ArticleJournal of thoracic disease2018
Reduction of driveline infections through doubled driveline tunneling of left ventricular assist devices-5-year follow-up.
Article in Journal of thoracic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 25 citations in OpenAlex.
- Effect of Ventricular Assist Device Self-care Simulation-Based Mastery Learning on Driveline Exit Site Infections: A Pilot Study.The Journal of cardiovascular nursingTrial
- Infections in mechanical circulatory support.Frontiers in cardiovascular medicine · 2026Review
- Heartware ventricular assist device versus HeartMate II versus HeartMate III in advanced heart failure patients: A systematic review and meta-analysis.SAGE open medicine · 2024Review
- Management of a chronically infected left ventricular assist device with heart transplantation: Two-step simplified approach.Journal of cardiac surgery · 2022Article
- Systems of conductive skin for power transfer in clinical applications.European biophysics journal : EBJ · 2022Review
- Non-patient factors associated with infections in LVAD recipients: A scoping review.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2022Article
- Treatment of HeartMate III-LVAD driveline infection by negative pressure wound therapy: Result of our case series.The International journal of artificial organs · 2021Article
- Prevalence and management of driveline infections in mechanical circulatory support - a single center analysis.Journal of cardiothoracic surgery · 2021Article
- Ventricular Assist Device-Specific Infections.Journal of clinical medicine · 2021Review
- Left ventricular assist device-associated infections: incidence and risk factors.Journal of thoracic disease · 2020Article
- The evolution of mechanical circulatory support (MCS): a new wave of developments in MCS and heart failure treatment.Journal of thoracic disease · 2018Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDriveline infection (DLI) is one of the leading causes for unplanned re-admissions of patients undergoing therapy with left ventricular assist devices (LVAD). In previous studies our group was able to show that a double tunneling implantation technique could significantly reduce infection rates one year after implantation. We now report the results of the five-year-follow up of patients receiving the double tunneling technique.
methodsWe retrospectively analyzed patients receiving LVAD therapy with the HeartWare ventricular assist device (HVAD) (Medtronic, Minnesota, MN, USA) LVAD. For 36 patients (group 1) the driveline was tunneled via a conventional technique. In the remaining 33 patients (group 2) the drivelines were implanted by means of a double tunneling technique. The double tunnel driveline technique involved placement of the driveline in the sheath of the rectus muscle in the umbilical direction and then subcutaneously to the left (alternatively right) upper quadrant. We retrospectively compared both groups. Primary outcome parameters were infection rate and mortality.
resultsFive years after LVAD implantation the DLI rate of patients operated by a double tunneling technique was significantly lower than in the conventional technique group [61% (n=22) group 1
conclusionsDouble tunneling technique for driveline implantation leads to significantly lowered infection rates after 5 years of LVAD therapy and it is associated with a lower mortality.
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