TY - JOUR
T1 - Prophylactic use of vacuum-assisted closure system for cannula sites
T2 - A case of extracorporeal biventricular assist devices for 295 days
AU - Takami, Yoshiyuki
AU - Tanida, Shin Ichi
AU - Hoshino, Naoki
AU - Sakurai, Yusuke
AU - Amano, Kentaro
AU - Akita, Kiyotoshi
AU - Hayashi, Ryosuke
AU - Maekawa, Atsuo
AU - Izawa, Hideo
AU - Takagi, Yasushi
N1 - Publisher Copyright:
© The Author(s) 2021.
PY - 2022/2
Y1 - 2022/2
N2 - We report wound management using a vacuum-assisted closure (VAC) system for the cannula sites of extracorporeal biventricular assist devices (BiVADs) for 295 days in a 23-year old Chinese female patient with fulminant giant cell myocarditis, who finally underwent heart transplantation. When the cannula sites appeared necrotic 3 months after BiVADs placement, she received negative pressure wound therapy prophylactically for four cannula sites, using a VAC system for 3 months, followed by no infections. Such prophylactic VAC therapy, using the skin barrier paste usually used for the ostomy pouching system to create a flatter surface and airtightness, may be useful to avoid cannula site infections, which is still a fatal complication causing sepsis, especially in patients with extracorporeal BiVADs.
AB - We report wound management using a vacuum-assisted closure (VAC) system for the cannula sites of extracorporeal biventricular assist devices (BiVADs) for 295 days in a 23-year old Chinese female patient with fulminant giant cell myocarditis, who finally underwent heart transplantation. When the cannula sites appeared necrotic 3 months after BiVADs placement, she received negative pressure wound therapy prophylactically for four cannula sites, using a VAC system for 3 months, followed by no infections. Such prophylactic VAC therapy, using the skin barrier paste usually used for the ostomy pouching system to create a flatter surface and airtightness, may be useful to avoid cannula site infections, which is still a fatal complication causing sepsis, especially in patients with extracorporeal BiVADs.
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U2 - 10.1177/0391398821991156
DO - 10.1177/0391398821991156
M3 - Article
C2 - 33530821
AN - SCOPUS:85100596547
SN - 0391-3988
VL - 45
SP - 227
EP - 230
JO - International Journal of Artificial Organs
JF - International Journal of Artificial Organs
IS - 2
ER -