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[Pacemaker-Twiddler's Syndrome (author's transl)]

P Kolb, P Kauffmann

    Medizinische Klinik
    |November 24, 1978
    PubMed
    Summary

    Pacemaker-Twiddler's Syndrome occurs when pacemaker rotation causes lead dislodgement. Thoroughly securing the pacemaker and lead can prevent this complication.

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    Area of Science:

    • Cardiology
    • Medical Devices

    Background:

    • Permanent pacemakers are crucial for managing cardiac arrhythmias.
    • Lead dislodgement is a potential complication of pacemaker implantation.

    Observation:

    • A case of Pacemaker-Twiddler's Syndrome is presented.
    • The syndrome involves the rotation of a permanent pacemaker.

    Findings:

    • Pacemaker rotation can create a capstan effect, leading to the pacemaker lead being drawn out of the right ventricle.
    • This mechanical interaction compromises pacemaker function.

    Implications:

    • Thorough fixation of both the pacemaker and its lead is a recommended prophylactic measure.
    • Preventing lead dislodgement ensures optimal pacemaker performance and patient safety.