Details

Autor(en) / Beteiligte

• Tang, Paul C.

Titel

Editorial commentary: Durable mechanical circulatory support, the challenges ahead

Ist Teil von

• Trends in cardiovascular medicine, 2020-05, Vol.30 (4), p.230-231

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2020

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• [...]of these advances, mechanical durability and freedom from pump thrombosis have improved dramatically resulting in decreased patient morbidity and mortality as well as significant lowering of associated financial costs [1]. [...]reduction in hemocompatibility related complications such as stroke will require fundamental advances in our understanding of thrombosis pathophysiology since despite the lack of thrombus formation within the device itself, it remains possible for the device to imbibe preformed thrombus within the cardiac chambers and cause distal embolization [2]. While driveline infections occur in about 25% of LVAD patients [9], a completely internal device will decrease the risk of infection originating from the driveline exit site and decrease the need for driveline debridement and pump exchange.