CTICasesTwiddler's Syndrome of an ICD Lead
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Imaging findings
A follow-up chest radiograph of a young woman with hypertrophic cardiomyopathy, who had recently received an ICD, showed the lead coiled within the pocket, leading to abnormal atrial readings.
Key takeaways
Twiddler's syndrome is a complication where pacemaker or ICD leads coil within the pulse generator pocket, often due to patient manipulation. This can lead to lead dislodgement, malfunction, and abnormal readings, requiring lead repositioning.
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