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

Abstract

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.)

Keywords

• cardiac implantable electronic devices
• lead failure
• lead macrodislogement
• reel syndrome
• subcutaneous implantable cardioverter-defibrillator
• twiddler syndrome