{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:49:38Z","timestamp":1747187378115,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,2,24]],"date-time":"2021-02-24T00:00:00Z","timestamp":1614124800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To establish a novel time\u2010saving and safe suture method for cardiac implantable electronic device (CIED) implantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>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\u2010density suture spacing single layer suture group (single\u2010layer group) or traditional two layer suture group (two\u2010layer group). The effects of two closure methods on wound healing and pocket related complications were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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\u2010layer group was significantly less than that in the two\u2010layer group [3.03(3\u20134) vs. 7.17(7\u201310), <jats:italic>p<\/jats:italic> &lt; .001], the suture time in the single\u2010layer group was significantly shorter than that in the two\u2010layer group [190.57(167\u2013256) s vs. 493.36(452\u2013655) s, <jats:italic>p<\/jats:italic> &lt; .001], and the incidence of clinically significant hematoma in the single\u2010layer group was comparable to that in the two\u2010layer group (0.7%\u00a0vs. 0.3%, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.742). Additionally, there were no significant differences in the incidence of pocket infection, dehiscence and keloid between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Novel single\u2010layer suture with low\u2010density suture spacing is feasible and associated with a low incidence of wound dehiscence or infection for CIED implantation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.14184","type":"journal-article","created":{"date-parts":[[2021,2,6]],"date-time":"2021-02-06T00:48:09Z","timestamp":1612572489000},"page":"595-600","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cardiac device implant wound closure with a novel low\u2010density suture spacing single layer 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Shanghai Jiao Tong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minhua","family":"Zang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ren Ji Hospital, School of Medicine Shanghai Jiao Tong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shenghen","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ren Ji Hospital, School of Medicine Shanghai Jiao Tong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ren Ji Hospital, School of Medicine Shanghai Jiao Tong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jialiang","family":"Mao","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ren Ji Hospital, School of Medicine Shanghai Jiao Tong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Pu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ren Ji Hospital, School of Medicine Shanghai Jiao Tong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.59.688.83"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198812000-00008"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjy333"},{"key":"e_1_2_10_5_1","first-page":"162","article-title":"Single versus two layer suturing for wound closure after inguinal hernia repair","volume":"12","author":"Agbakwuru EA","year":"2009","journal-title":"Niger J Clin 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