Key result
Surgical revision for pediatric Twiddler's syndrome reveals occult lead damage requiring repair and generator suture-fixation.
Case Report (n=1)
Highlights the possibility of occult lead insulation damage in Twiddler's syndrome and the utility of suture-fixation to prevent recurrence in pediatric patients.
Raises awareness for occult insulation defects in pediatric Twiddler's revisions; leaves open optimal fixation strategies.
We present a rare case of incidentally diagnosed Twiddler's syndrome in a child 7 years after implantation of a dual-chamber pacemaker system with epicardial leads. During revision, an insulation defect of the ventricular lead was evident, despite unremarkable prior pacemaker lead testing. The lead was repaired and a new generator was suture-fixated to prevent re-occurrence of generator manipulation.
No takes yet. Share an insight, caveat, or question.
Krämer et al. (2020) conducted a case report in Twiddler's syndrome (n=1). Lead repair and generator suture-fixation was evaluated. Surgical revision for Twiddler's syndrome 7 years after dual-chamber pacemaker implantation in a child revealed occult lead insulation damage requiring repair and generator suture-fixation.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: