Ventricular Assist Device Driveline Infection and Development of Intracranial Hemorrhage: A Case Series

Adam J. Prince, Christopher M. Domenico, Supriya Shore, Kimberly A. Urgo, Pavan Atluri, Joyce W. Wald, Edo Y. Birati

Research output: Contribution to journalArticlepeer-review


Durable left ventricular assist devices (LVAD) are frequently complicated by driveline infection. The objective of this case series was to examine whether an association exists between driveline infection and intracranial hemorrhage. This retrospective case series included patients at a single tertiary care hospital on durable LVAD support who developed intracranial hemorrhage. Physical examination data, vital signs, and laboratory markers of sepsis including blood cultures and imaging of driveline sites were reviewed. A total of nine patients were included in the case series. At the time of hemorrhagic event, five patients had active driveline infection, and five patients were found to be bacteremic. All bacteremic patients were found to have supratherapeutic INR at the time of presentation. Although five patients experienced subarachnoid hemorrhage, only one patient was found to have a cerebral aneurysm. This case series highlights a possible association between LVAD driveline infection and intracranial hemorrhage, and the need for further research to better understand the pathophysiology driving this association.

Original languageEnglish
Pages (from-to)E198-E200
JournalASAIO Journal
Issue number11
StatePublished - 1 Nov 2021
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.


  • bloodstream infection
  • cerebrovascular accident
  • intracranial bleeding
  • left ventricular assist device


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