The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 2 , Pages 499-501 , February 2010

A novel solution for repeated migration of an implantable cardiac defibrillator

  • Amir M. Sheikh, BSc, MBBS, FRCS (C/Th)

      Affiliations

    • Division of Cardiac Surgery, Toronto General Hospital, Toronto, Ontario, Canada
    • ,
  • Imran Raza, BSc, MBBS, MRCS

      Affiliations

    • General Surgery, Queen Mary's Sidcup, Kent, United Kingdom
    • Corresponding Author InformationAddress for reprints: Imran Raza, BSc, MBBS, MRCS, Queen Mary's Sidcup, Frognal Ave, Sidcup, Kent, DA14 6LT, United Kingdom.
    • ,
  • Simon Charles Edwin Sporton, BSc, MBBS, MD, MRCP

      Affiliations

    • Consultant in of Cardiology, Barts and The London NHS Trust, London, United Kingdom
    • ,
  • Kulvinder S. Lall, MBBS, FRCS

      Affiliations

    • Cardiothoracic Surgery, Barts and The London NHS Trust, London, United Kingdom

Received 4 October 2008 ,Revised 25 November 2008 ,Accepted 19 December 2008.

References 

  1. Bracke F, van Gelder B, Dijkman B, Meijer A. Lead system causing twiddler's syndrome in patients with an implantable cardioverter-defibrillator. J Thorac Cardiovasc Surg. 2005;129:231–232
  2. Bhatia V, Kachru R, Parida A, Kaul U. Twiddlers syndrome. Int J Cardiol. 2007;116:e82
  3. Higgins SL, Suh BD, Stein JB, Meyer DB, Jons J, Willis D. Recurrent Twiddler's syndrome in a nonthoracotomy ICD system despite a Dacron pouch. Pacing Clin Electrophysiol. 1998;21(1 Pt 1):130–133
  4. Parsonnet V, Bernstein AD, Neglia D, Omar A. The usefulness of a stretch-polyester pouch to encase implanted pacemakers and defibrillators. Pacing Clin Electrophysiol. 1994;17(12 Pt 1):2274–2278
  5. Parsonnet V, Shapiro J. Unique Dacron reaction to an implanted pulse generator. Pacing Clin Electrophysiol. 2005;8:864–866

 At the time of this report, Dr Raza's affiliation was Cardiothoracic Senior House Officer, St Bartholomew's Hospital, Department of Cardiothoracic Surgery, West Smithfield, London, United Kingdom.

 Disclosures: None.

PII: S0022-5223(08)02248-4

doi: 10.1016/j.jtcvs.2008.12.015

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 2 , Pages 499-501 , February 2010

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