Patel Mehul B, Pandya Khyati, Shah Ashok J, Lojewski Elizabeth, Castellani Mark D, Thakur Ranjan
Thoracic and Cardiovascular Institute, Sparrow Health System, Lansing, MI 48910, USA.
J Interv Card Electrophysiol. 2008 Dec;23(3):243-6. doi: 10.1007/s10840-008-9288-0. Epub 2008 Aug 8.
We report three cases of an unusual form of "reel syndrome" characterized by isolated, reeling dislodgement of a single lead in patients with dual-chamber or biventricular devices. One of these patients presented with worsening heart failure due to loss of left ventricular pacing and the others were detected incidentally during scheduled device checks. We suspect that a ratchet mechanism was probably responsible for this and that this type of dislodgement is not a twiddler variant. We propose a simple solution for prevention.
我们报告了三例不寻常形式的“卷轴综合征”，其特征为双腔或双心室装置患者中单个电极导线出现孤立的、卷轴样脱位。其中一名患者因左心室起搏丧失而出现心力衰竭加重，其他患者在定期设备检查时偶然被发现。我们怀疑棘轮机制可能是其原因，且这种类型的脱位并非捻弄者综合征的变体。我们提出了一种简单的预防解决方案。
