scholarly journals Síndrome de Twiddler: Causa Rara de Disfunção de Pacemaker Definitivo

2014 ◽  
Vol 27 (5) ◽  
pp. 652
Author(s):  
Davide Moreira ◽  
Luís Ferreira dos Santos ◽  
António Costa ◽  
Luís Nunes ◽  
Jorge Oliveira Santos
Keyword(s):  
Adverse Effects ◽  
Rare Complication ◽  
Pacemaker Implantation ◽  
Equipment Failure ◽  
Twiddler’S Syndrome ◽  
Twiddler Syndrome

<p>The authors present a case of Twiddler’s syndrome, a rare complication after pacemaker implantation, first described in 1968. The article is complemented by an approach to the etiology and manifestations of this entity.</p><p><br /><strong>Keywords:</strong> Twiddler Syndrome; Pacemaker, Artificial/adverse effects; Equipment Failure.</p>

scholarly journals Twiddler’s syndrome: a rare complication of pacemaker implantation

2014 ◽  
Vol 124 (4) ◽  
pp. 209-209
Author(s):  
Piotr J. Stryjewski ◽  
Agnieszka Kuczaj ◽  
Łukasz Kulak ◽  
Jacek Nowak ◽  
Bohdan Nessler ◽  
...  
Keyword(s):  
Rare Complication ◽  
Pacemaker Implantation ◽  
Twiddler’S Syndrome

Extrusion of the device: a rare complication of the pacemaker implantation

2008 ◽  
Vol 9 (12) ◽  
pp. 1271-1273 ◽  
Author(s):  
Giuseppe Santarpia ◽  
Berardo Sarubbi ◽  
Michele DʼAlto ◽  
Emanuele Romeo ◽  
Raffaele Calabrò
Keyword(s):  
Rare Complication ◽  
Pacemaker Implantation

scholarly journals TWIDDLER'S SYNDROME: A RARE BUT A SERIOUS COMPLICATION OF PACEMAKER IMPLANTATION

2018 ◽  
Vol 71 (11) ◽  
pp. A2586 ◽  
Author(s):  
Sarmed Mansur ◽  
Ihab Kassab ◽  
Nadine Sarsam ◽  
Riple Hansalia
Keyword(s):  
Pacemaker Implantation ◽  
Twiddler’S Syndrome

Atrioventricular membrane perforation: A very rare complication of transvenous pacemaker implantation

2005 ◽  
Vol 18 (1) ◽  
pp. 71-74 ◽  
Author(s):  
Kumral Ergun ◽  
Kerim Cagli ◽  
Onur Sahin ◽  
Bulent Deveci ◽  
Zehra Golbasi ◽  
...  
Keyword(s):  
Rare Complication ◽  
Pacemaker Implantation ◽  
Membrane Perforation

scholarly journals A rare complication: Right Contralateral Hemopneumothorax After Pacemaker Implantation

2019 ◽  
Vol 4 ◽  
pp. 8-10
Author(s):  
Victor S. Alemany ◽  
Abdalla Sherif Hassan Attia
Keyword(s):  
Rare Complication ◽  
Pacemaker Implantation

scholarly journals Very late pacemaker extrusion: A rare complication of permanent pacemaker implantation

2012 ◽  
Vol 02 (04) ◽  
pp. 330-332 ◽  
Author(s):  
Rajesh Vijayvergiya ◽  
Ram Chitlangia ◽  
Mukesh Yadav ◽  
Asif Hasan
Keyword(s):  
Rare Complication ◽  
Pacemaker Implantation ◽  
Permanent Pacemaker ◽  
Permanent Pacemaker Implantation

scholarly journals A 50-Year-Old Male with Dapsone Hypersensitivity Syndrome

2018 ◽  
Vol 8 (2) ◽  
pp. 108-113
Author(s):  
Lubna Khondker ◽  
Farhana Wahab ◽  
Azmiree Binte Aslam
Keyword(s):  
Adverse Effects ◽  
Lupus Erythematosus ◽  
Leukocytoclastic Vasculitis ◽  
Rare Complication ◽  
Pneumocystis Carinii ◽  
Hypersensitivity Syndrome ◽  
Severe Form ◽  
Prurigo Nodularis ◽  
Diphenyl Sulfone ◽  
Bullous Dermatosis

