Ventricular Assist Device Driveline Infection and Development of Intracranial Hemorrhage: A Case Series.
Publication/Presentation Date
11-1-2021
Abstract
Durable left ventricular assist devices (LVAD) are frequently complicated by driveline infection. The objective of this case series was to examine whether an association exists between driveline infection and intracranial hemorrhage. This retrospective case series included patients at a single tertiary care hospital on durable LVAD support who developed intracranial hemorrhage. Physical examination data, vital signs, and laboratory markers of sepsis including blood cultures and imaging of driveline sites were reviewed. A total of nine patients were included in the case series. At the time of hemorrhagic event, five patients had active driveline infection, and five patients were found to be bacteremic. All bacteremic patients were found to have supratherapeutic INR at the time of presentation. Although five patients experienced subarachnoid hemorrhage, only one patient was found to have a cerebral aneurysm. This case series highlights a possible association between LVAD driveline infection and intracranial hemorrhage, and the need for further research to better understand the pathophysiology driving this association.
Volume
67
Issue
11
First Page
198
Last Page
198
ISSN
1538-943X
Published In/Presented At
Prince, A. J., Domenico, C. M., Shore, S., Urgo, K. A., Atluri, P., Wald, J. W., & Birati, E. Y. (2021). Ventricular Assist Device Driveline Infection and Development of Intracranial Hemorrhage: A Case Series. ASAIO journal (American Society for Artificial Internal Organs : 1992), 67(11), e198–e200. https://doi.org/10.1097/MAT.0000000000001409
Disciplines
Medicine and Health Sciences
PubMedID
33741789
Department(s)
Department of Surgery
Document Type
Article