{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T03:21:32Z","timestamp":1762917692563},"reference-count":17,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2016,5,5]],"date-time":"2016-05-05T00:00:00Z","timestamp":1462406400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Leadless cardiac pacemaker (LCP) requires large\u2010caliber venous sheaths for device placement. Sheath sizes for these procedures vary from 18\u2010 to 23\u2010French (F). The most common complications are hematomas, pseudoaneurysms, and arteriovenous fistulas. Complete and secure closure of the venous access is an important step at the end of such a procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective analysis of all patients who had undergone LCP implantation at our institution. Patients and procedural characteristics as well as groin complications at 30 days and 3 months were evaluated. After sheath removal venous access sites were closed performing a so\u2010called \u201cpurse\u2010string\u201d suture (PSS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010seven patients received an LCP at our institution. In 27 (35%) of these patients a heparin bolus was given at the beginning of the procedure. Anticoagulation therapy with phenprocoumon was present in 32 (40%) of patients. In 76 (98.7%) patients, the LCP was implanted without complications. In one (1.3%) patient a perforation occurred during implantation, which required surgical intervention. Access site complications occurred in three (3.9%) patients, two (2.6%) groin hematomas, and one (1.3%) arteriovenous fistula. The hematomas disappeared completely after 3 weeks, and the fistula was not detectable by ultrasound anymore after 4 weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Use of subcutaneous absorbable double PSS closure after removal of large\u2010caliber venous sheaths is a safe technique to achieve immediate postprocedural hemostasis. Especially for sheath sizes with an inner diameter of 23F, this technique creates a very secure and also cosmetically appealing closure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.12867","type":"journal-article","created":{"date-parts":[[2016,4,10]],"date-time":"2016-04-10T18:44:21Z","timestamp":1460313861000},"page":"675-679","source":"Crossref","is-referenced-by-count":10,"title":["Subcutaneous Double \u201cPurse String Suture\u201d\u2014A Safe Method for Femoral Vein Access Site Closure after Leadless Pacemaker Implantation"],"prefix":"10.1111","volume":"39","author":[{"given":"ALEXANDER","family":"KYPTA","sequence":"first","affiliation":[{"name":"Department of Internal Medicine I \u2013 Cardiology, Linz General Hospital Johannes Kepler University School of Medicine  Linz Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HERMANN","family":"BLESSBERGER","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine I \u2013 Cardiology, Linz General Hospital Johannes Kepler University School of Medicine  Linz Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MICHAEL","family":"LICHTENAUER","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Clinic of Internal Medicine II Paracelsus Medical University of Salzburg  Salzburg Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JUERGEN","family":"KAMMLER","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine I \u2013 Cardiology, Linz General Hospital Johannes Kepler University School of Medicine  Linz Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"THOMAS","family":"LAMBERT","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine I \u2013 Cardiology, Linz General Hospital Johannes Kepler University School of Medicine  Linz 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