An uncommon twist on Twiddler's syndrome.
Conn Med
; 76(2): 81-3, 2012 Feb.
Article
em En
| MEDLINE
| ID: mdl-22670357
ABSTRACT
Twiddler's syndrome is a rare cause of pacemaker dysfunction characterized by coiling of the lead around the rotated generator. It is even less common for implantable cardioverter-defibrillator (ICD) devices. We describe a 44-year-old woman who underwent successful implantation of an ICD and three months later presented with left arm twitching. Chest radiograph demonstrated the unusual dislodgement of the atrial lead only and rotation of the ICD generator. The diagnosis of Twiddler's syndrome with solitary atrial lead rotation was thus established. The ICD pacing mode was switched to VVI, which resulted in cessation of muscle contractions. She later underwent atrial lead revision, untwisting and reanchoring of the ICD generator without any complications.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Migração de Corpo Estranho
/
Desfibriladores Implantáveis
/
Corpos Estranhos
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Conn Med
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Estados Unidos