Key result
Urgent extraction and pacemaker reimplantation successfully resolves complete AV block from delayed Reel syndrome.
Why the study?
Reel syndrome is characterized by early pacemaker lead dislodgment without damage, but delayed presentation with lead damage is not well described.
Case Report (n=1)
Delayed presentation of Reel syndrome can result in lead damage and life-threatening complications like complete AV block, emphasizing the need for adequate follow-up.
Emphasizes need for vigilant pacemaker follow-up; case report leaves open optimal surveillance protocols for delayed Reel syndrome.
Reel syndrome is a pacemaker lead early dislodgment, characterized by reeling-in of the lead(s) without being damaged. We herein present a case of an 86-year-old woman, with medical history of single chamber pacemaker implantation two years ago, admitted in cardiology department with complete AV block. Chest-Xray revealed ventricular lead coiling around and behind the pacemaker device. Urgent extraction of the previous pacemaker was performed; however, the lead damage made its repositioning unfeasible. Successful implantation of single-chamber pacemaker has been made. This clinical case highlights the importance of adequate follow-up to timely identify lead dislodgement, avoid lethal complications and lead fracture.
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Hilal et al. (2022) conducted a case report in Reel syndrome and complete AV block (n=1). Urgent extraction of previous pacemaker and implantation of new single-chamber pacemaker was evaluated on Successful implantation of single-chamber pacemaker. Urgent extraction and successful reimplantation of a single-chamber pacemaker was performed in an 86-year-old woman presenting with complete AV block due to delayed Reel syndrome and lead damage.
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