From the Research
Sutures after implantable cardioverter-defibrillator (ICD) removal should typically be removed 7-14 days after the procedure, as recommended by recent guidelines and studies 1, 2, 3. The exact timing depends on several factors including the patient's healing process, the location and size of the incision, and the surgeon's preference.
- Patients with conditions that delay wound healing, such as diabetes or those on immunosuppressive medications, may require longer healing time before suture removal.
- The incision site should appear well-approximated with minimal redness, no drainage, and no signs of infection before suture removal.
- During the healing period, patients should keep the incision site clean and dry, avoid submerging it in water until sutures are removed, and monitor for signs of infection such as increased pain, redness, swelling, warmth, or drainage.
- If any concerning symptoms develop, patients should contact their healthcare provider promptly rather than waiting until the scheduled suture removal appointment. Proper wound care and timely suture removal help minimize scarring and reduce the risk of infection at the former device site, as emphasized in recent studies 1, 3. It is essential to follow aseptic non-touch technique (ANTT) for suture removal, as recommended by 1, and to consider local policy and guidelines. The optimal timing of suture removal depends on the anatomical location, as noted in 2, and nurses should have the knowledge and skills to undertake the procedure safely and effectively, working within the limits of their competence 1, 3.