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Vol 15, No 6 (2008)
Case Reports
Submitted: 2013-01-14
Published online: 2008-09-22
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Twisting until it breaks: A rare cause of ICD lead failure

Adam S. Budzikowski, Eric Uyguanco, Moshe Y. Gunsburg, John Kassotis
Cardiol J 2008;15(6):558-560.

open access

Vol 15, No 6 (2008)
Case Reports
Submitted: 2013-01-14
Published online: 2008-09-22

Abstract

We describe a rare case of Twiddler’s syndrome that resulted in a complex ICD lead fracture involving both the insulation and the conductor. The conductor fracture resulted in noise artefact that was interpreted by the device as ventricular fibrillation, but the patient had not received any shocks because the "episodes" were non-sustained. The patient did not have traditional risk factors for Twiddler’s syndrome.

Abstract

We describe a rare case of Twiddler’s syndrome that resulted in a complex ICD lead fracture involving both the insulation and the conductor. The conductor fracture resulted in noise artefact that was interpreted by the device as ventricular fibrillation, but the patient had not received any shocks because the "episodes" were non-sustained. The patient did not have traditional risk factors for Twiddler’s syndrome.

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Keywords

Twiddler’s syndrome; ICD; lead fracture

About this article
Title

Twisting until it breaks: A rare cause of ICD lead failure

Journal

Cardiology Journal

Issue

Vol 15, No 6 (2008)

Pages

558-560

Published online

2008-09-22

Page views

563

Article views/downloads

1103

Bibliographic record

Cardiol J 2008;15(6):558-560.

Keywords

Twiddler’s syndrome
ICD
lead fracture

Authors

Adam S. Budzikowski
Eric Uyguanco
Moshe Y. Gunsburg
John Kassotis

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