Carrizo Aldo G, Hong Paul S G, Amit Guy, Healey Jeff S
Arrhythmia Division, Hamilton Health Sciences, McMaster University, 4th west floor, 237 Barton St. E., Hamilton, ON, Canada L8L 2X2.
J Arrhythm. 2016 Jun;32(3):236-7. doi: 10.1016/j.joa.2016.02.008. Epub 2016 Mar 21.
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.
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。