Double twiddle trouble, a new variant of twiddler syndrome

The twiddler syndrome results in retraction and coiling of the lead in the pacemaker pocket with subsequent pacemaker malfunction. If the lead׳s parameters are not affected, then the problem can be corrected by lead repositioning. We describe the first reported case of a dramatic pacemaker lead coil...

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Main Authors: Aldo G. Carrizo, M.D., Paul S.G. Hong, M.D., Guy Amit, M.D., Jeff S. Healey, M.D., F.H.R.S.
Format: Article
Language:English
Published: Wiley 2016-06-01
Series:Journal of Arrhythmia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1880427616300047
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author Aldo G. Carrizo, M.D.
Paul S.G. Hong, M.D.
Guy Amit, M.D.
Jeff S. Healey, M.D., F.H.R.S.
author_facet Aldo G. Carrizo, M.D.
Paul S.G. Hong, M.D.
Guy Amit, M.D.
Jeff S. Healey, M.D., F.H.R.S.
author_sort Aldo G. Carrizo, M.D.
collection DOAJ
description The twiddler syndrome results in retraction and coiling of the lead in the pacemaker pocket with subsequent pacemaker malfunction. If the lead׳s parameters are not affected, then the problem can be corrected by lead repositioning. We describe the first reported case of a dramatic pacemaker lead coiling with a double level of lead compromise, with one of them being intra-cardiac. This condition affected our treatment strategy, as the repositioning of the lead was unfeasible.
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spelling doaj.art-5861c818d28540f1a4ef7a2ef125d9c62022-12-21T20:38:14ZengWileyJournal of Arrhythmia1880-42762016-06-0132323623710.1016/j.joa.2016.02.008Double twiddle trouble, a new variant of twiddler syndromeAldo G. Carrizo, M.D.Paul S.G. Hong, M.D.Guy Amit, M.D.Jeff S. Healey, M.D., F.H.R.S.The twiddler syndrome results in retraction and coiling of the lead in the pacemaker pocket with subsequent pacemaker malfunction. If the lead׳s parameters are not affected, then the problem can be corrected by lead repositioning. We describe the first reported case of a dramatic pacemaker lead coiling with a double level of lead compromise, with one of them being intra-cardiac. This condition affected our treatment strategy, as the repositioning of the lead was unfeasible.http://www.sciencedirect.com/science/article/pii/S1880427616300047PacemakerLead dislodgementTwiddler syndrome
spellingShingle Aldo G. Carrizo, M.D.
Paul S.G. Hong, M.D.
Guy Amit, M.D.
Jeff S. Healey, M.D., F.H.R.S.
Double twiddle trouble, a new variant of twiddler syndrome
Journal of Arrhythmia
Pacemaker
Lead dislodgement
Twiddler syndrome
title Double twiddle trouble, a new variant of twiddler syndrome
title_full Double twiddle trouble, a new variant of twiddler syndrome
title_fullStr Double twiddle trouble, a new variant of twiddler syndrome
title_full_unstemmed Double twiddle trouble, a new variant of twiddler syndrome
title_short Double twiddle trouble, a new variant of twiddler syndrome
title_sort double twiddle trouble a new variant of twiddler syndrome
topic Pacemaker
Lead dislodgement
Twiddler syndrome
url http://www.sciencedirect.com/science/article/pii/S1880427616300047
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