Abstract
Pocket closure is a critical aspect of cardiac implantable electronic device (CIED) implantation procedures. Pocket infection is the most feared complication of CIED.The more complex CIED system implanted, the higher is the risk of infection. This observational study, conducted between July 2017 and June 2023, aimed to evaluate the safety and effectiveness of pocket closure using single absorbable 3 layers subcuticular suture Vicryl 3-0 in patients undergoing CIED implantation. A total of 564 consecutive patients were included in the study, with pocket closure performed using three layers of single continuous absorbable subcuticular suture Vicryl 3-0 and followed up on average of 3 years and 2 months. Postoperative outcomes, including the incidence of pocket site infections, device salvage success rate, and device explantation incidences were assessed. Results demonstrated a low incidence of pocket site infections (3.75%) and device explantation (0.34%), with satisfactory device salvage rates (81.9%) among infected cases with overall procedural success of 99.64 %. These findings support the safety and efficacy of pocket closure using absorbable subcuticular sutures in reducing postoperative complications and optimizing outcomes following CIED implantation.
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