title: Reel syndrome in an ICD with DF4 connector.
abstract: This is the first case report about a patient implanted with a DF4 lead suffering from reel syndrome. The reel syndrome may occur due to a ratchet mechanism where the device generator creates torque on a lead fixed at the fixation sleeve. Theoretically, this is less likely to occur in DF4 connectors due to their higher stiffness.
authors.affiliation: III. Med. Klinik, Universitätsklinikum St. Pölten-Lilienfeld, Propst Führer-Str. 4, 3100, St. Pölten, Austria, christian.wollmann@stpoelten.lknoe.at.
authors.forename: Christian G
authors.initials: CG
authors.lastname: Wollmann
mesh_terms: D000369:Aged, 80 and over; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D020878:Device Removal; D004566:Electrodes / Q000009:adverse effects*; D004868:Equipment Failure; D005548:Foreign-Body Migration / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D006333:Heart Failure / Q000150:complications / Q000517:prevention & control*; D006801:Humans; D008297:Male; D016896:Treatment Outcome