Suture allergy should be considered in the differential diagnosis of poor wound healing after cardiac device procedures to avoid unnecessary complete system explantation.
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Consider suture allergy in post-device wound complications to avoid unnecessary explantation; single case leaves open broader applicability.
When an implanted device is infected, complete explantation of the device system, including lead extraction, is usually required. Superficial problems with wound healing may be managed more conservatively, but distinguishing between a surface process and deeper infection can pose a clinical challenge. We present a case of poor wound healing after an ICD pocket revision procedure, and an allergic reaction to the suture material was found to be the cause. Diagnosis, management, and future implications of suture allergy are discussed.
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Tschabrunn et al. (2011) studied this question.
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