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Twiddler's syndrome: Between mechanical recoil and behavioral troubles
Mohamed El Minaoui1, Wassim Beladel1
1Cardiology Department, University Hospital Agadir, Medical School of Medicine & Pharmacy Ibn Zohr University, Quartier Tilila Bp 7519 Agadir Al Fidia Cp80060, Agadir, Morocco.
Abstract:
A 72-year-old male with severe dilated cardiomyopathy, benefited of implantable cardiac defibrillator implementation. Device control shows high impedance. On X-ray, electrodes were completely twisted in the generator pocket, they were replaced and the generator was fixed to pectoralis-major fascia. Nurses report patient abnormal movements, scratching implantation area. This was identified as probably the trigger of the complication.
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