Reel syndrome—not a twiddler variant

We report three cases of an unusual form of “reel syndrome” characterized by isolated, reeling dislodgement of a single lead in patients with dual-chamber or biventricular devices. One of these patients presented with worsening heart failure due to loss of left ventricular pacing and the others were...

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Bibliographic Details
Published inJournal of interventional cardiac electrophysiology Vol. 23; no. 3; pp. 243 - 246
Main Authors Patel, Mehul B., Pandya, Khyati, Shah, Ashok J., Lojewski, Elizabeth, Castellani, Mark D., Thakur, Ranjan
Format Journal Article
LanguageEnglish
Published Boston Springer US 01.12.2008
Springer Nature B.V
Subjects
Aged
Aged, 80 and over
Cardiology
Case Report
Electrodes, Implanted - adverse effects
Equipment Failure
Female
Heart Failure - diagnostic imaging
Heart Failure - physiopathology
Heart Failure - therapy
Humans
Male
Medicine
Medicine & Public Health
Pacemaker, Artificial - adverse effects
Radiography
Syndrome
Reel syndrome
Twiddler syndrome
Pacing lead
Pulse generator
Pacemaker
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Summary:We report three cases of an unusual form of “reel syndrome” characterized by isolated, reeling dislodgement of a single lead in patients with dual-chamber or biventricular devices. One of these patients presented with worsening heart failure due to loss of left ventricular pacing and the others were detected incidentally during scheduled device checks. We suspect that a ratchet mechanism was probably responsible for this and that this type of dislodgement is not a twiddler variant. We propose a simple solution for prevention.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:1383-875X
1572-8595
DOI:10.1007/s10840-008-9288-0