| Recurrent Twiddler's syndrome in a nonthoracotomy ICD system despite a Dacron pouch. | |
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MedLine Citation:
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PMID: 9474659 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Twiddler's syndrome is a highly recognized yet rare complication of pacemaker and cardioverter defibrillator (i.c.d.) implantation. We present a case in which persistent generator rotation resulted in lead dislodgment and inappropriate shocks in an initial ICD and recurrent lead fracture in a second ICD system. This case is unusual in that even with extensive surgical precautions including use of a Dacron pouch, generator rotation could not be prevented. Submuscular implantation and use of a smaller generator may prevent Twiddler's syndrome. |
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Authors:
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S L Higgins; B D Suh; J B Stein; D B Meyer; J Jons; D Willis |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Pacing and clinical electrophysiology : PACE Volume: 21 ISSN: 0147-8389 ISO Abbreviation: Pacing Clin Electrophysiol Publication Date: 1998 Jan |
Date Detail:
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Created Date: 1998-03-18 Completed Date: 1998-03-18 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7803944 Medline TA: Pacing Clin Electrophysiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 130-3 Citation Subset: IM |
Affiliation:
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Regional Cardiac Arrhythmia Center, Scripps Memorial Hospital, La Jolla, CA 92037, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Defibrillators, Implantable* / adverse effects, psychology Equipment Failure Female Humans Obesity / complications Polyethylene Terephthalates* / therapeutic use Recurrence Syndrome Tachycardia, Ventricular / therapy |
| Chemical | |
Reg. No./Substance:
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0/Polyethylene Terephthalates |
| Comments/Corrections | |
Comment In:
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Pacing Clin Electrophysiol. 1998 May;21(5):1173-4
[PMID:
9604257
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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