twiddler's syndrome


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twiddler's syndrome

 [twid´lerz]
the nervous habit of “twiddling” entry portals, thereby displacing an inserted catheter; it is usually associated with pacemaker insertion but has been reported following implantation of a venous access port.

twid·dler's syn·drome

condition in which a cardiac pacemaker wire is pulled out of position in the heart with rotation of the subcutaneous pacemaker by the patient's "twiddling."

twid·dler's syn·drome

condition in which a cardiac pacemaker wire is pulled out of position in the heart with rotation of the subcutaneous pacemaker by the patient's "twiddling."

twid·dler's syn·drome

(twid'lĕrz sin'drōm)
Condition in which a cardiac pacemaker wire is pulled out of position in the heart with rotation of the subcutaneous pacemaker by the patient's "twiddling."
References in periodicals archive ?
Twiddler's syndrome (TS) is known to be an uncommon cause of device malfunction caused by excessive twisting of the pacemaker or ICD device in the pocket, resulting in dislodgement of leads and device malfunction.2 The prevalence of this syndrome was reported to be 0.07 - 7 % in cases with a pacemaker.2,3 It was first reported by Bayliss et al.
However, preventive maneuvers like anchoring the generator to the bottom of the pocket or subcutaneous infraclavicular region implants instead of abdominal implants should be considered.4 Furthermore, Twiddler's syndrome usually occurs one year or less after implantation of the device.
Twiddler's syndrome detected by patient's complaint of implantable cardioverter-defibrillator rotation in the subcutaneous pocket.