An unusual case of cardiac resynchronization therapy non-responder: the reel syndrome

López, Antonio Luis Gámez; Palomas, Juan Luis Bonilla; Granados, Amador López

doi:10.1093/europace/euq112

Cited by 11 publications

(3 citation statements)

References 8 publications

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“…Several countermeasures may be considered for TS, such as minimizing pocket size, suturing the device, use of active lead fixation, use of a Dacron patch, 7 re‐tightening the loose attachments, 8 or affixing the pacemaker to the underlying fascia 9 . Although, many experiences of pacemaker being attached under the fascia have been reported, this method may not always be the best one 10–12 …”

Section: Discussionmentioning

confidence: 99%

Leadless pacemaker in Twiddler's syndrome: A case report

Ducceschi

Divitiis

Ciriello

et al. 2022

Pacing Clinical Electrophis

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Twiddler's syndrome is a rare cause of pacemaker lead dislodgement. We present the case of a 49‐year‐old male patient with Down's syndrome implanted with a dual chamber pacemaker showing high ventricular impedance, no sensing, and complete loss of capture for both leads at the 3‐month follow‐up due to Twiddler Syndrome. The dislocated device was removed, and an endocardial leadless pacing system was implanted.

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Section: Discussionmentioning

confidence: 99%

Leadless pacemaker in Twiddler's syndrome: A case report

Ducceschi

Divitiis

Ciriello

et al. 2022

Pacing Clinical Electrophis

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“…There are few similar cases in the literature showing atrial lead displacement only, however the RV lead remained in place [2], [3], [4], [5]. The authors have explained this phenomenon with speculation that implanters subconsciously tighten the RV lead sutures more firmly than atrial lead given the fact that RV lead is the life-saving lead.…”

Section: Case Presentationmentioning

confidence: 99%

Unusual lead helix damage due to ‘Selective’ Reel syndrome

Gül

Glover

Baranchuk

2017

Indian Pacing and Electrophysiology Journal

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Oblivious manipulation of the device by the patient is referred to as “Twiddler's” syndrome. It is characterized by the coiling of the pacemaker lead due to the rotation of the pacemaker generator on its long axis. However, the rotation of the pacemaker generator on its transverse axis with subsequent coiling of the pacemaker leads around the pulse generator is called as ‘’Reel syndrome’’. In this case, we present a 69-year-old patient with ‘selective’ Reel syndrome and postulate the possible explanation for damaged atrial lead.

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“…17) Reel syndrome can occur in either pacemaker, cardiac resynchronization therapy device or in implantable cardioverter defibrillator (ICD) patients. 18,19) It may lead to a series of complications such as syncopal attack and lethal cardiac arrhythmias, especially in pacemaker-dependent patients, as well as catastrophic consequences when the ICD is involved.…”

Section: Figure 3bmentioning

confidence: 99%

Reel Syndrome: A Variant Form of Twiddler’s Syndrome

Munawar¹,

Munawar²,

Basalamah³

et al. 2011

J Arrhythmia

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Reel syndrome is a variant form of twiddler's syndrome. We describe a 53 years old woman who was referred to our hospital because of symptomatic sinus bradycardia. Subsequently she underwent dual chamber pacemaker implantation and was sent back to the previous hospital on the following day. She was referred again because of sudden syncope due to low heart rate 2 weeks following implantation. Chest X-ray revealed leads had pulled out of the heart and coiled up around the pacemaker generator; a diagnosis of reel syndrome was made. The difference between the two syndromes, risk factors and preventive measures were discussed. (J Arrhythmia 2011; 27: 338-342)

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An unusual case of cardiac resynchronization therapy non-responder: the reel syndrome

Cited by 11 publications

References 8 publications

Leadless pacemaker in Twiddler's syndrome: A case report

Leadless pacemaker in Twiddler's syndrome: A case report

Unusual lead helix damage due to ‘Selective’ Reel syndrome

Reel Syndrome: A Variant Form of Twiddler’s Syndrome

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