Double twiddle trouble, a new variant of twiddler syndrome

Aldo G. Carrizo; Paul S.G. Hong; Guy Amit; Jeff S. Healey

doi:10.1016/j.joa.2016.02.008

Double twiddle trouble, a new variant of twiddler syndrome

Aldo G. Carrizo, Paul S.G. Hong, Guy Amit, Jeff S. Healey

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	236-237
Number of pages	2
Journal	Journal of Arrhythmia
Volume	32
Issue number	3
DOIs	https://doi.org/10.1016/j.joa.2016.02.008
State	Published - 1 Jun 2016
Externally published	Yes

Keywords

Lead dislodgement
Pacemaker
Twiddler syndrome

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.joa.2016.02.008

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title = "Double twiddle trouble, a new variant of twiddler syndrome",

abstract = "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.",

keywords = "Lead dislodgement, Pacemaker, Twiddler syndrome",

author = "Carrizo, {Aldo G.} and Hong, {Paul S.G.} and Guy Amit and Healey, {Jeff S.}",

note = "Publisher Copyright: {\textcopyright} 2016 Japanese Heart Rhythm Society.",

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AU - Carrizo, Aldo G.

AU - Hong, Paul S.G.

AU - Amit, Guy

AU - Healey, Jeff S.

PY - 2016/6/1

Y1 - 2016/6/1

N2 - 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.

AB - 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.

KW - Lead dislodgement

KW - Pacemaker

KW - Twiddler syndrome

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ER -

Double twiddle trouble, a new variant of twiddler syndrome

Abstract

Keywords

ASJC Scopus subject areas

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