PMC4173322_01
Preoperative characteristic radiological findings; please notice the evident distal migration of the lead connections, and how the proximal leads are spared from "curling"
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F1
X-ray studies of the system displayed "twisted" extensor leads and an evident disconnection between these and the distally migrated electrode lead connections [Figure 1]. Proximally to the slightly rotated IPG, the extensors seemed to "curl", however, the electrode leads were spared [Figure 1].
Intraoperative findings after exposure of the assembly: Distally migrated broken up connection leads and severely convoluted connection leads near the IPG
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F2
She underwent revision surgery in June 2012, which clearly confirmed the radiologic findings: Cranially, the leads were no longer in contact inside the connector, and upon pectoral pouch opening extensor leads were clearly twisted and curling around the IPG [Figure 2].