Key result
A 50-year-old male with a subcutaneous implantable cardioverter-defibrillator experienced Twiddler's syndrome resulting in lead dislodgement and an inappropriate shock four weeks post-implantation.
Case Report (n=1)
No
Twiddler's syndrome can occur with subcutaneous ICDs, presenting with lead dislodgement and inappropriate shocks, highlighting the importance of secure anchoring techniques.
Twiddler’s syndrome (TS) is twisting of the pulse generator in a cardiac implantable electronic device (CIED) pocket, either deliberately or unintentionally, resulting in lead displacement and device malfunction.1 TS with transvenous (TV) CIEDs has been well described, but there is limited data with subcutaneous implantable cardioverter-defibrillators (S-ICDs).
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Jin et al. (2022) conducted a case report in Twiddler's syndrome with subcutaneous implantable cardioverter-defibrillator (n=1). Subcutaneous implantable cardioverter-defibrillator (S-ICD) was evaluated. A 50-year-old male with a subcutaneous implantable cardioverter-defibrillator experienced Twiddler's syndrome resulting in lead dislodgement and an inappropriate shock four weeks post-implantation.
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