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Use of an active fixation lead and a subpectoral pacemaker pocket may not avoid Twiddler's syndrome


1 Department of Pediatric Cardiology, Heart Center Cologne, University Hospital of Cologne, Cologne, Germany
2 Department of Pediatric Cardiology, Children's Hospital Cologne, Cologne, Germany

Correspondence Address:
Floris E A Udink ten Cate
Department of Pediatric Cardiology, Heart Center Cologne, University Hospital of Cologne, Kerpener Strasse 62, 50973 Cologne
Germany
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.99629

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Year : 2012  |  Volume : 5  |  Issue : 2  |  Page : 203-204

 

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Manipulation of a pacemaker with consequent malfunction of the device has been called Twiddler's syndrome. Use of active-fixation leads and subpectoral pacemaker pockets has been considered to help in avoiding this problem. We describe a child in whom twiddling was not prevented despite implantation of a lumenless atrial lead and insertion of the pacemaker generator in a subpectoral pocket.






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1 Department of Pediatric Cardiology, Heart Center Cologne, University Hospital of Cologne, Cologne, Germany
2 Department of Pediatric Cardiology, Children's Hospital Cologne, Cologne, Germany

Correspondence Address:
Floris E A Udink ten Cate
Department of Pediatric Cardiology, Heart Center Cologne, University Hospital of Cologne, Kerpener Strasse 62, 50973 Cologne
Germany
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.99629

Rights and Permissions

Manipulation of a pacemaker with consequent malfunction of the device has been called Twiddler's syndrome. Use of active-fixation leads and subpectoral pacemaker pockets has been considered to help in avoiding this problem. We describe a child in whom twiddling was not prevented despite implantation of a lumenless atrial lead and insertion of the pacemaker generator in a subpectoral pocket.






[FULL TEXT] [PDF]*


        
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