Driveline and cannula site infections are still a frequent adverse event in patients with a ventricular assist device (VAD), and it is important to treat and prevent them because the spread of local infection may cause sepsis in some cases. We report our experience with a patient in whom infection of the NIPRO LVAD cannula site after implantation of an extracorporeal VAD was controlled by treatment with crystal violet Solbase (Nihon University crystal violet method).
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http://dx.doi.org/10.1016/j.athoracsur.2015.04.009 | DOI Listing |
Cureus
January 2025
Diabetes and Endocrinology, Peterborough City Hospital, Peterborough, GBR.
Perfusion
December 2024
Division of Cardiothoracic and Vascular Surgery, Department of Surgery, Columbia University Irving Medical Center, New York, NY, USA.
Introduction: No clear guidelines exist for unfractionated heparin (UFH) monitoring in adult patients on veno-arterial extracorporeal life support (VA-ECLS) for refractory cardiogenic shock. In this study, we sought to compare outcomes between anti-factor Xa (FXa) and activated partial thromboplastin time (aPTT) strategies for UFH monitoring during VA-ECLS.
Methods: This is a single-center, retrospective review of VA-ECLS patients who received UFH in the cardiothoracic intensive care unit between July 2019 and November 2023.
Arch Cardiovasc Dis
December 2024
Department of Cardiology, Bastia Hospital Centre, 20604 Bastia, France.
Background: Percutaneous extracorporeal membrane oxygenation (ECMO) has been developed thanks to the progress in the field of cannulation, but still justifies the presence of an on-site cardiac resuscitation department. Corsica is a French island without an on-site cardiac surgery department.
Aim: To evaluate the percutaneous ECMO programme in Corsica.
J Matern Fetal Neonatal Med
December 2025
University of Cincinnati Medical College of Medicine, Cincinnati, OH, USA.
Objective: Prior clinical findings have demonstrated that maternal laparotomy with trans-amniotic trans-uterine suturing of the fetoscopic port site during in utero myelomeningocele repair reduces the risk of membrane rupture. However, due to laparotomy-associated morbidity, we aimed to explore the feasibility of using a vascular closure device for percutaneous trans-amniotic trans-uterine suturing.
Methods: This IRB and IACUC-exempt study utilized 2 strategies for proof-of-concept testing of using the Abbott Perclose ProStyle Device for suture placement; 1.
Cureus
November 2024
Endocrinology, Jefferson Einstein Philadelphia Hospital, Philadelphia, USA.
A new paradigm in the management of diabetes mellitus evolved following the introduction of continuous subcutaneous insulin infusions (CSII) into clinical practice. Outcomes include greater patient satisfaction alongside improved glycemic control. Drawbacks, however, which cannot be omitted, include patient, technology, and both patient and provider error.
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