Lead macrodislodgement is a rare complication of cardiac implantable electronic devices associated with patient-related risk factors. This paper outlines a case of reel syndrome secondary to device manipulation 3 months after subcutaneous implantable cardioverter-defibrillator implantation and describes the challenges with lead macrodislodgement diagnosis. mechanisms. and management. https://www.roneverhart.com/NeOn-Zero-Lefty-M390-BLADE-TITANIUM-HANDLE-MRBS-p11472/