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Subcutaneous Implantable Cardioverter Defibrillator Lead Failure due to Twiddler Syndrome
Author(s) -
KOOIMAN KIRSTEN M.,
BROUWER TOM F.,
HALM VOKKO P. VAN,
KNOPS REINOUD E.
Publication year - 2015
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/pace.12741
Subject(s) - medicine , implantable cardioverter defibrillator , lead (geology) , cardiology , chest pain , heart failure , geology , geomorphology
We present a case of Twiddler syndrome in a patient with a subcutaneous implantable cardioverter defibrillator (S‐ICD). The patient presented herself to the outpatient clinic with pain in the left chest. Chest x‐ray confirmed Twiddler syndrome and ICD read‐out revealed lead failure resulting in absent heart rhythm sensing in one vector. The lead and pulse generator were extracted and a new S‐ICD system was reimplanted submuscular underneath the serratus anterior muscle to prevent reoccurrence. Lead investigation revealed an insulation defect caused by excessive mechanical stress.