Use of an active fixation lead and a subpectoral pacemaker pocket may not avoid Twiddler′s syndrome

Abstract

Manipulation of a pacemaker with consequent malfunction of the device has been called Twiddler′s syndrome. Use of active-fixation leads and subpectoral pacemaker pockets has been considered to help in avoiding this problem. We describe a child in whom twiddling was not prevented despite implantation of a lumenless atrial lead and insertion of the pacemaker generator in a subpectoral pocket.

Keywords

• Active fixation
• children
• pacemaker failure
• pacemaker
• Twiddler′s syndrome