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Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome
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Unique abdominal twiddler syndrome.

Satoshi Higuchi1, Morio Shoda1, Natsuko Satomi1

  • 1Department of Cardiology Tokyo Women's Medical University Tokyo Japan.

Journal of Arrhythmia
|February 27, 2019
PubMed
Summary
This summary is machine-generated.

Twiddler syndrome, a rare pacemaker complication, involves generator twisting and lead injury. This case highlights a unique abdominal pacemaker variant, suggesting distinct underlying mechanisms compared to chest-implanted devices.

Keywords:
abdominal distensioncomplicationepicardial leadpacemakertwiddler syndrome

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Area of Science:

  • Cardiology
  • Medical Devices
  • Surgical Complications

Background:

  • Twiddler syndrome is an uncommon complication of pacemaker implantation.
  • It arises from the patient repeatedly manipulating the implanted pulse generator.
  • This manipulation can lead to lead torsion, dislodgement, and system malfunction.

Observation:

  • This report details a rare instance of twiddler syndrome in a patient with an abdominal permanent pacemaker.
  • The abdominal placement may influence the mechanism of generator manipulation.
  • This presentation differs from typical chest-implanted pacemaker scenarios.

Findings:

  • The abdominal pacemaker twiddler syndrome may involve unique biomechanical factors.
  • The specific twisting patterns and resultant lead damage could be distinct.
  • This case underscores the importance of considering placement in complication etiology.

Implications:

  • Understanding unique mechanisms of abdominal twiddler syndrome is crucial for diagnosis.
  • This may necessitate tailored patient education and follow-up protocols.
  • Further research into abdominal pacemaker complications can improve patient outcomes and device longevity.