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Nickel allergy complicating iliac vein stent requiring explantation

Year: 2025

Type: article

Abstract: Essentially all endovascular stents, both stainless steel and nitinol, contain a nickel component. Incidence of nickel hypersensitivity is common, but nickel hypersensitivity does not always result in clinically significant reactions. This 43-year-old woman presented with hives, urticaria, and malaise after nitinol stent placement in her left iliac vein for May-Thurner syndrome. She underwent open stent explanation and reconstruction of her inferior vena cava and left common iliac vein with subsequent resolution of symptoms. The low incidence of stent-related allergy does not warrant preoperative testing, but we advocate for thorough preprocedural discussion in high-risk patients. For symptomatic patients, explanation can be effective.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2025.102093

Authors: Ryan Taylor, Brett Salomon, Amanda Furtmann, Lauren Grimsley, M. Ryan Buckley

Institutions: University of Tennessee Medical Center, University of Tennessee at Knoxville, Massachusetts General Hospital

Language: English

Topic: Vascular anomalies and interventions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250