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Case Reports
. 2008 Dec;23(3):243-6.
doi: 10.1007/s10840-008-9288-0. Epub 2008 Aug 8.

Reel syndrome-not a twiddler variant

Mehul B Patel  1 , Khyati Pandya, Ashok J Shah, Elizabeth Lojewski, Mark D Castellani, Ranjan Thakur
Affiliations
Case Reports

Reel syndrome-not a twiddler variant

Mehul B Patel et al. J Interv Card Electrophysiol. 2008 Dec.

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.

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