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Lead implantation using the cephalic vein (CV) cutdown technique has been well established, but is not always expected to achieve high success rates. We studied the relationship between preoperative CV venography and the success rate of lead implantation.Two hundred and twenty one CV venographies were performed in 205 patients (mean age 75 years, 113 males). Leads were inserted via the CV cutdown...
Twiddler's syndrome presents as a rare implantable-cardioverter defibrillator (ICD) malfunction that is potentially fatal. The following case is that of a 79-year-old woman, who was implanted with an ICD and experienced Twiddler's syndrome. Five months after the implantation, the patient complained that the generator sometimes rotated in the subcutaneous pocket. Fluoroscopy showed that the generator...
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