Reel syndrome in a patient with an implantable cardioverter-defibrillator
Abstract
The Twiddler syndrome and its variant, the Reel syndrome, are uncommon complications in patients with an implantable cardioverter-defibrillator, but they can cause severe device dysfunction. The identification of the predisposing factors and the intervention on them, as well as the periodic monitoring of the operation by means of telemetry and chest radiography, are useful in the prevention of these syndromes. Here is described the case of a patient with Reel syndrome at the third month after the implantation of a cardioverter-defibrillator, as a result of a sepsis in the generator pocket.
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1. Bayliss CE, Beanlands DS, Baird RJ. The pacemaker-twiddler’s syndrome: A new complication of implantable transvenous pacemakers. Can Med Assoc J. 1968;99(8):371-3.
2. Veltri EP, Mower MM, Reid PR. Twiddler’s syndrome: A new twist. Pacing Clin Electrophysiol. 1984;7(6 Pt 1):1004-9.
3. Carnero-Varo A, Pérez-Paredes M, Ruiz-Ros JA, Giménez-Cervantes D, Martínez-Corbalán FR, Cubero-López T, et al. “Reel syndrome”: A new form of Twiddler’s syndrome? Circulation. 1999;100(8):e45-6.
4. Munawar M, Munawar DL, Basalamah F, Pambudi J. Reel syndrome: A variant form of Twiddler’s syndrome. J Arrhythmia. 2011;27(4):338-42.
5. Konishi H, Tokano T, Nakazato Y, Komatsu S, Suwa S, Komatsu K, et al. Twiddler’s syndrome detected by patient’s complaint of implantable cardioverter-defibrillator rotation in the subcutaneous pocket. J Arrhythm. 2012;28(4):239-41.
6. Patel MB, Pandya K, Shah AJ, Lojewski E, Castellani MD, Thakur R. Reel syndrome – not a twiddler variant. J Interv Card Electrophysiol. 2008;23(3):243-6.
7. Chemello D, Subramanian A, Cameron D. Twiddler syndrome with 180° rotation of an implantable cardioverter defibrillator generator resulting in malfunction of one of the shocking coils. Europace. 2009;11(10):1259.
8. Ramírez P, Barrero R, González R, Frangini P, Vergara I. Síndrome de Twiddler: una causa infrecuente de disfunción de marcapaso definitivo. Rev Med Chile. 2011;139(7):917-9.
9. Larrouse E, Rodríguez E, Moya A, Rodríguez O, Soler Soler J. Síndrome de Twiddler en un paciente portador de desfibrilador automático implantable: ¿una complicación evitable? Rev Esp Cardiol. 2001;54(12):1456-8.
10. Ejima K, Shoda M, Manaka T, Hagiwara N. Reel syndrome. J Cardiovasc Electrophysiol. 2009;20(7):822.
11. van Rees JB, de Bie MK, Thijssen J, Borleffs CJ, Schalij MJ, van Erven L. Implantation-related complications of implantable cardioverter-defibrillators and cardiac resynchronization therapy devices: a systematic review of randomized clinical trials. J Am Coll Cardiol. 2011;58(10):995-1000.
12. Echeverri D, Barón AM, García JC, Ramírez JD. Síndrome de reel: una variante del síndrome de Twiddler. Rev Colomb Cardiol. 2015;22(3):153-5.
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