Literature Review on Pacemaker Lead Dislodgement Complexes: The experience of a Tertiary Center with Eight Cases

Cardiac pacemakers (CPM) and implantable cardioverter defibrillators (ICD) are indispensable treatment option for the cardiac arrhythmias. The most common complication of pacemaker implantation is lead dislodgement. We will present eight patients with lead dislodgement about Twiddler, Reel and Ratchet Syndromes. The patients who need lead repositioning for lead dislodgement were collected retrospectively at the Cardiology Clinic of ？zmir Katip Celebi University Ataturk Training and Research Hospital from 2016 to 2017. Lead dislodgement is mostly detected at the device interrogation, with worsening insensing voltage or pacing thresholds. The dislodgement of a ventricular lead incidence in a CPM is known as 0.5 to 2.5%. Our center's experience is lower than these rates (<%0.03). Patient education, opening appropriate pocket for generator size, fixing the sleeves tight enough as required, hanging battery with a strong suture can be used to avoid lead dislodgement