Reel syndrome - Not a twiddler variant

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

doi:10.1007/s10840-008-9288-0

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 journal › Article › peer-review

17 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 language	English (US)
Pages (from-to)	243-246
Number of pages	4
Journal	Journal of Interventional Cardiac Electrophysiology
Volume	23
Issue number	3
DOIs	https://doi.org/10.1007/s10840-008-9288-0
State	Published - Dec 2008
Externally published	Yes

Keywords

Pacemaker
Pacing lead
Pulse generator
Reel syndrome
Twiddler syndrome

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1007/s10840-008-9288-0

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AU - Patel, Mehul B.

AU - Pandya, Khyati

AU - Shah, Ashok J.

AU - Lojewski, Elizabeth

AU - Castellani, Mark D.

AU - Thakur, Ranjan

PY - 2008/12

Y1 - 2008/12

N2 - 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.

AB - 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.

KW - Pacemaker

KW - Pacing lead

KW - Pulse generator

KW - Reel syndrome

KW - Twiddler syndrome

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Reel syndrome - Not a twiddler variant

Abstract

Keywords

ASJC Scopus subject areas

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