Reel syndrome - Not a twiddler variant

Mehul B. Patel, Khyati Pandya, Ashok J. Shah, Elizabeth Lojewski, Mark D. Castellani, Ranjan Thakur

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)243-246
Number of pages4
JournalJournal of Interventional Cardiac Electrophysiology
Volume23
Issue number3
DOIs
StatePublished - Dec 2008
Externally publishedYes

Keywords

  • Pacemaker
  • Pacing lead
  • Pulse generator
  • Reel syndrome
  • Twiddler syndrome

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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  • Cite this

    Patel, M. B., Pandya, K., Shah, A. J., Lojewski, E., Castellani, M. D., & Thakur, R. (2008). Reel syndrome - Not a twiddler variant. Journal of Interventional Cardiac Electrophysiology, 23(3), 243-246. https://doi.org/10.1007/s10840-008-9288-0