Key result
RV apex electrode reimplantation corrects VVI pacemaker lead retraction in Reel syndrome.
Case Report (n=1)
Reel syndrome is a rare complication of pacemaker implantation involving the rotation of the pulse generator along its sagittal axis, leading to lead retraction and winding, which requires surgical revision and reimplantation.
Reel syndrome warrants vigilance in pacemaker patients; this case extends descriptions of lead retraction requiring reimplantation.
We present the case of an adult patient with Reel syndrome who had a VVI-mode permanent pacemaker implanted 6 months earlier. X-ray revealed the retraction and winding of the right ventricle chamber electrode around the pulse generator. Subsequently, a new electrode was reimplanted in the right ventricle apex.
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Fouladvand et al. (2020) conducted a case report in Reel syndrome (n=1). Pacemaker lead revision was evaluated.
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