Abstract
Next to the improvements in implantation procedure of the pump itself [1], there are some other parts of the LVAD system, which are crucial in the process of LVAD therapy such as graft anastomosis, controller and battery management, or driveline. An optimal driveline position is one variable for a good outcome of LVAD therapy. As one of the main complication issue next to bleeding and thromboembolic events, driveline infections affects LVAD implantation outcome as well as survival of the patients after heart transplantation [2]. But also fractures of drivelines leading to connectivity problems and consequently to pump stops might be an important issue. Besides reducing the incidence of these important risk factors for continuous pump operation, a deliberate driveline positioning promotes also quality of life for the patient. Handling of controller, harness, and dressing can be optimized and personalized for each patient daily habit. In case of a severe driveline exit site (DLES) infection, a well-considered surgical path with a longer subfascial route may give more options, for example, for surgical revision [3].
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Feldmann, C. et al. (2017). Techniques for Driveline Positioning. In: Montalto, A., Loforte, A., Musumeci, F., Krabatsch, T., Slaughter, M. (eds) Mechanical Circulatory Support in End-Stage Heart Failure. Springer, Cham. https://doi.org/10.1007/978-3-319-43383-7_28
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DOI: https://doi.org/10.1007/978-3-319-43383-7_28
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