CTICasesTwiddler syndrome
Cite this case
[...]. Twiddler syndrome. CTICases. Published October 6, 2018. https://str-case-explorer.pages.dev/c/6m2yx
Imaging findings
Chest radiograph shows a cardiac pacemaker generator flipped and rotated in its subcutaneous pocket, resulting in the retraction and coiling of the right ventricular lead back into the right atrium.
Key takeaways
Twiddler syndrome involves the rotation of a pacemaker or ICD generator in its pocket, causing the leads to coil around the device and retract from the heart. This can occur in capacious pockets during normal activities of daily living.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Septic thrombophlebitisInfection
- Aortic dissectionAorta & Arteries
- Infective endocarditisValvular
- Diaphragmatic herniaIatrogenic
- Esophageal leiomyomaNeoplastic
- SarcoidosisAutoimmune
- Malpositioned port needleIatrogenic
- Flipped subcutaneous portIatrogenic
See all cases from October 6, 2018 →
Related Devices & Post-op cases
- LVAD Outflow Cannula Extraluminal Fluid Mimicking Thrombus
- LVAD Driveline Infection Extending to the Outflow Cannula
- Bioabsorbable Hemostatic Packing Material (Surgicel) Mimicking a Mass After Aortic Surgery
- Multiple Malpositioned Cardiac Resynchronization Therapy Leads, Including Right Ventricular Perforation
- Atrioesophageal Fistula After Atrial Fibrillation Ablation with Embolic Strokes
- Left Ventricular Pseudoaneurysm after Cardiac Surgery