Superficial femoral artery nitinol stent in a patient with nickel allergy.

Abstract

We present a case of a patient who developed a systemic allergic reaction following placement of a nitnol stent in the superficial femoral artery for claudication symptoms. Shortly after, he was tested for contact dermatitis and found to have a severe reaction to nickel. His symptoms of severe itch and generalized rash resolved within days following stent explantation and reconstruction with a vein graft. The epidemiology and clinical significance of nickel allergy and the concomitant use of nickel-alloy stents are discussed.

• Authors: Prasad Jetty, Srinidhi Jayaram, John Veinot, Melanie Pratt
• Journal: Journal of vascular surgery (J Vasc Surg) Vol. 58 Issue 5 Pg. 1388-90 (Nov 2013) ISSN: 1097-6809 [Electronic] United States
• PMID: 23611713 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2013 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

Chemical References

• Nickel

Topics

• Angioplasty (adverse effects, instrumentation)
• Constriction, Pathologic
• Dermatitis, Allergic Contact (diagnosis, etiology, surgery)
• Device Removal
• Femoral Artery
• Humans
• Intermittent Claudication (etiology, therapy)
• Male
• Middle Aged
• Nickel (adverse effects)
• Peripheral Arterial Disease (complications, diagnosis, therapy)
• Prosthesis Design
• Reoperation
• Saphenous Vein (transplantation)
• Stents (adverse effects)
• Treatment Outcome