Open AccessDouble twiddle trouble, a new variant of twiddler syndrome
Author(s) -
Carrizo Aldo G.,
Hong Paul S.G.,
Amit Guy,
Healey Jeff S.
Publication year - 2016
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/j.joa.2016.02.008
Subject(s) - medicine , lead (geology) , cardiology , geology , geomorphology
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.