title: Cardiac Device Implant Skin Closure with a Novel Adjustable, Coaptive Tape-Based Device.
abstract: BACKGROUND
  The purpose of this study was to compare a unique zip-type adjustable coaptive tape-based skin closure device to traditional subcuticular sutures in three domains: time, cosmesis, and wound closure-related outcomes in cardiac implantable electronic device (CIED) procedures.
  
  
  METHODS
  A total of 40 patients were enrolled in a prospective randomized controlled trial to assess time to wound closure, as well as cosmesis and wound closure-related outcomes.
  
  
  RESULTS
  The adjustable coaptive tape-based skin closure device had shorter overall closure time (78 ± 6.6 seconds vs 216 ± 21.5 seconds; P < 0.001) and mean closure time per centimeter (18.0 ± 2.0 s/cm vs 50.1 ± 6.7 s/cm; P < 0.001) versus sutures, with less intersurgeon and interpatient variability with the use of adjustable coaptive device versus sutures (P < 0.001). There was no difference between groups in postoperative pain or scar cosmesis during the follow-up period. Neither group had any closure-related adverse events.
  
  
  CONCLUSIONS
  The adjustable coaptive tape-based skin closure device demonstrated shorter closure times with less variability when compared to sutures. It is a safe and acceptable alternative to sutures for skin closure following CIED implantation.
authors.affiliation: Division of Cardiology, University of California, San Diego, California.
authors.forename: Gautam G
authors.initials: GG
authors.lastname: Lalani
authors.affiliation: Division of Cardiology, University of California, San Diego, California.
authors.forename: Amir A
authors.initials: AA
authors.lastname: Schricker
authors.affiliation: Division of Cardiology, University of California, San Diego, California.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Salcedo
authors.affiliation: Division of Cardiology, University of California, San Diego, California.
authors.forename: Shrinivas
authors.initials: S
authors.lastname: Hebsur
authors.affiliation: Division of Cardiology, University of California, San Diego, California.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Hsu
authors.affiliation: Division of Cardiology, University of California, San Diego, California.
authors.forename: Gregory
authors.initials: G
authors.lastname: Feld
authors.affiliation: Division of Cardiology, University of California, San Diego, California. ubgreen@ucsd.edu.
authors.forename: Ulrika
authors.initials: U
authors.lastname: Birgersdotter-Green
mesh_terms: D000368:Aged; D003357:Cosmetic Techniques; D005260:Female; D006801:Humans; D008297:Male; D011446:Prospective Studies; D012867:Skin; D053832:Surgical Tape; D013536:Suture Techniques; D013997:Time Factors; D016896:Treatment Outcome; D058106:Wound Closure Techniques / Q000295:instrumentation*
keywords: cardiac implantable electronic device; skin closure; zip