Real-Time Autofluorescence Imaging to Diagnose LVAD Driveline Infections

Jack B. Keenan, Taufiek Konrad Rajab, David G. Armstrong, Zain Khalpey

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)e493-e495
JournalAnnals of Thoracic Surgery
Volume103
Issue number6
DOIs
StatePublished - Jun 2017

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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