Twiddler's syndrome in abdominally implanted ICDs can be managed with surgical revision, though recurrence may require device removal.
Answers are grounded in this paper and cite their sources.
Initial revision may succeed in abdominal ICD Twiddler's syndrome; case reports leave open recurrence risk and optimal long-term strategies.
Three cases of twiddler's syndrome in patients with an abdominally implanted cardioverter defibrillator (ICD) and an endocardial lead system are reported. The condition was detected when an increase in pacing threshold or lead impedance was noted at routine follow-up. Successful revision was possible in all patients; however, a recurrence in one patient necessitated removal of the device. Elderly female patients with some degree of obesity appear most susceptible. Minimizing pocket size and suturing of the device to the fascia should decrease the chance of developing this problem.
No takes yet. Share an insight, caveat, or question.
Boyle et al. (1998) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: