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Related Experiment Video

Updated: Dec 30, 2025

Tachycardia-Induced Cardiomyopathy As a Chronic Heart Failure Model in Swine
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Pacemaker pocket infection rate and suture technique.

Goutam Datta1

  • 1Burdwan Medical College, Calcutta, India.

Turk Kardiyoloji Dernegi Arsivi : Turk Kardiyoloji Derneginin Yayin Organidir
|January 25, 2020
PubMed
Summary

Suture techniques do not impact pacemaker pocket infection rates. A study of 2200 patients found no significant difference in infection rates between continuous and interrupted suture methods for cardiac implantable electronic device procedures.

Area of Science:

  • Cardiology
  • Infectious Disease
  • Surgical Techniques

Background:

  • Cardiac implantable electronic device (CIED) infections are rare, typically occurring in less than 2% of cases.
  • Suture techniques, specifically interrupted versus continuous, are debated for their role in preventing CIED pocket infections.

Purpose of the Study:

  • To investigate the correlation between continuous and interrupted suture techniques and the incidence of pacemaker pocket infections.
  • To evaluate the efficacy of different wound closure methods in preventing CIED-related infections.

Main Methods:

  • A retrospective study analyzed data from 2200 patients undergoing CIED procedures between 2011 and 2016.
  • Patients were divided into two groups: a study group (1096 patients) using continuous sutures and a control group (1104 patients) using interrupted sutures.

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Main Results:

  • The overall pacemaker pocket infection rate was 1.5% (33 patients).
  • Infection rates were similar between the groups: 1.55% (17 patients) in the continuous suture group and 1.45% (16 patients) in the interrupted suture group.
  • Pacemaker pocket hematoma rates were also comparable: 4.9% in the continuous suture group and 4.5% in the interrupted suture group.

Conclusions:

  • Neither continuous nor interrupted suture techniques demonstrated a significant role in preventing pacemaker pocket infections.
  • Suture choice for wound closure does not appear to be a critical factor in reducing infection rates after CIED implantation.