Use of an active fixation lead and a subpectoral pacemaker pocket may not avoid Twiddler's syndrome

Manipulation of a pacemaker with consequent malfunction of the device has been called Twiddler's syndrome. Use of active-fixation leads and subpectoral pacemaker pockets has been considered to help in avoiding this problem. We describe a child in whom twiddling was not prevented despite implant...

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Bibliographic Details
Published inAnnals of pediatric cardiology Vol. 5; no. 2; pp. 203 - 204
Main Authors Udink Ten Cate, Floris E A, Adelmann, Roland, Schmidt, Beate E, Sreeram, Narayanswami
Format Journal Article
LanguageEnglish
Published India Medknow Publications and Media Pvt. Ltd 01.07.2012
Medknow Publications & Media Pvt. Ltd
Medknow Publications & Media Pvt Ltd
Subjects
Arrhythmia
Cardiovascular disease
Care and treatment
Case Report
Case studies
Congenital diseases
Diagnosis
Pacemaker, Artificial (Heart)
Transplants & implants
India
Twiddler's syndrome
pacemaker
Active fixation
children
pacemaker failure
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Summary:Manipulation of a pacemaker with consequent malfunction of the device has been called Twiddler's syndrome. Use of active-fixation leads and subpectoral pacemaker pockets has been considered to help in avoiding this problem. We describe a child in whom twiddling was not prevented despite implantation of a lumenless atrial lead and insertion of the pacemaker generator in a subpectoral pocket.
ISSN:0974-2069
0974-5149
DOI:10.4103/0974-2069.99629