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Twiddler's Syndrome Variants in ICD Patients
Author(s) -
BOYLE NOEL G.,
ANSELME FREDERIC,
MONAHAN KEVIN M.,
BESWICK PHILIPPA,
SCHUGER CLAUDIO D.,
ZEBEDE JOSEPH,
JOSEPHSON MARK E.
Publication year - 1998
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1998.tb00049.x
Subject(s) - medicine
Three cases of twiddler's syndrome in patients with an abdominally implanted cardioverter defibrillator (ICD) and an endocardial lead system are reported. The condition was detected when an increase in pacing threshold or lead impedance was noted at routine follow‐up. Successful revision was possible in all patients: however, a recurrence in one patient necessitated removal of the device. Elderly female patients with some degree of obesity appear most susceptible. Minimizing pocket size and suturing of the device to the fascia should decrease the chance of developing this problem.