Ratchet-traction effect: an underdiagnosed mechanism of pacing lead dislodgement
Sudarshan Kumar Vijay1, Sudhanshu Kumar Dwivedi2, Sharad Chandra2
1Assistant Professor, Department of Cardiology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Gomti Nagar, Lucknow, U.P. 226010, India.
Indian Heart Journal
|December 3, 2014
Summary
Pacemaker lead dislodgement is a common cause of early pacemaker failure. A rare case mimicking Reel
Area of Science:
- Cardiology
- Medical Devices
- Pacemaker Technology
Background:
- Pacing lead dislodgement is a significant cause of early pacemaker failure.
- Reel's syndrome, a rare condition, involves pacemaker lead dislodgement due to patient manipulation of the pulse generator.
Observation:
- A case presented with pacemaker lead dislodgement.
- The mechanism of dislodgement was novel and frequently underdiagnosed.
- Fluoroscopic findings mimicked Reel's syndrome.
Findings:
- The study describes an unusual case of pacemaker lead dislodgement.
- A novel mechanism, distinct from typical Reel's syndrome, was identified.
- This mechanism can be underdiagnosed and mimic Reel's syndrome on fluoroscopy.
Implications:
- Highlights the importance of considering alternative mechanisms for pacemaker lead dislodgement.
- May lead to improved diagnostic strategies for pacemaker malfunctions.
- Enhances understanding of potential complications associated with pacemaker implantation and management.
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