title: Twiddler's syndrome in a patient with CRT-D device - A case report.
abstract: Twiddler's syndrome is a rare cause of pacemaker lead dislodgement. A 61-year-old female patient was implanted with a defibrillator capable of cardiac re-synchronization therapy (CRT-D); 10 months later, she presented with uneasiness and vibratory sensations in the chest. Fluoroscopy revealed rotation of the pulse generator along its longitudinal axis and dislodgement of all three leads. Diagnosis of Twiddler's syndrome was made.
authors.affiliation: Fortis Rajan Dhall Hospital, Sector B, Pocket 1, Vasant Kunj, New Delhi 110070, India.
authors.forename: Dheeraj D
authors.initials: DD
authors.lastname: Bhatt
authors.affiliation: Fortis Rajan Dhall Hospital, Sector B, Pocket 1, Vasant Kunj, New Delhi 110070, India.
authors.forename: Ripen K
authors.initials: RK
authors.lastname: Gupta
authors.affiliation: Executive Director and Dean, Fortis Rajan Dhall Hospital, Sector B, Pocket 1, Vasant Kunj, New Delhi 110070, India. Electronic address: kaul.upendra@gmail.com.
authors.forename: Upendra
authors.initials: U
authors.lastname: Kaul
mesh_terms: D017147:Defibrillators, Implantable / Q000009:adverse effects*; D003937:Diagnosis, Differential; D004868:Equipment Failure; D005260:Female; D005471:Fluoroscopy; D005548:Foreign-Body Migration / Q000175:diagnosis*; D006333:Heart Failure / Q000628:therapy*; D006352:Heart Ventricles; D006801:Humans; D008875:Middle Aged; D013577:Syndrome
keywords: CRT-D; Lead dislodgement; Twiddler's syndrome