title: Double twiddle trouble, a new variant of twiddler syndrome.
abstract: The twiddler syndrome results in retraction and coiling of the lead in the pacemaker pocket with subsequent pacemaker malfunction. If the lead׳s parameters are not affected, then the problem can be corrected by lead repositioning. We describe the first reported case of a dramatic pacemaker lead coiling with a double level of lead compromise, with one of them being intra-cardiac. This condition affected our treatment strategy, as the repositioning of the lead was unfeasible.
authors.affiliation: Arrhythmia Division, Hamilton Health Sciences, McMaster University, 4th west floor, 237 Barton St. E., Hamilton, ON, Canada L8L 2X2.
authors.forename: Aldo G
authors.initials: AG
authors.lastname: Carrizo
authors.affiliation: Arrhythmia Division, Hamilton Health Sciences, McMaster University, 4th west floor, 237 Barton St. E., Hamilton, ON, Canada L8L 2X2.
authors.forename: Paul S G
authors.initials: PS
authors.lastname: Hong
authors.affiliation: Arrhythmia Division, Hamilton Health Sciences, McMaster University, 4th west floor, 237 Barton St. E., Hamilton, ON, Canada L8L 2X2.
authors.forename: Guy
authors.initials: G
authors.lastname: Amit
authors.affiliation: Arrhythmia Division, Hamilton Health Sciences, McMaster University, 4th west floor, 237 Barton St. E., Hamilton, ON, Canada L8L 2X2.
authors.forename: Jeff S
authors.initials: JS
authors.lastname: Healey
keywords: Lead dislodgement; Pacemaker; Twiddler syndrome