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Michael de Buitleir, MD, Charles C. Canver, MD, FCCP  CHEST 

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Presentation on theme: "Michael de Buitleir, MD, Charles C. Canver, MD, FCCP  CHEST "— Presentation transcript:

1 Twiddler's Syndrome Complicating a Transvenous Defibrillator Lead System 
Michael de Buitleir, MD, Charles C. Canver, MD, FCCP  CHEST  Volume 109, Issue 5, Pages (May 1996) DOI: /chest Copyright © 1996 The American College of Chest Physicians Terms and Conditions

2 FIGURE 1 Posteroanterior (top) and lateral (bottom) chest radiographs immediately after implantation of an endocardial defibrillation lead demonstrating a satisfactory lead position and strain-relief loop in the left infraclavicular region. CHEST  , DOI: ( /chest ) Copyright © 1996 The American College of Chest Physicians Terms and Conditions

3 FIGURE 2 Posteroanterior (top) and lateral (bottom) chest radiographs 7 months after lead implantation showing retraction of the endocardial defibrillation lead from the right ventricle, loss of the strain-relief loop in the left infraclavicular fossa, and repeated coiling and twisting of the extrathoracic portion of the lead. CHEST  , DOI: ( /chest ) Copyright © 1996 The American College of Chest Physicians Terms and Conditions

4 FIGURE 3 Photograph obtained on opening the defibrillator pocket demonstrating the tight coils and loops of the lead near the defibrillator. CHEST  , DOI: ( /chest ) Copyright © 1996 The American College of Chest Physicians Terms and Conditions


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