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Cardiac device implant wound closure with a novel low‐density suture spacing single layer method
Author(s) -
Yao Tianbao,
Nie Peng,
Sun Jiateng,
Jin Yan,
Zang Minhua,
Zhou Shenghen,
Zhang Qi,
Mao Jialiang,
Pu Jun
Publication year - 2021
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/pace.14184
Subject(s) - medicine , fibrous joint , dehiscence , surgery , incidence (geometry) , implant , coronary artery disease , cardiology , physics , optics
Background To establish a novel time‐saving and safe suture method for cardiac implantable electronic device (CIED) implantation. Methods From January 2017 to April 2020, a total of 1317 patients scheduled for CIED procedure were consecutively enrolled in this study. Wound closure of all patients were prospectively assigned either to low‐density suture spacing single layer suture group (single‐layer group) or traditional two layer suture group (two‐layer group). The effects of two closure methods on wound healing and pocket related complications were compared. Results There were no significant differences in age, gender, BMI, comorbid diseases (diabetes, hypertension, coronary heart disease, and chronic kidney disease), and antiplatelet or anticoagulant drug use between the two groups. The number of suture stitches in the single‐layer group was significantly less than that in the two‐layer group [3.03(3–4) vs. 7.17(7–10), p < .001], the suture time in the single‐layer group was significantly shorter than that in the two‐layer group [190.57(167–256) s vs. 493.36(452–655) s, p < .001], and the incidence of clinically significant hematoma in the single‐layer group was comparable to that in the two‐layer group (0.7% vs. 0.3%, p = .742). Additionally, there were no significant differences in the incidence of pocket infection, dehiscence and keloid between the two groups. Conclusion Novel single‐layer suture with low‐density suture spacing is feasible and associated with a low incidence of wound dehiscence or infection for CIED implantation.