Key result
Spontaneous twisting of a pacemaker lead in an unusual site can occur asymptomatically with normal telemetry, allowing for conservative management without intervention.
Spontaneous twisting of a pacemaker lead can occur asymptomatically and without telemetric abnormalities, potentially allowing for conservative management.
May support conservative management in select asymptomatic cases with normal telemetry; leaves open need for prospective validation in larger cohorts.
Spontaneous twisting of a pacemaker electrode is a rare complication following implantation. If present, the electrode usually is twisted close to the pacemaker. This report presents the case of a 71-year-old female patient without any complaint associated with the twisting of the electrode. Telemetric study showed no abnormality thus, any intervention was not performed.
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Çay et al. (2005) studied this question. Spontaneous twisting of a pacemaker lead in an unusual site can occur asymptomatically with normal telemetry, allowing for conservative management without intervention.
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