Lead Macrodislodgement of a Subcutaneous Implantable Cardioverter-Defibrillator Results in a Reel Problem

Lead macrodislodgement is a rare complication of cardiac implantable electronic devices associated with patient-related risk factors. This paper outlines a case of reel syndrome secondary to device manipulation 3 months after subcutaneous implantable cardioverter-defibrillator implantation and descr...

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Main Authors: Rayan S. El-Zein, DO, Ankur Shah, DO, Jordan Luli, DO, Mitchell Stelzer, DO, Eugene Fu, MD, Anish K. Amin, MD
Format: Article
Language:English
Published: Elsevier 2021-03-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084921001236
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spelling doaj-4ce3ce96b8404ef2a98c4e70b965c9d92021-06-07T07:06:52ZengElsevierJACC: Case Reports2666-08492021-03-0133523527Lead Macrodislodgement of a Subcutaneous Implantable Cardioverter-Defibrillator Results in a Reel ProblemRayan S. El-Zein, DO0Ankur Shah, DO1Jordan Luli, DO2Mitchell Stelzer, DO3Eugene Fu, MD4Anish K. Amin, MD5Department of Internal Medicine, OhioHealth Doctors Hospital, Columbus, Ohio, USA; Address for correspondence: Dr. Rayan Salam El-Zein, Department of Internal Medicine, Doctors Hospital, 5100 West Broad Street, Columbus, Ohio 43228, USA.Department of Cardiology, OhioHealth Doctors Hospital, Columbus, Ohio, USADepartment of Internal Medicine, OhioHealth Doctors Hospital, Columbus, Ohio, USADepartment of Cardiology, OhioHealth Doctors Hospital, Columbus, Ohio, USAOhioHealth Heart and Vascular Physicians, Section of Cardiac Electrophysiology, Department of Cardiology, OhioHealth Riverside Methodist Hospital, Columbus, Ohio, USAOhioHealth Heart and Vascular Physicians, Section of Cardiac Electrophysiology, Department of Cardiology, OhioHealth Riverside Methodist Hospital, Columbus, Ohio, USALead macrodislodgement is a rare complication of cardiac implantable electronic devices associated with patient-related risk factors. This paper outlines a case of reel syndrome secondary to device manipulation 3 months after subcutaneous implantable cardioverter-defibrillator implantation and describes the challenges with lead macrodislodgement diagnosis, mechanisms, and management. (Level of Difficulty: Beginner.)http://www.sciencedirect.com/science/article/pii/S2666084921001236cardiac implantable electronic deviceslead failurelead macrodislogementreel syndromesubcutaneous implantable cardioverter-defibrillatortwiddler syndrome
collection DOAJ
language English
format Article
sources DOAJ
author Rayan S. El-Zein, DO
Ankur Shah, DO
Jordan Luli, DO
Mitchell Stelzer, DO
Eugene Fu, MD
Anish K. Amin, MD
spellingShingle Rayan S. El-Zein, DO
Ankur Shah, DO
Jordan Luli, DO
Mitchell Stelzer, DO
Eugene Fu, MD
Anish K. Amin, MD
Lead Macrodislodgement of a Subcutaneous Implantable Cardioverter-Defibrillator Results in a Reel Problem
JACC: Case Reports
cardiac implantable electronic devices
lead failure
lead macrodislogement
reel syndrome
subcutaneous implantable cardioverter-defibrillator
twiddler syndrome
author_facet Rayan S. El-Zein, DO
Ankur Shah, DO
Jordan Luli, DO
Mitchell Stelzer, DO
Eugene Fu, MD
Anish K. Amin, MD
author_sort Rayan S. El-Zein, DO
title Lead Macrodislodgement of a Subcutaneous Implantable Cardioverter-Defibrillator Results in a Reel Problem
title_short Lead Macrodislodgement of a Subcutaneous Implantable Cardioverter-Defibrillator Results in a Reel Problem
title_full Lead Macrodislodgement of a Subcutaneous Implantable Cardioverter-Defibrillator Results in a Reel Problem
title_fullStr Lead Macrodislodgement of a Subcutaneous Implantable Cardioverter-Defibrillator Results in a Reel Problem
title_full_unstemmed Lead Macrodislodgement of a Subcutaneous Implantable Cardioverter-Defibrillator Results in a Reel Problem
title_sort lead macrodislodgement of a subcutaneous implantable cardioverter-defibrillator results in a reel problem
publisher Elsevier
series JACC: Case Reports
issn 2666-0849
publishDate 2021-03-01
description Lead macrodislodgement is a rare complication of cardiac implantable electronic devices associated with patient-related risk factors. This paper outlines a case of reel syndrome secondary to device manipulation 3 months after subcutaneous implantable cardioverter-defibrillator implantation and describes the challenges with lead macrodislodgement diagnosis, mechanisms, and management. (Level of Difficulty: Beginner.)
topic cardiac implantable electronic devices
lead failure
lead macrodislogement
reel syndrome
subcutaneous implantable cardioverter-defibrillator
twiddler syndrome
url http://www.sciencedirect.com/science/article/pii/S2666084921001236
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