What interventions can be used to help prevent hematoma formation during implantation of a CIED?
Interventions to help prevent hematoma formation during implantation of a CIED include meticulous cautery of bleeding sites, packing the pocket with antibiotic-soaked sponges to provide tamponade while leads are placed, application of topical thrombin, irrigation of the pocket to remove debris, use of monofilament suture for closure of the subcuticular layer, application of a pressure dressing for 12 to 24 hours after skin closure and dressing, and avoidance of low-molecular-weight heparin in the immediate postoperative period.