Lead macro dislodgement (LMD) is an infrequent post-implantation complication of CIED, with reported incidence of about 1-8%1-3. Reel syndrome is one type of LMD4{Carnero-Varo, 1999, ReelSyndrome: a new form of Twiddler’s syndrome?} (Twiddler and Rachet being other commonly known syndromes)5. Unlike other varieties, the generator rotates on its transverse/Z- axis in Reel syndrome resulting in lead coiling around the device. Unlike Twiddler syndrome, leads are usually not damaged in Reel syndrome. Older age, female gender, large device pocket, compulsive generator manipulation or underlying psychiatric history, obesity, and dementia3,6,are established risk factors for LMD.