Real-Time Autofluorescence Imaging to Diagnose LVAD Driveline Infections.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 28528048.
- Also identified by DOI 10.1016/j.athoracsur.2016.12.037.
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Abstract
A 64-year-old man experienced a driveline infection that was treated with serial debridements and antibiotics. When the wound clinically appeared ready for closure, a handheld fluorescence imaging device still revealed a margin of red fluorescence around the wound edges consistent with a subclinical infection. Therefore, a wider margin was made and additional specimens for wound culture were taken, which demonstrated a vancomycin-resistant enterococcal infection. The autofluorescence signals of common bacteria can be detected with a fluorescence camera in subclinical wound infections without clinical signs. Here we describe the first use of this technology to diagnose ventricular assist device driveline infections after left ventricular assist device implantation.
Medical subject headings
- Gram-Positive Bacterial Infections
- Heart Failure
- Heart-Assist Devices
- Optical Imaging
- Prosthesis-Related Infections