 After the atrial lead was inserted and appropriately placed and thresholds were obtained, the Cordis was removed and then both leads were sutured in place with pectoralis major muscle with #1-0 silk suture. 
After the atrial lead was inserted and appropriately placed and thresholds were obtained , the Cordis was removed and then both leads were sutured in place with pectoralis major muscle with # 1 - 0 silk suture .