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01-12-2016 | Case Report

Successful management of apical abscess after Nipro left ventricular assisted device explantation by removal of apical cuff and omentopexy

Authors: Shuichi Yoshitake, Yoshifumi Itoda, Kan Nawata, Tomoyuki Iwase, Yasuhiro Hoshino, Mitsutoshi Kimura, Osamu Kinoshita, Haruo Yamauchi, Minoru Ono

Published in: Journal of Artificial Organs | Issue 4/2016

Abstract

Nipro-Toyobo-paracorporeal pulsatile flow VAD (Nipro VAD; Nipro, Osaka, Japan) has been used most commonly as a paracorporeal VAD (p-VAD) in Japan. There are few reports describing clinical course of post LVAD explantation and its complication. We herein present two cases of apical abscess after the explantation of the device. SSI is a main risk factor of formation of the apical abscess at the time of LVAD explantation. It is mandatory to perform sufficient debridement and closure of the layers including abdominal muscle and anterior abdominal fascia at exit sites in the explantation surgery. Omentopexy is also helpful for prevention from infection. Routine removal of apical cuff and outflow graft could be considered as one of the options when LVAD is explanted as bridge to recovery.

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Title: Successful management of apical abscess after Nipro left ventricular assisted device explantation by removal of apical cuff and omentopexy
Authors: Shuichi Yoshitake
Yoshifumi Itoda
Kan Nawata
Tomoyuki Iwase
Yasuhiro Hoshino
Mitsutoshi Kimura
Osamu Kinoshita
Haruo Yamauchi
Minoru Ono
Publication date: 01-12-2016
Publisher: Springer Japan
Published in: Journal of Artificial Organs / Issue 4/2016
Print ISSN: 1434-7229
Electronic ISSN: 1619-0904
DOI: https://doi.org/10.1007/s10047-016-0924-7

At a glance: The STEP trials

Springer Medicine

Successful management of apical abscess after Nipro left ventricular assisted device explantation by removal of apical cuff and omentopexy

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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