P. Defaye et al., A RARE CAUSE OF INAPPROPRIATE SHOCKS OF A N IMPLANTABLE AUTOMATIC DEFIBRILLATOR - TWIDDLERS SYNDROME, Archives des maladies du coeur et des vaisseaux, 90(7), 1997, pp. 999-1002
The authors report the case of a patient with an automatic defibrillat
or implanted by an endocavitary approach. The device emitted a series
of inappropriate shocks. They were triggered by the detection of myopo
tentials resulting from lesions of the lead due to Twiddler's syndrome
. This was reproduced by telemetry in real time and confirmed by chest
and abdominal X-ray and the peroperative findings. Treatment consiste
d of ablation of all implanted material which was replaced by a new re
tropectoral model.