Recurrent Twiddler's Syndrome in a Nonthoracotomy ICD System Despite a Dacron Pouch

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Population

1 patient with an implantable cardioverter defibrillator (ICD)

Design

Case_report

Authors

Discussion

Recurrent Twiddler's syndrome may cause ICD failure despite Dacron pouch; leaves open optimal fixation strategies.

Population

1 patient with an implantable cardioverter defibrillator (ICD)

Intervention

ICD implantation with extensive surgical precautions including the use of a Dacron pouch

Outcome

Occurrence of Twiddler's syndrome (generator rotation, lead dislodgment, inappropriate shocks, and lead fracture)safety

Twiddler's syndrome can recur and cause severe device complications in ICD systems despite extensive surgical precautions such as a Dacron pouch.

Higgins et al. (1998) studied this question.

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