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12655
Subject(s) - medicine , debridement (dental) , subcutaneous tissue , surgery
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.