Key result
Twiddler syndrome causes S-ICD lead failure requiring extraction and submuscular reimplantation.
Population
1 patient with a subcutaneous implantable cardioverter defibrillator (S-ICD)
Design
Case_report
Authors
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May prompt vigilance for Twiddler syndrome in S-ICD malfunction; submuscular reimplantation leaves optimal prevention open for validation.
Case Report (n=1)
No
Twiddler syndrome in S-ICD patients can cause lead failure due to mechanical stress, which may be prevented by submuscular reimplantation.
Kooiman et al. (2015) conducted a case report in Twiddler syndrome with subcutaneous implantable cardioverter defibrillator (S-ICD) (n=1). Submuscular reimplantation of S-ICD was evaluated. Twiddler syndrome in a patient with an S-ICD caused lead failure and absent sensing, requiring extraction and submuscular reimplantation of a new system to prevent recurrence.
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