Abstract
We present a case of Twiddler syndrome in a patient with a subcutaneous implantable cardioverter defibrillator (S-ICD). The patient presented herself to the outpatient clinic with pain in the left chest. Chest x-ray confirmed Twiddler syndrome and ICD read-out revealed lead failure resulting in absent heart rhythm sensing in one vector. The lead and pulse generator were extracted and a new S-ICD system was reimplanted submuscular underneath the serratus anterior muscle to prevent reoccurrence. Lead investigation revealed an insulation defect caused by excessive mechanical stress
Original language | English |
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Pages (from-to) | 1369-1371 |
Journal | Pacing and clinical electrophysiology |
Volume | 38 |
Issue number | 11 |
DOIs | |
Publication status | Published - 2015 |