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双拧综合征,一种新的拧扭综合征变体。

Double twiddle trouble, a new variant of twiddler syndrome.

作者信息

Carrizo Aldo G, Hong Paul S G, Amit Guy, Healey Jeff S

机构信息

Arrhythmia Division, Hamilton Health Sciences, McMaster University, 4th west floor, 237 Barton St. E., Hamilton, ON, Canada L8L 2X2.

出版信息

J Arrhythm. 2016 Jun;32(3):236-7. doi: 10.1016/j.joa.2016.02.008. Epub 2016 Mar 21.

DOI:10.1016/j.joa.2016.02.008
PMID:27354874
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4913151/
Abstract

The twiddler syndrome results in retraction and coiling of the lead in the pacemaker pocket with subsequent pacemaker malfunction. If the lead׳s parameters are not affected, then the problem can be corrected by lead repositioning. We describe the first reported case of a dramatic pacemaker lead coiling with a double level of lead compromise, with one of them being intra-cardiac. This condition affected our treatment strategy, as the repositioning of the lead was unfeasible.

摘要

旋弄综合征会导致起搏器囊袋内导线回缩和盘绕,进而引起起搏器故障。如果导线参数未受影响,那么可通过重新放置导线来纠正问题。我们报告了首例有显著起搏器导线盘绕且存在双重导线受损情况的病例,其中一处受损位于心内。这种情况影响了我们的治疗策略,因为重新放置导线并不可行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ff/4913151/db87ad7b17a4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ff/4913151/8b4dcec4896d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ff/4913151/db87ad7b17a4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ff/4913151/8b4dcec4896d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ff/4913151/db87ad7b17a4/gr2.jpg

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[Total electrode retraction (Twiddler syndrome) in infection of the pacemaker system].
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Unusual migration of implantable cardioverter defibrillator that clinically mimicking breast cancer: A case report.植入式心脏复律除颤器异常迁移,临床症状类似乳腺癌:一例报告。
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本文引用的文献

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Incidence and predictors of short- and long-term complications in pacemaker therapy: the FOLLOWPACE study.起搏器治疗的短期和长期并发症的发生率和预测因素:FOLLOWPACE 研究。
Heart Rhythm. 2012 May;9(5):728-35. doi: 10.1016/j.hrthm.2011.12.014. Epub 2011 Dec 17.
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"Ratchet" syndrome, another etiology for pacemaker lead dislodgement: a case report.“棘齿”综合征——起搏器导线脱位的另一种病因:一例病例报告
Heart Rhythm. 2007 Jun;4(6):788-9. doi: 10.1016/j.hrthm.2006.12.029. Epub 2006 Dec 22.
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Left ventricular-based cardiac stimulation post AV nodal ablation evaluation (the PAVE study).
A systematic review of Twiddler's syndrome: a hardware-related complication of deep brain stimulation.
Twiddler's 综合征的系统评价:深部脑刺激相关的硬件并发症
Neurosurg Rev. 2022 Apr;45(2):951-963. doi: 10.1007/s10143-021-01636-9. Epub 2021 Sep 7.
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