title: The Importance of the Management of Infectious Complications for Patients with Left Ventricular Assist Device.
abstract: A left ventricular assist device (LVAD) therapy is the viable option for patients with advanced heart failure as a bridge to transplantation, bridge to recovery, or destination therapy. Although application of LVAD support has become a standard option, serious complications or adverse events related with LVAD remain a concern. LVAD-related infection including driveline infection (DLI) and bloodstream infection (BSI) is one of the serious clinical matters for LVAD patients, and especially BSI leads to the high incidence of mortality. The LVAD-related infections negatively impact patient's quality of life. Therefore, control of infection is one of the primary goals of management in LVAD patients. Several efforts including early and appropriate intervention including antibiotics and wound care may contribute to avert the progress into BSI from localized DLI. Particularly, there are clinical secrets in how to use antibiotics and how to treat wound care in LVAD patients. The rational way of thinking for wound care will be introduced in this review.
authors.affiliation: Departments of Transplantation, National Cerebral and Cardiovascular Center, Osaka 565-0873, Japan. hieda_michinari_0119@yahoo.co.jp.
authors.forename: Michinari
authors.initials: M
authors.lastname: Hieda
authors.affiliation: Pulmonology and Infection Control, National Cerebral and Cardiovascular Center, Osaka 565-0873, Japan. sata.makoto.hp@ncvc.go.jp.
authors.forename: Makoto
authors.initials: M
authors.lastname: Sata
authors.affiliation: Departments of Transplantation, National Cerebral and Cardiovascular Center, Osaka 565-0873, Japan. tnakatan@res.ncvc.go.jp.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nakatani
keywords: BSI; DLI; LVAD; Left Ventricular Assist Device; bloodstream infection; drive-line infection