Twiddler's syndrome detected by patient's complaint of implantable cardioverter-defibrillator rotation in the subcutaneous pocket
| Autor: | Sayaka Komatsu, Yuji Nakazato, Masataka Sumiyoshi, Hirokazu Konishi, Hiroyuki Daida, Hidemori Hayashi, Kaoru Komatsu, Kyoko Kizu, Satoru Suwa, Gaku Sekita, Fumiyasu Bito, Takashi Tokano |
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| Rok vydání: | 2012 |
| Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty medicine.diagnostic_test business.industry Malfunction medicine.medical_treatment Implantable cardioverter-defibrillator Surgery Twiddler's syndrome lcsh:RC666-701 medicine Fluoroscopy Twiddler's Syndrome Cardiology and Cardiovascular Medicine business Complication |
| Zdroj: | Journal of Arrhythmia, Vol 28, Iss 4, Pp 239-241 (2012) |
| ISSN: | 1880-4276 |
| DOI: | 10.1016/j.joa.2011.12.003 |
| Popis: | Twiddler's syndrome presents as a rare implantable-cardioverter defibrillator (ICD) malfunction that is potentially fatal. The following case is that of a 79-year-old woman, who was implanted with an ICD and experienced Twiddler's syndrome. Five months after the implantation, the patient complained that the generator sometimes rotated in the subcutaneous pocket. Fluoroscopy showed that the generator had rotated and the leads were twisted, which is compatible with Twiddler's syndrome. Although all the leads were functioning normally, a procedure to repair the twisted leads was performed. Twiddler's syndrome is usually detected due to a serious device malfunction; however, this case study suggests that it can be detected prior to ICD malfunction by the patient's complaint. |
| Databáze: | OpenAIRE |
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