Key result
A third-time LVAD exchange (4th device implant) was performed for device infection within eight years of the index implant, utilizing the greater omentum for surgical treatment.
Why the study?
LVAD infection causes devastating consequences with limited medical therapy success, requiring surgical treatment strategies that eliminate infection and prevent recurrence.
Case Report (n=1)
Repeated LVAD exchanges, including up to a fourth device implant, can be performed for severe device infections, potentially utilizing the greater omentum for surgical management.
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Expeditious LVAD exchange in active infection improves postexchange survival; leaves open optimal timing thresholds in prospective trials.
Polycarpou et al. (2021) conducted a case report in Ventricular assist device infection (n=1). Third-time LVAD exchange and use of greater omentum was evaluated. A third-time LVAD exchange (4th device implant) was performed for device infection within eight years of the index implant, utilizing the greater omentum for surgical treatment.
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