Coiled Lead in a Biventricular Pacing Patient

¹Department of Cardiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, P.R. China.

Corresponding Author: Zayar Naing, Department of Cardiology, No.3 Ward, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, P.R. China.
Tel: 86 13803898806; E-Mail: [email protected]

Received Date:   14 Jan 2016   
Accepted Date:  26 Feb 2016   
Published Date: 29 Feb 2016

Copyright © 2016 Naing Z

Citation: Naing Z, Qiu CG, Ying HZ, et al. (2016). Coiled Lead in a Biventricular Pacing Patient. Mathews J Cardiol. 1(1): 003.

ABSTRACT

A rare but potentially lethal complication of ICD, Pacemaker or CRT-D treatment named Twiddler’s syndrome is generally diagnosed within first year of implantation. It is characterized by device malfunction due to dislodgement of intracardiac leads because of some form of manipulation by the patient and several other reasons. The following case is about a 40 years old male patient with severe heart failure and ventricular fibrillation who was treated via Cardiac Resynchronization Therapy with Defibrillator (CRT-D) and found that his device was rotated and wrapped around by the dislodged RV lead on his Chest X-ray at 3 months follow up after implantation. Although there is delayed ventricular capture, he complained nothing and the repair procedure was performed 5 days later.

KEYWORDS

Cardiac Resynchronization Therapy with Defibrillator; Twiddler’s Syndrome; Rotated and Wrapped; Dislodged RV lead.