Superficial femoral artery nitinol stent in a patient with nickel allergy

J Vasc Surg. 2013 Nov;58(5):1388-90. doi: 10.1016/j.jvs.2013.01.041. Epub 2013 Apr 20.

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.

Publication types

  • Case Reports

MeSH terms

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

Substances

  • Nickel