Early pacemaker twiddler syndrome.
TL;DR: A patient is presented who managed to rotate her dual chamber pulse generator so quickly after implantation that exit block occurred within 17 h and she had wound the two leads as far as their tips in a perfect formation around the pulse generator.
read more
Abstract: Twiddler's syndrome is a well-known complication of pacemaker treatment. It was first described by Bayliss et al. when a patient manipulated and rotated the pulse generator in the pocket so many turns that it resulted in lead dislodgment, diaphragmatic stimulation and loss of capture. In this case report we present a patient who managed to rotate her dual chamber pulse generator so quickly after implantation that exit block occurred within 17 h. She had wound the two leads as far as their tips in a perfect formation around the pulse generator.
read more
Chat with Paper
AI Agents for this Paper
Find similar papers on Google Scholar, PubMed and Arxiv
Write a critical review of this paper
Analyze citations of this paper to find unaddressed research gaps
Citations
Twiddler's syndrome detected by home monitoring device
TL;DR: Lead fracture due to twiddler's syndrome, was detected in a 68‐year‐old patient 1 month after implantation of an ICD by means of the incorporated home monitoring system.
47
Common Pacemaker Problems: Lead and Pocket Complications
Enes Elvin Gul,Mehmet Kayrak +1 more
- 14 Feb 2011
TL;DR: There are some complications related to pacemaker system disfunctions which may cause life-threatening complications and this chapter will try to discuss these problems systematically and transparently.
Late pacemaker twiddler syndrome
TL;DR: Except the symptoms related with the failure of the cardiac pacemaker, other symptoms are also observed frequently as well due to the damage of the neigbouring organs.
28
A rare case of very early pacemaker Twiddler's syndrome
TL;DR: A patient who was diagnosed Twiddler's syndrome within the initial 48 h of implantation of permanent pacemaker is presented and passive fixation of ventricular lead perpetuated this situation and subsequent active fixation prevented any recurrence.
23
Use of an antimicrobial pouch/envelope in the treatment of Twiddler's syndrome.
TL;DR: This study presents a case series of patients with Twiddler's syndrome and evaluates the strategy of using a nonabsorbable antimicrobial pouch to prevent recurrent lead dislodgement events.
20
References
Pacemaker twiddler's syndrome: an important cause of diaphragmatic pacing.
TL;DR: Ce syndrome est du a la stimulation electrique du nerf phrenique qui entraine un mauvais fonctionnement du stimulateur cardiaque d'un cas d' Etude d' un cas.
19