With the increase in cardiovascular implantable-electronic devices (CIED), the complications
from insertion and healing are also increasing. Therefore, the objective of the study was to
compare the intracutaneous stapling method to the absorbable suture technique in terms of
complications, procedure time, and pocket closure time.
An observational study was conducted over the course of 3 months on patients with CIED. Data were collected regarding patient characteristics and adverse events. The
endpoints were wound problems (primary), total procedure time, and the time taken for pocket
One hundred and nineteen patients and 107 patients were allocated to Group 1 and Group 2
respectively. During the three months’ observation 27 patients (22.6%) in Group 1 and 13 patients (12.1%) in Group 2 suffered from early adverse events and the combined primary endpoint was reached significantly (0.02). Minor and
major bleeding events were more common in Group 1 (Risk: 4.49, P=0.02; Risk: 0.96, P=0.05).
The time to close the pocket was markedly reduced in Group 2 (7.29 ± 1.42 vs. 3.98 ± 1.19,
The rate of early wound problems is higher using intracutaneous sutures and therefore,
intracutaneous staples should be preferred to prevent these problems.