title: Ratchet-traction effect: an underdiagnosed mechanism of pacing lead dislodgement.
abstract: Pacing lead dislodgement contributes substantially, to the list of causes of early pacemaker failure. Reel's syndrome is a rare cause of pacemaker failure, resulting from the dislodging of pacing electrodes by manipulation of the pulse generator by the patient. We describe here an intriguing case of pacemaker lead dislodgement by a novel and frequently underdiagnosed mechanism that mimicked the fluoroscopic diagnosis of reel's syndrome.
authors.affiliation: Assistant Professor, Department of Cardiology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Gomti Nagar, Lucknow, U.P. 226010, India. Electronic address: skvijay1980@rediffmail.com.
authors.forename: Sudarshan Kumar
authors.initials: SK
authors.lastname: Vijay
authors.affiliation: Department of Cardiology, King George Medical University, Lucknow, U.P. 226003, India.
authors.forename: Sudhanshu Kumar
authors.initials: SK
authors.lastname: Dwivedi
authors.affiliation: Department of Cardiology, King George Medical University, Lucknow, U.P. 226003, India.
authors.forename: Sharad
authors.initials: S
authors.lastname: Chandra
authors.affiliation: Department of Cardiology, King George Medical University, Lucknow, U.P. 226003, India.
authors.forename: Ram Kirti
authors.initials: RK
authors.lastname: Saran
mesh_terms: D004562:Electrocardiography; D004567:Electrodes, Implanted; D004868:Equipment Failure; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D013902:Radiography, Thoracic; D013577:Syndrome
keywords: Pacemaker lead; Ratchet-traction; Reel syndrome