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Case Reports
. 2018 Sep 15:2018:bcr2018227162.
doi: 10.1136/bcr-2018-227162.

Late twiddler syndrome in a patient with a submuscular implantable cardioverter defibrillator

Neiberg de Alcantara Lima  1 , Eduardo Arrais Rocha  2 , Francisca Tatiana Moreira Pereira  2 , Francisco Daniel Cavalcante  2
Affiliations
Case Reports

Late twiddler syndrome in a patient with a submuscular implantable cardioverter defibrillator

Neiberg de Alcantara Lima et al. BMJ Case Rep. .
No abstract available

Keywords: interventional cardiology; pacing and electrophysiology; radiology (diagnostics).

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
(A) and (B) Chest radiography showing both lead displacement and winding of the leads close implantable cardioverter defibrillator generator. (C) Intraoperative finding of lead twisting.
See this image and copyright information in PMC

References

    1. Bracke F, van Gelder B, Dijkman B, et al. Lead system causing twiddler’s syndrome in patients with an implantable cardioverter-defibrillator. J Thorac Cardiovasc Surg 2005;129:231–2. 10.1016/j.jtcvs.2004.10.008 - DOI - PubMed
    1. Spencker S, Poppelbaum A, Müller D. An unusual cause of oversensing leading to inappropriate ICD discharges. Int J Cardiol 2008;129:e24–e26. 10.1016/j.ijcard.2007.06.088 - DOI - PubMed
    1. González Bermúdez I, Pardo Fresno M, García Campo E, et al. Twiddler syndrome as a cause of defibrillator malfunction. Rev Port Cardiol 2012;31:837–8. 10.1016/j.repc.2012.05.012 - DOI - PubMed

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