Dapsone, diamino-diphenyl sulfone, is an antibacterial and anti-inflammatory drug which is used worldwide for treating many diseases, such as leprosy, dermatitis herpetiformis, linear IgA bullous dermatosis, chronic bullous dermatosis of childhood, bullous eruption of systemic lupus erythematosus, erythema elevatum diutinum, leukocytoclastic vasculitis, polyarteritis nodosa and other kinds of vasculitis, prurigo nodularis, nodulocystic acne, cutaneous mycetoma, pustular psoriasis, malaria, pneumocystis carinii pneumonia etc. Since it is widely used, the adverse effects of this drug attract the attention of doctors from different specialities. Dapsone can cause several adverse effects, the most serious one is idiosyncratic systemic hypersensitivity syndrome, namely dapsone hypersensitivity syndrome (DHS), which is potentially fatal, characterized by fever, facial edema with infiltrated papules, generalized papulopustular or exanthematous rash which may extend to exfoliative dermatitis, eosinophilia, lymphadenopathy, hematologic involvement and organ involvement such as hepatitis, nephritis, pneumonitis, encephalitis, myocarditis occurring after 3–6 weeks of drug therapy. Here we have described a case of dapsone hypersensitivity syndrome developed after dapsone therapy for prurigo nodularis. The case is being reported to emphasize the need for timely diagnosis and prompt treatment of this rare complication for successful outcomes. Physicians should be aware of this infrequent but potentially fatal severe form of adverse reaction that can mimic other conditions.J Enam Med Col 2018; 8(2): 108-113

scholarly journals Hemoptysis after Subclavian Vein Puncture for Pacemaker Implantation: Importance of Wire-Guided Venous puncture

2012 ◽  
Vol 5 ◽  
pp. CCRep.S10006 ◽  
Author(s):  
Antoine Kossaify ◽  
Nayla Nicolas ◽  
Pierre Edde
Keyword(s):  
Critically Ill Patients ◽  
Subclavian Vein ◽  
Rare Complication ◽  
Pacemaker Implantation ◽  
Lung Parenchyma ◽  
Pertinent Literature ◽  
Venous Puncture ◽  
Vein Access ◽  
Difficult Cases ◽  
Safe Access

We report a case of hemoptysis occurring after subclavian vein puncture for pacemaker implantation. Hemoptysis related to injury of lung parenchyma is a rare complication of subclavian vein access and is usually self limited, but can affect prognosis in critically ill patients. Venogram-guided or even better wire-guided venous puncture allow safe access to the subclavian vein in difficult cases. A review of the pertinent literature is also presented.

scholarly journals A rare complication after pacemaker implantation: unusually shaped lead coil

2005 ◽  
Vol 27 (9) ◽  
pp. 1012-1012 ◽  
Author(s):  
Michele Correale ◽  
Riccardo Ieva ◽  
Luigi Ziccardi ◽  
Matteo Di Biase
Keyword(s):  
Rare Complication ◽  
Pacemaker Implantation

scholarly journals Serial Case of Twiddler Syndrome

2017 ◽  
pp. 30-7
Author(s):  
Pipiet Wulandari ◽  
Sunu B Raharjo ◽  
Dicky A Hanafy ◽  
Lina Haryati ◽  
Yoga Yuniadi
Keyword(s):  
Ejection Fraction ◽  
Pulse Generator ◽  
Pacemaker Implantation ◽  
Muscular Activity ◽  
Left Ventricular ◽  
Implantable Cardioverter Defibrillators ◽  
Systolic Left Ventricular Function ◽  
Chest X Ray ◽  
Cardioverter Defibrillators ◽  
Twiddler Syndrome

Background: Twiddler syndrome is an infrequent but potentially dangerous complication of device therapy for dysrhythmias. This syndrome results from manipulation of implanted pulse generator by the patient, leading to traction and subsequent lead dislodgement. It can also occur spontaneously. It has been increasingly reported with pacemaker or implantable cardioverter-defibrillators (ICDs). In this reports, we describe two patients with Twiddler syndrome with substantial retraction of their lead who denied any manipulation of their device.Case Illustration: The first patient was a 56 year-old man with single-chamber ICD due to dilated cardiomyopathy (DCM) with congestive heart failure and severe systolic left ventricular dysfunction (ejection fraction 18%). The dislodged lead causing rhythmical twitching of left pectoral muscles and abdominal pulsations. The second patient was a 69 year-old man with dual-chamber pacemaker due to total atrioventricular block with normal systolic left ventricular function (ejection fraction 70%). It manifested as dyspnea on effort, and he also underwent pacemaker implantation. They underwent primary devices implantation at April 2016 and reposition of generators and its leads in December 2016. The first and second patients denied of manipulating the generator of ICD or pacemaker and rotated their left arm and right arm, respectively, after implantation.Summary: Other unconscious arm abduction during sleep or increased muscular activity of the shoulder and arm might have led to repetitive motions within the pocket and dislodge the device. Adequate individualized patient and family education and regular evaluation every 6 month of the leads position with fluoroscopy or chest X-ray is advisable.

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