Lead displacement resulting from Twiddler’s Syndrome in a patient with dual chamber pacemaker
Keywords:
Pacemaker Artificial, Cardiac Pacing Artificial, Atrioventricular BlockAbstract
We report the case of a patient with a bicameral pacemaker implantation within the last two months due to total atrioventricular block, who presented pre-syncope, lipothymia and bradycardia two days after an accidental fall at home with a homolateral trauma to the pacemaker implantation site. The electrocardiogram showed a total loss of the atrioventricular command and chest x-ray evidence of traction, displacement and folding of the leads near the generator. The patient was diagnosed as a typical Twiddler’s Syndrome case
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References
1. Link MS, Estes NA 3rd, Griffin JJ, Wang PJ, Maloney JD, Kirchhoffer JB, et al. Complications of dual chamber pacemaker implantation in the elderly. Pacemaker Selection in the Elderly (PASE) Investigators. J Interv Card Electrophysiol. 1998;2(2):175-9.
2. Tobin K, Stewart J, Westveer D, Frumin H. Acute complications of permanent pacemaker implantation: their financial implication and relation to volume and operator experience. Am J Cardiol. 2000;85(6):774-6, A9.
3. Ellenbogen KA, Wilkoff BL, Kay GN, Lau CP, eds. Clinical Cardiac Pacing, Defibrillation and Resynchronization Therapy. 4a ed. Philadelphia: Saunders/Elsevier; 2011.
4. Fahraeus T, Höijer CJ. Early pacemaker twiddler syndrome. Europace. 2003;5(3):279-81.
5. Bayliss CE, Beanlands DS, Baird RJ. The pacemaker-twiddler’s syndrome: a new complication of implantable transvenous pacemakers. Can Med Assoc J. 1968;99(8):371-3.
6. Salahuddin M, Cader FA, Nasrin S, Chowdhury MZ. The pacema-ker-twiddler’s syndrome: an infrequent cause of pacemaker failure. BMC Res Notes. 2016;9:32.
7. Silva Júnior O, Marra M, Melo CS, Tomas AA. Twiddler’s syndrome in a resynchronization patient with cardiodefibrillator (ICD-R). Relampa. 2011;24(4):277-82.
8. Furman S. Defibrillator Twiddler’s syndrome [correspondence]. Ann Thorac Surg. 1995;59:544-51.
9. Mandal S, Pande A, Kahali D. A rare case of very early pacemaker Twiddler’s syndrome. Heart Views. 2012;13:114-5.
2. Tobin K, Stewart J, Westveer D, Frumin H. Acute complications of permanent pacemaker implantation: their financial implication and relation to volume and operator experience. Am J Cardiol. 2000;85(6):774-6, A9.
3. Ellenbogen KA, Wilkoff BL, Kay GN, Lau CP, eds. Clinical Cardiac Pacing, Defibrillation and Resynchronization Therapy. 4a ed. Philadelphia: Saunders/Elsevier; 2011.
4. Fahraeus T, Höijer CJ. Early pacemaker twiddler syndrome. Europace. 2003;5(3):279-81.
5. Bayliss CE, Beanlands DS, Baird RJ. The pacemaker-twiddler’s syndrome: a new complication of implantable transvenous pacemakers. Can Med Assoc J. 1968;99(8):371-3.
6. Salahuddin M, Cader FA, Nasrin S, Chowdhury MZ. The pacema-ker-twiddler’s syndrome: an infrequent cause of pacemaker failure. BMC Res Notes. 2016;9:32.
7. Silva Júnior O, Marra M, Melo CS, Tomas AA. Twiddler’s syndrome in a resynchronization patient with cardiodefibrillator (ICD-R). Relampa. 2011;24(4):277-82.
8. Furman S. Defibrillator Twiddler’s syndrome [correspondence]. Ann Thorac Surg. 1995;59:544-51.
9. Mandal S, Pande A, Kahali D. A rare case of very early pacemaker Twiddler’s syndrome. Heart Views. 2012;13:114-5.
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Published
2018-01-08
How to Cite
da Silva Balbino, C., Takashi Torres Arikawa, R., Fidelis de Moura, A. L., & Moraes Júnior, A. V. (2018). Lead displacement resulting from Twiddler’s Syndrome in a patient with dual chamber pacemaker. JOURNAL OF CARDIAC ARRHYTHMIAS, 31(1), 20–22. Retrieved from https://jca.org.br/jca/article/view/48
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Section
Case Report
