Work

Extravascular implantable cardioverter-defibrillator implantation in a patient with nickel and cobalt allergies

Year: 2025

Type: article

Abstract: As global implantation rates for Cardiac Implantable Electronic Devices (CIEDs) exceed 1 million a year (1,2), the number of rare complications including device hypersensitivity has increased. CIED-hypersensitivity reactions (CIED-HSRs) to pacemakers and implantable cardioverter defibrillators (ICDs) are difficult to diagnose as they share a similar presentation as CIED-infection and skin patch testing suffers from low sensitivity (3). Primary and secondary prevention of device reactions involves the utilization of hypoallergenic device components or coatings such as gold, polytetrafluoroethylene (PTFE), and silicone to protect against metal leach.

Source: HeartRhythm Case Reports

DOI: 10.1016/j.hrcr.2025.06.008

Authors: Justin J. Song, Ronghua Yang, Nils A. Guttenplan

Institutions: Albert Einstein College of Medicine, Montefiore Medical Center

Language: English

Topic: Cardiac pacing and defibrillation studies

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,100