An unusual cause of pacemaker malfunction: A case report of an association of twiddler and reel syndrome.

ABSTRACT:

Introduction and importance

Lead dislodgement syndromes (Twiddler, Ratchet or Reel syndromes) are rare causes of cardiac stimulation device malfunction that can occur most commonly early after device implantation. Each one of them associated with a unique pattern of lead coiling and dysfunction. Our clinical case reports an unusual association and shed the light on the available diagnostic modalities.

Case presentation

A 62-year-old woman who was referred to our hospital for a symptomatic high degree AV block, she underwent dual chamber pacemaker implantation. She experienced 3 weeks following implantation a rhythmic twitching of the right arm without syncope. The device interrogation revealed an increase in both leads pacing impedance and chest X-ray showed leads had pulled

SUBMITTER: Machraa A 

PROVIDER: S-EPMC9793224 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature